12. Calculation for Estimated Tax:
$
A. Taxable sales (prior state fiscal year)
$
B. Less total of all individual sales of $200,000 or more
C. Net sales
$
$
D. Total tax due (6% of Line C)
$
E. Divide the amount on Line D by 12 (this is your average tax liability)
$
F. Monthly estimated tax payment (60% of Line E)
Special Note: If approved, the dealer must remit estimated taxes in the manner prescribed above for the entire
calendar year.
13. Applicant Signature — This application cannot be processed if not signed by the applicant.
Under penalties of perjury, I declare that I have read this application and the facts stated in it are true.
Signature of Owner, Partner, or Officer
Date
Type Name Above
Title
If you have any questions regarding this application or estimating taxes under this application, call Return Reconciliation
at 850-717-6637.
Mail this completed application to:
Florida Department of Revenue
Return Reconciliation MS 1-5253
5050 W Tennessee St
Tallahassee FL 32399-0162