Form Dr-1214dcp - Application For Data Center Property Temporary Tax Exemption Certificate

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Application for Data Center Property
DR-1214DCP
N. 09/17
Temporary
Tax Exemption Certificate
Effective 09/17
SECTION I
This application is to be completed by the data center for which exemption from Florida sales and/or use tax is claimed pursuant to
Section 212.08(5)(s), Florida Statutes.
A Qualifying Data Center Designation for Tax Exemption is Being Claimed by:
1.
(a) Business Name: ________________________________________________________________________________________________
(b) Mailing Address: ________________________________________________________________________________________________
City, State, ZIP: _________________________________________________________________________________________________
(c) Website address: ________________________________________________________________________________________________
(d) Florida Sales Tax Number or Business Partner Number, if applicable:___________________________________________________
(e) FEIN: __________________________________________________________________________________________________________
(f) Telephone Number: ( ________ ) _________________________ Fax Number:( ________ ) __________________________________
(g) Name, address, position, telephone number, and e-mail address of person or persons to be contacted regarding this project.
(Form DR-835, Power of Attorney, must be submitted if not an officer or employee of the business.)
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
2.
(a) Project Location (Address where data center facility and purchases eligible for tax exemption will be located):
________________________________________________________________________________________________________________
(b) Was the data center property listed in 2.(a) operating as a data center within six months of the date of acquisition?
Yes
No
Please note: The acquisition cost of the facility cannot be included in the “cumulative capital investment” amount, as defined
in section 212.08(5)(s)1.b., F.S., if the purchased facility was operating as a data center within six months of the date of
acquisition.
(c) Project Description (Explain in full detail the purpose and scope of work to be accomplished at the project location.):
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
(Attach additional sheet, if necessary)
(d) Approximate Beginning and Completion Date of Construction (if construction is necessary):
Beginning Date: ______________________________________ Completion Date: __________________________________________
(e) What is the total anticipated cost of construction activities occurring after July 1, 2017? ______________________________
(f) List the major categories of property that have been or will be purchased or leased to outfit, operate, support, power, cool,
dehumidify, secure, or protect the data center.
______________________________________________________
_____________________________________________________
______________________________________________________
_____________________________________________________
______________________________________________________
_____________________________________________________
(Attach additional sheet, if necessary)
(g) What is the total cost of the items listed in 2.(f) that have been purchased since July 1, 2017?_____________________________
(h) What is the estimated cost of the anticipated purchase of items listed in 2.(f)?___________________________________________
(i) What is the estimated combined total of ALL project expenses to construct, install, equip, or expand the data center?
_______________
(j) What is the anticipated completion date of ALL purchasing activities? _________________________________________________

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