Section 3 - Effective Date of Consolidation
(This date must be the first day of a calendar month.)
Application for Consolidated
Sales and Use Tax Filing Number
DR-1CON
R. 01/16
TC
Rule 12A-1.097
Florida Administrative Code
Effective 01/16
If you own multiple business locations within a single county or in multiple counties, and would like to make a single tax payment for
all locations, complete this application to obtain a consolidated sales and use tax number. All business locations must be owned by
the same entity with the same Federal Employer Identification Number (FEIN). A separate application is required for each entity with
a separate FEIN. If you choose this reporting method, you must e-file your tax returns and pay the tax due electronically. For
more information on how to e-file and e-pay tax, visit the Department's website at: www.floridarevenue.com
* 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 website at www.floridarevenue.com and select “Privacy Notice” for more information regarding the state and federal law governing the collection, use, or release of
SSNs, including authorized exceptions.
Email the completed application to: acctmaint@floridarevenue.com
Mail this completed application to:
Account Management, MS 1-5730
Florida Department of Revenue
5050 W Tennessee Street
Tallahassee, FL 32399-0160
Signature of Business Owner, Principal Partner, or Corporate Officer
Date
Title
Print or Type the Name Signed Above
Under penalties of perjury, I declare that I have read the information provided in this application and the facts stated in it are true.
Section 1 - Taxpayer Information (Please provide all information requested below.)
Owner Name (individual, principal partner, or corporate name):
Business Name (business, trade, or fictitious (d/b/a) name):
Mailing Address (address where you want to receive correspondence):
Business Partner Number:
Federal Employer Identification Number (FEIN):
Social Security Number (SSN)*:
City:
County:
State:
ZIP:
Contact Person:
Telephone Number:
Email Address:
Fax Number:
Section 2 - Sales and Use Tax Certificate Numbers to be Consolidated
(All accounts must have the same FEIN.)
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