Instructions For Form Dr-15ez - Sales And Use Tax Returns Page 2

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First!
Complete the Back of the Return
,
,
DOLLARS
CENTS
Under penalties of perjury, I declare that I have read this
1. Gross Sales
return and the facts stated in it are true.
(Do not include tax)
,
,
2. Exempt Sales
(Include these in Gross
,
Sales, Line 1)
Signature of Taxpayer
Date
Telephone #
The total amount of lawful deductions (Line 5) and
3. Taxable Sales/Purchases
(Include Internet/Out-of-State
,
sales tax credit memos issued by the Department
Purchases)
Signature of Preparer
Date
Telephone #
4. Total Tax Due
(Line 6) cannot be more than the total tax due (Line 4).
(Include Discretionary Sales
,
Surtax from Line B)
5. Less Lawful Deductions
,
Discretionary Sales Surtax Information
,
A. Taxable Sales and
6. Less DOR Credit Memo
Purchases NOT Subject to
,
DISCRETIONARY SALES
,
SURTAX
7. Net Tax Due
B. Total Discretionary
,
Sales Surtax Due
8. Less Collection Allowance or
Plus Penalty and Interest
,
E-fi le / E-pay to Receive Collection Allowance
9. Amount Due With Return
Please do not fold or staple.
(Enter this amount on front)
File and pay electronically and on time
Be sure to use the correct tax
to receive a collection allowance.
return for each reporting period.
FLORIDA SALES AND USE TAX RETURN
FLORIDA SALES AND USE TAX RETURN
DR-15EZ
DR-15EZ
,
Reporting Period
R. 01/15
R. 01/15
DOR USE ONLY
DOR USE ONLY
Certifi cate Number:
Surtax Rate:
postmark or hand-delivery date
postmark or hand-delivery date
Location/Mailing Address Changes:
New Location Address:
Telephone Number: (
)
New Mailing Address: ___________________________________
,
FLORIDA DEPARTMENT OF REVENUE
Amount Due From Line 9
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0120
On Reverse Side
Check here if payment was made electronically.
Due:
Late After:
Enter the amount due from Line 9 on
the back of the return.
Due Dates, Electronic Filing and Payment, and Other Filing Information
and then select the current year Florida e-Services
Due Dates: Tax returns and payments are due on the 1
st
Calendar of Due Dates (Form DR-659).
and late after the 20
day of the month following each
th
reporting period. If the 20
falls on a Saturday, Sunday, or
th
Due Date Reminders: If you fi le your paper returns
a state or federal holiday, your tax return must be received
monthly or quarterly, you can sign up to receive an email
electronically, postmarked, or hand delivered on the fi rst
every reporting period, reminding you of the due date. Visit
business day following the 20
.
th
fl Electronic fi lers will
receive due date reminders without using the subscription
Due Dates for Electronic Payments: To avoid penalty
service.
and interest, you must initiate your electronic payment
and receive a confi rmation number no later than 5:00
No Tax Due? Telefi le at 800-550-6713 - You must fi le
p.m., ET, on the business day prior to the 20
. Keep
th
a tax return for each reporting period, even if no
the confi rmation number in your records. For a list of
tax is due. You can telefi le using the toll-free number
deadlines for initiating electronic payments on time, visit
to conveniently fi le your returns when no tax is due and
fl , select the e-Services section,
2

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