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Get and Sign Form Dr 15ez 2020-2022
USE TAX RETURN
Reporting Period
DR-15EZ
R. 01/15
DOR USE ONLY
Certificate Number:
Surtax Rate:
postmark or hand-delivery date
Location/Mailing Address Changes:
New Location Address:
Taxpayer Copy
Name
Address
City/St
ZIP
Telephone Number: (
)
New Mailing Address:_________________________________________
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0120
Due:
Late After:
,
Amount Due From Line 9
On Reverse Side
Check here if payment was made...
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