Form Dr-1214dcp - Application For Data Center Property Temporary Tax Exemption Certificate Page 2

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SECTION II
(a)
What is the actual or anticipated minimum critical IT load for electric power dedicated to the data center?
__________________ megawatts
(b) What is the actual or anticipated minimum critical IT load for electric power that will be dedicated to each owner?
__________________ megawatts
(c) What is the actual or anticipated minimum critical IT load for electric power that will be dedicated to each tenant?
__________________ megawatts
ADDITIONAL REMARKS
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
Important: A qualifying data center must file this form whether it seeks to make purchases tax-exempt or seeks a refund of previously
paid taxes on eligible purchases. To avoid any delays in obtaining the permit or a refund, the application must be fully
completed and returned to the Department of Revenue. A business that seeks a refund of previously paid tax must also file
an Application for Refund - Sales and Use Tax (Form DR-26S) within the applicable statutory limits. See s. 215.26(2), F.S.
For additional information, call (850) 617-8346.
By submitting this application, the applicant acknowledges that it seeks to meet the exemption requirements provided in
section 21.208(5)(s)2., F.S.
Mail this form to:
__________________________________________________________
Signature
TECHNICAL ASSISTANCE AND DISPUTE RESOLUTION
__________________________________________________________
FLORIDA DEPARTMENT OF REVENUE
Print Name
PO BOX 7443
__________________________________________________________
TALLAHASSEE FL 32314-7443
Title
For Florida Department of Revenue use ONLY — Do not write in this space.
The above project is: (check one)
Permit _________________________
_____________________________
From
To
Approved
Permit Number ___________________________________________________
Denied
Business Name: _________________________________________________
_________________________________________________________________
(Signature of Authorized Agent)
Date
FEIN or Sales Tax Number: ________________________________________

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