5050 W Tennessee St
Certain renewal notes
Check here and complete the Change of Information form above
Check here if you are discontinuing your business and this is your final
Florida Department of Revenue
For Registered Taxpayers
If you sell your business or ownership changes check here and complete
Notes and other written obligations to pay
Retail installment sale contracts
Tallahassee FL 32399 0170
Title loans
Unrecorded Documents
**Detach coupon and return with payment **
**Detach coupon and return with payment**
1 Documentary
2 5 0 0
2 Surtax Due
20th You must file a tax return for each collection period even if no tax is due
3 Penalty
4 Interest
5 Amount Due With
50 percent of the tax due The minimum penalty for a late filed tax
5050 W TENNESSEE ST
850 922 1115
9100 0 99999999 0019025031 1 9999999999 0000 0
a final return
all of your numbers together Do not use a comma period or dash ( or )
and enter the total Pay this amount with your return Make your check
and other written obligations to $2 450 However there is no limit on the tax due
and phone number
and write one number per box Write within the boxes
appropriate penalty rate; write this amount on Line 3
Are you a corporation/partnership required to file corporate income tax returns? Yes No
as described below and is registered with the Department of Revenue must
at $ 70 per $100 or portion thereof of the consideration paid or to be paid For
at www myflorida com/dor
Be sure to sign and date reverse side
Bonds: Tax is calculated at $ 35 per $100 or portion thereof Tax is due on the
Business Partner #:
Business Partner Number
by the 20th day of the month following each collection period If the 20th falls on a
Certificate #:
Certificate Number Collection Period
Change of Information
Change of Ownership?
Check here if payment was made electronically
City: County: State: ZIP:
City: State: ZIP:
Collection Period:
Contract Object #:
delivered in Florida Examples include:
Department s Internet site to enroll or get information about electronic
Do Not Write in the Space Below
documentary stamp tax collected
Documentary Stamp Tax Return
Documentary Stamp Tax Return For Registered Taxpayers Unrecorded Documents
DOR USE ONLY
DR 225
DR 225
due The floating rate of interest is calculated based on a formula in
e Services program information
each month (or fraction of a month) the payment is late not to exceed
Effective 01/10
Electronic Funds Transfer (EFT): Florida law requires certain
electronically transmitted your payment
FEIN:
Final Return?
Florida Administrative Code
Florida Department of Revenue
Florida law provides a floating rate of interest for late payments of taxes
for a mortgage or other lien filed or recorded in Florida Tax is due on documents
Friday 8 a m to 7 p m ET at 800 352 3671 Persons with hearing
Hand Printed: If hand printing this document print your numbers as shown
Has Your Address or Business Information Changed?
Indicate cents with two numbers
Instructions for Completing a Machine Readable Form
Instructions for Filing Documentary Stamp Tax Return
Instruments Transferring Interest in Florida Real Property: For real property
Late After:
Line 1 Documentary Stamp Tax Due Enter the total amount of
Line 2 Surtax Due Enter the total amount of surtax collected
Line 3 Penalty The penalty for a late tax payment is 10 percent for
Line 4 Interest Interest is due from the date tax is due until it is paid
Line 5 Amount Due with Return Add the amounts on Lines 1 4
Location Address
Location Address:
Machine reads a $25 00 payment
Machine Typed: If typing this document type through the boxes and type
Mail to:
Mail your return and payment to:
Mailing Address of New Owner:
Name and address if not preprinted:
Name of New Owner: Telephone Number of New Owner: ( )
New Address:
Notes and Other Written Obligations to Pay Money: Tax is calculated at $ 35
Number
of each year To obtain interest rates go to the Department s Internet site
on line or complete and mail a new Application to Collect and/or Report Tax in Florida (Form DR 1)
or hand delivered to the Department on the first day of business following the
or portion thereof of the consideration paid or to be paid where the property
or speech impairments may call our TDD line at 800 367 8331 or
original issuance of bonds in Florida based on the face value of the bond
payable to the Florida Department of Revenue Check the box if you
payment and filing requirements and procedures
per $100 or portion thereof Florida law limits the maximum tax due on notes
postmark or hand delivery date
R 01/10
R 01/10
real property situated in Miami Dade County tax is calculated at $ 60 per $100
report documentary stamp tax collected on unrecorded documents
Resources: Visit the Department s Internet site at
Return
return Closing date: / /
Return due date: A return must be filed even if no tax is due or EFT payment sent
return is $10 Add lines 1 and 2 and multiply the resulting sum by the
return must sign and date the return and also include a current job title
Rule 12B 4 003
Saturday Sunday or state or federal holiday your tax return must be postmarked
section 213 235 Florida Statutes and is updated on January 1 and July 1
Sign and Date the Return The person authorized to file the DR 225
Signature of Authorized Taxpayer Title ( ) Phone Number Date
Signature of Taxpayer (Required): Date: Telephone Number: ( )
situated in any county in Florida except Miami Dade County tax is calculated
Stamp Tax Due
TALLAHASSEE FL 32399 0170
Tax Certificate
taxpayers to pay taxes and file tax returns electronically Go to the
Taxpayers who make payments electronically can go to
that contain a promise to pay a sum certain in money and are executed or
The business address has changed
The business was closed permanently on (The Department will cancel your documentary stamp tax certificate number as of this date )
The business was sold on The new owner information is:
the Change of Information form above You will also need to file
The legal entity changed on If you change your legal entity and are continuing to do business in Florida you must register
transferred is a single family residence; and at $ 60 plus $ 45 surtax per $100
transferred is other than a single family residence
Under penalties of perjury I declare that I have examined this tax return and the facts stated in it are true
Use black ink Do not make any stray marks in boxed field areas
When are tax returns and payments due? Tax returns and payments are due
Who must file a tax return? Every person who executes or issues instruments
www myflorida com/dor or call Taxpayer Services Monday through
www myflorida com/dor to find payment due date calendars and other