Form Dr-26rp - Florida Neighborhood Revitalization Program Application For Sales And Use Tax
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1
2DR-26RP
Florida Neighborhood Revitalization
R. 01/17
Program Application for Sales and Use Tax
Rule 12A-1.097
Florida Administrative Code
Effective 01/17
If you are claiming a refund from the Florida Department of Revenue of Florida sales and use tax paid on building materials used
in the construction of a qualified home, housing or mixed use project, you must complete this Application and an Application
for Refund-Sales and Use Tax (Form DR-26S). These forms, along with any required attachments, must be filed within six (6)
months after the date the local building inspector determines the qualified home, housing or mixed-use project is substantially
completed.
Select the location and refund type for the project you are claiming:
Brownfield Area
Urban High Crime Area
Urban Infill and Redevelopment Area
Housing Project
Housing Project
Housing Project
Mixed-use Project
Mixed-use Project
Mixed-use Project
Front Porch Florida Community
Housing Project
Mixed-use Project
Single Family Home
Owner's Social Security* or FEI Number
Redevelopment Area Name or Number
Owner's Name
Mailing Address
City
State
ZIP
Assessment Roll Parcel Number
Building Permit Number
Building Inspector Name
Phone Number
Fax Number
Date of certificate stating that improvements are substantially complete
* Social security numbers (SSNs) are used by the Florida Department of Revenue as unique identifiers for the administration of
Florida's taxes. SSNs obtained for tax administration purposes are confidential under sections 213.053 and 119.071, Florida
Statutes, and not subject to disclosure as public records. Collection of your SSN is authorized under state and federal law. Visit
our Internet site at and select “Privacy Notice” for more information regarding the state and federal law
governing the collection, use, or release of SSNs, including authorized exceptions.
Under penalty of perjury, I declare that I have read the forgoing Application and the facts stated in it are true to the best of my
knowledge and belief.
Signature of owner
Date
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