DBPR Form TS 6000-12
Revised: September 2001
FILING STATEMENT FOR ADVERTISING MATERIAL
ALL ADVERTISING MATERIAL RELATING TO A TIMESHARE PLAN MUST BE FILED WITH THE
DIVISION AND COMPLY WITH SECTIONS 721.05, 721.11 AND 721.111, FLORIDA STATUTES, AND
CHAPTER 61B-37, FLORIDA ADMINISTRATIVE CODE, AS APPLICABLE.
PRIZE AND GIFT PROMOTIONS REQUIRE A $100.00 FILING FEE.
THIS FORM SHOULD BE FULLY COMPLETED AND ACCOMPANY ALL ADVERTISING
SUBMISSIONS: NEW ADVERTISING PROMOTIONS AND AMENDMENTS TO EXISTING
PROMOTIONS.
I. Project Number: PR__________
II. Timeshare Plan Name and Address: ______________________________________
______________________________________
______________________________________
III. Developer Name and Address: ______________________________________
______________________________________
______________________________________
IV. Review Requested? : Yes [ _ ] No [ _ ] [See Sec. 721.11 (1), F.S.]
V. Is this filing new [ _ ] or an amendment to an approved filing [ _ ]?
If an amendment, provide the Reference Number from the original filing. _____________
VI. Is the prize or gift a lodging or vacation certificate, as defined by Rule 61B-37.001, Florida
Administrative Code? Yes [ _ ] No [ _ ]
VII. Is this timeshare plan complete [ _ ] or under construction [ _ ]?
A. If under construction, provide the proposed completion date. ______________________
VIII. In accordance with Section 721.111 (5)(a)-(g), F.S., the following information must be provided to
the Division:
A. Section 721.111 (5)(a), F.S. Copies of all advertising material.
B. Section 721.111 (5)(b), F.S. Supplier or manufacturer’s name, address and phone
number:
_____________________________________________________
_____________________________________________________
_____________________________________________________
C. Section 721.111 (5)(c), F.S. Manufacturer’s model number or other description of such
item, as applicable: _______________________________________________________
D. Section 721.111 (5)(d), F.S. Information on which the developer relies in determining the
verifiable retail value. Attach copies of this information.
E. Section 721.111 (5)(e), F.S. Name, address and phone number (including area code) of
the promotional entity responsible for overseeing and operating the prize and gift
promotional offer.
____________________________________________________
____________________________________________________
____________________________________________________
