(from Step 5 of the worksheet)
(from Step 6 of the worksheet)
(see instructions)
(see instructions)
(sum of Lines 4 through 7)
5050 W Tennessee St
Certain renewal notes
Leases with an unconditional promise to pay
Notes and other written obligations to pay
Retail installment sale contracts
Signature of Taxpayer Date
Tallahassee FL 32399 0150
Title loans
Title Phone Number (include area code)
US Dollars Cents
$ 35 per $100 or fraction thereof Florida law limits the maximum tax due on
$ 35 per $100 or portion thereof Florida law limits the maximum tax due on
$ 45 = $2 411 10
$ 45 surtax per $100 or portion thereof of the consideration paid or to be
$535 750 Tax calculation: 5 358 (taxable $100 units) x $ 70 = $3 750 60
(on real property other than a single family dwelling held in the conduit entity)
***DETACH COUPON***
1 000 (taxable $100 units) x $ 35 = $350 00
1 and July 1 of each year To obtain interest rates go to the Department s
1 Subtotal $
2 522 (taxable $100 units) x $ 35 = $882 70
2 Subtotal $
20th of the month following the execution month Returns and payments
3a Surtax Subtotal $
3b Tax Subtotal $
4 Miami Dade County Surtax Due
4a Surtax Subtotal $
4b Tax Subtotal $
5 Documentary Stamp Tax Due
5050 W TENNESSEE ST
6 Penalty
7 Interest
8 Total Amount Due with Return
800 352 3671
800 367 8331 or 850 922 1115
9100 0 20141225 0019025036 5 4000001189 2797 4
a document was executed and/or issued
a single family dwelling) situated in Miami Dade County is delivered for
an application interview that will help you determine your tax obligations If
and no mortgage or other lien is filed or recorded in Florida Tax calculation:
any Florida county including Miami Dade is delivered for consideration of
are executed or delivered in Florida Examples include:
are postmarked by the next business day
as public records Collection of your SSN is authorized under state and federal
at $ 60 per $100 or portion thereof of the consideration paid or to be paid
Bonds: Tax is calculated at $ 35 per $100 or portion thereof Tax is due on
calculation: 4 042 (taxable $100 units) x $ 70 = $2 829 40
calculation: 5 358 (taxable $100 units) x $ 45 = $2 411 10
calculation: 5 358 (taxable $100 units) x $ 60 = $3 214 80
City/State/ZIP
collection use or release of SSNs including authorized exceptions
Complete the information requested and carry subtotals to the front of
Conduit Entity (see s 201 02(1)(b) F S and Rule 12B 4 060 F A C )
consideration of $535 750 Surtax calculation: 5 358 (taxable $100 units) x
counties except Miami Dade; Miami Dade is $ 60 per $100 and surtax of $ 45
County
county other than Miami Dade is delivered for consideration of $404 105 Tax
Do Not Write in the Space Below
Documentary Stamp Tax Return For
Documentary Stamp Tax Return For
DR 228
DR 228
due on documents that contain a promise to pay a sum certain in money and
Effective 04/12
Every person who executes or issues instruments described below and has
Example 1: A deed transferring interest in real property situated in
Example 2: A deed transferring interest in real property situated in any Florida
Example: A corporate bond in the amount of $100 000 is issued in Florida
Example: A deed transferring interest in unimproved real property (not
Example: A note of $252 150 is executed signed or delivered in Florida
Example: An instrument transferring interest in real property situated in
Example: An instrument transferring ownership interest in a conduit entity
except Miami Dade; Miami Dade is $ 70 per $100 and surtax of $ 45 per $100
file a DR 225 tax return You can register to collect and/or report tax through
Filing Tips
Florida Administrative Code
Florida Business Tax Application formerly the Application to Collect and/or
Florida Department of Revenue
FLORIDA DEPARTMENT OF REVENUE
in Miami Dade County is delivered for consideration of $535 750 Surtax
Instruments Transferring Interest in Real Property in Florida: For real
Interest: Interest is due from the date tax is due until paid Florida law
Internet site
is calculated at $ 70 per $100 or portion thereof of the consideration paid or
law Visit our Internet site at www myflorida com/dor and select Privacy
less than five taxable transactions per month may report documentary stamp
Make check payable to and send with return to:
Miami Dade County is delivered for consideration of $535 750 Tax
more taxable transactions per month must register with the Department and
Nonregistered Taxpayers Unrecorded Documents
Nonregistered Taxpayers Unrecorded Documents
notes and other written obligations to $2 450
notes and other written obligations to $2 450 However there is no limit on
Notes and Other Written Obligations to Pay Money: Tax is calculated at
Notice for more information regarding the state and federal law governing the
o All documents listed must be executed and/or issued in the same month A separate form must be completed for each month in which
o Complete all information requested on the coupon
o DO NOT attach original or copies of deeds or other documents to this return
o DO NOT submit a photocopy of a DR 228 tax return
o Keep a copy of this return and a copy of your check for your records Canceled check serves as your receipt of payment
o Mail coupon to: Florida Department of Revenue
o SIGN AND DATE THE RETURN
o Taxpayers with five or more taxable transactions per month must register with the Department
o Use Worksheet on reverse side to complete lines 4 8 on the tax return coupon below
of consideration or fraction thereof
of the month following the execution month SEE INSTRUCTIONS ON REVERSE SIDE
or call Taxpayer Services Monday through Friday 8 a m to 7 p m ET at
or fraction thereof
our Internet site at www myflorida com/dor The site will guide you through
owning unimproved real property (not a single family dwelling) situated
paid where the property transferred is other than a single family residence
Penalty: If you are late filing your return or paying tax add a late penalty of 10
per $100 (on real property other than a single family dwelling) of consideration
percent of the tax due for each month or portion of a month not to exceed 50
percent of the tax due Minimum penalty is $10
Persons with hearing or speech impairments may call our TDD at
postmarked after the 20th are late However if the 20th falls on a Saturday
property situated in all counties in Florida except Miami Dade County tax
Property Tax Rate: $ 70 per $100 of consideration or fraction thereof in all
provides for a floating rate of interest that is established using a formula in
R 08/11
R 08/11
Report Tax in Florida Obtain Form DR 1 from your nearest Department of
Resources: Visit the Department s Internet site at www myflorida com/dor
return )
return and the facts stated in it are true
Revenue as unique identifiers for the administration of Florida s taxes
Revenue service center or call Taxpayer Services at 800 352 3671
Rule 12B 4 003
section 213 235 Florida Statutes Interest rates are updated on January
sections 213 053 and 119 071 Florida Statutes and not subject to disclosure
Social security numbers (SSNs) are used by the Florida Department of
SSN (if no FEIN)
SSNs obtained for tax administration purposes are confidential under
Step 1 Notes and Other Written Obligations to Pay Money Tax Rate:
Step 2 Bonds Tax Rate: $ 35 per $100 or fraction thereof
Step 5 Surtax due (sum of steps 3a and 4a Carry to line 4 on front of
Step 6 Documentary stamp tax due (sum of steps 1 2 3b and 4b Carry
Steps 3a and 3b Instruments Transferring Interest in Florida Real
Steps 4a and 4b Instruments Transferring Ownership Interest in a
Street Address
Sunday or state or federal holiday returns will not be considered late if they
TALLAHASSEE FL 32399 0150
Tax Rate: $ 70 per $100 of consideration or fraction thereof in all counties
tax using this tax return
Taxpayer Copy
Taxpayer Name
taxpayers reporting documentary stamp tax on unrecorded documents
the original issuance of bonds in Florida based on the face value of the bond
the tax due for recorded instruments such as a mortgage or other lien Tax is
This return is for nonregistered taxpayers only and is due no later than the 20th
this tax return
to be paid For real property situated in Miami Dade County tax is calculated
to line 5 on front of return )
Under penalties of perjury I declare that I have examined this tax
What tax return do registered taxpayers use? Any person with five (5) or
When are returns due? Returns and payments are due no later than the
where the property transferred is a single family residence; and at $ 60 plus
Where to Send Payments and Returns:
Who must file a DR 228 tax return? This form is for nonregistered
Worksheet for Completing Form DR 228
you do not have Internet access you can complete and submit Form DR 1