Form Dr-309638 Draft - Exporter Fuel Tax Return - 2018 Page 3
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600002
DR-309638
Mail To:
Exporter
Florida Department of Revenue
R. 01/14
5050 W Tennessee St
Fuel Tax Return
Page 3
Tallahassee FL 32399-0165
2018
For Calendar Year:
Check here if filing a supplemental return
FEIN:
920002018999900980270381300000000100002
License Number:
Collection Period Ending:
DOR USE ONLY
POSTMARK OR HAND-DELIVERY DATE
Return Due By
Late After
Complete Reverse Side of Return First
Under penalty of perjury, I declare that I have read this return and the facts stated in it are true.
_______________________________________________________________________________________________________________________
Signature of Exporter
Title
Date
_______________________________________________________________________________________________________________________
Name of Preparer (Print)
Signature of Preparer
Telephone Number
FEIN
Date
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