Form E911-PPW "Florida Prepaid Wireless E911 Fee Return" - Florida

What Is Form E911-PPW?

This is a legal form that was released by the Florida Department of Revenue - a government authority operating within Florida. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Florida Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form E911-PPW by clicking the link below or browse more documents and templates provided by the Florida Department of Revenue.

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Download Form E911-PPW "Florida Prepaid Wireless E911 Fee Return" - Florida

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E911-PPW
Florida Prepaid Wireless E911 Fee Return
R. 02/17
You may file and pay fees online or you may
complete this return and pay fees by check
or money order and mail to:
Florida Department of Revenue
5050 W Tennessee Street
Tallahassee, FL 32399-0120
Please read the Instructions before you
complete this return. Instructions are posted on
our website at: www.floridarevenue.com.
Certificate #:
Business Partner #:
Reporting Period:
Use
black
or
blue
ink
to complete Return
E911-PPW
Florida Prepaid Wireless E911 Fee Return
HD/PM DATE:
R. 02/17
##-##########-#
Jan-Mar 2014
Certificate #:
Reporting Period:
Complete Back of Return First
Number of Prepaid Wireless
DOLLARS
CENTS
,
.
Services Sold
2. Fees Collected from Line 1
or E911-PPWS Schedule
,
.
E911-PPW
3. Adjustments (+/-)
Name
,
.
Address
4. Total Collected (after
City/St
Your Copy
Adjustments)
ZIP
,
.
5. Collection Allowance
(5% of Line 4)
,
.
6. Amount Due
(Line 4 - Line 5)
,
.
7. DOR Credit Memo
FLORIDA DEPARTMENT OF REVENUE
,
.
5050 W TENNESSEE ST
8. Penalty and Interest
TALLAHASSEE FL 32399-0120
,
.
9. Amount Due with Return
Due:
MM DD YY
(Line 6 - Line 7 + Line 8)
No prepaid wireless E911 fee collected
Late After:
MM DD YY
during this period.
Check here if payment was
9100 0 99999999 0011003031 5 4999999999 9999 7
made electronically.
E911-PPW
Florida Prepaid Wireless E911 Fee Return
HD/PM DATE:
R. 02/17
##-##########-#
Jan-Mar 2014
Certificate #:
Reporting Period:
Complete Back of Return First
Number of Prepaid Wireless
DOLLARS
CENTS
Services Sold
,
.
2. Fees Collected from Line 1
or E911-PPWS Schedule
,
.
3. Adjustments (+/-)
Name
Address
,
.
E911-PPW
4. Total Collected (after
City/St
ZIP
Adjustments)
,
.
5. Collection Allowance
(5% of Line 4)
,
.
6. Amount Due
(Line 4 - Line 5)
,
.
7. DOR Credit Memo
FLORIDA DEPARTMENT OF REVENUE
,
.
5050 W TENNESSEE ST
8. Penalty and Interest
TALLAHASSEE FL 32399-0120
,
.
9. Amount Due with Return
Due:
MM DD YY
No prepaid wireless E911 fee collected
(Line 6 - Line 7 + Line 8)
Late After:
MM DD YY
during this period.
Check here if payment was
9100 0 99999999 0011003031 5 4999999999 9999 7
made electronically.
E911-PPW
Florida Prepaid Wireless E911 Fee Return
R. 02/17
You may file and pay fees online or you may
complete this return and pay fees by check
or money order and mail to:
Florida Department of Revenue
5050 W Tennessee Street
Tallahassee, FL 32399-0120
Please read the Instructions before you
complete this return. Instructions are posted on
our website at: www.floridarevenue.com.
Certificate #:
Business Partner #:
Reporting Period:
Use
black
or
blue
ink
to complete Return
E911-PPW
Florida Prepaid Wireless E911 Fee Return
HD/PM DATE:
R. 02/17
##-##########-#
Jan-Mar 2014
Certificate #:
Reporting Period:
Complete Back of Return First
Number of Prepaid Wireless
DOLLARS
CENTS
,
.
Services Sold
2. Fees Collected from Line 1
or E911-PPWS Schedule
,
.
E911-PPW
3. Adjustments (+/-)
Name
,
.
Address
4. Total Collected (after
City/St
Your Copy
Adjustments)
ZIP
,
.
5. Collection Allowance
(5% of Line 4)
,
.
6. Amount Due
(Line 4 - Line 5)
,
.
7. DOR Credit Memo
FLORIDA DEPARTMENT OF REVENUE
,
.
5050 W TENNESSEE ST
8. Penalty and Interest
TALLAHASSEE FL 32399-0120
,
.
9. Amount Due with Return
Due:
MM DD YY
(Line 6 - Line 7 + Line 8)
No prepaid wireless E911 fee collected
Late After:
MM DD YY
during this period.
Check here if payment was
9100 0 99999999 0011003031 5 4999999999 9999 7
made electronically.
E911-PPW
Florida Prepaid Wireless E911 Fee Return
HD/PM DATE:
R. 02/17
##-##########-#
Jan-Mar 2014
Certificate #:
Reporting Period:
Complete Back of Return First
Number of Prepaid Wireless
DOLLARS
CENTS
Services Sold
,
.
2. Fees Collected from Line 1
or E911-PPWS Schedule
,
.
3. Adjustments (+/-)
Name
Address
,
.
E911-PPW
4. Total Collected (after
City/St
ZIP
Adjustments)
,
.
5. Collection Allowance
(5% of Line 4)
,
.
6. Amount Due
(Line 4 - Line 5)
,
.
7. DOR Credit Memo
FLORIDA DEPARTMENT OF REVENUE
,
.
5050 W TENNESSEE ST
8. Penalty and Interest
TALLAHASSEE FL 32399-0120
,
.
9. Amount Due with Return
Due:
MM DD YY
No prepaid wireless E911 fee collected
(Line 6 - Line 7 + Line 8)
Late After:
MM DD YY
during this period.
Check here if payment was
9100 0 99999999 0011003031 5 4999999999 9999 7
made electronically.
County Codes
Alachua
11
Franklin
29
Lee
46
Pinellas
62
................................
................................
.........................................
.................................
Baker
12
Gadsden
30
Leon
47
Polk
63
....................................
..............................
......................................
.......................................
Bay
13
Gilchrist
31
Levy
48
Putnam
64
.........................................
................................
.......................................
.................................
Bradford
14
Glades
32
Liberty
49
St. Johns
65
..............................
..................................
..................................
.............................
Brevard
15
Gulf
33
Madison
50
St. Lucie
66
................................
........................................
...............................
..............................
Broward
16
Hamilton
34
Manatee
51
Santa Rosa
67
...............................
..............................
...............................
.........................
Calhoun
17
Hardee
35
Marion
52
Sarasota
68
...............................
..................................
..................................
..............................
Charlotte
18
Hendry
36
Martin
53
Seminole
69
..............................
..................................
...................................
.............................
Citrus
19
Hernando
37
Miami-Dade
23
Sumter
70
....................................
............................
.......................
..................................
Clay
20
Highlands
38
Monroe
54
Suwannee
71
.......................................
............................
.................................
...........................
Collier
21
Hillsborough
39
Nassau
55
Taylor
72
...................................
.......................
.................................
....................................
Columbia
22
Holmes
40
Okaloosa
56
Union
73
.............................
.................................
.............................
....................................
De Soto
24
Indian River
41
Okeechobee
57
Volusia
74
................................
........................
......................
..................................
Dixie
25
Jackson
42
Orange
58
Wakulla
75
......................................
...............................
.................................
................................
Duval
26
Jefferson
43
Osceola
59
Walton
76
.....................................
.............................
................................
..................................
Escambia
27
Lafayette
44
Palm Beach
60
Washington
77
............................
.............................
........................
........................
Flagler
28
Lake
45
Pasco
61
Nonspecific
79
...................................
.......................................
....................................
.......................
STOP
Line a. - Report fees in your business location’s county.
If you need more than the lines provided below to report
the fees you collected, use the Schedule (Form E911-PPWS) instead.
Line b. - Report fees where the county is unknown
Do not use the back of the coupon.
(Code 79, Nonspecific).
County Name
County Code
DOLLARS
CENTS
Lines c. through h. - Include the county code for all prepaid
-
-
,
.
County
wireless fees reported. The county total for each of the outside
# #
a.
county’s fees should be listed on a separate line and each line
-
-
,
.
should be dedicated to sales for just the county listed.
7 9
Nonspecific
b.
-
-
,
.
________________________
_________
c.
Signature of Taxpayer
Date
-
-
,
.
d.
-
-
,
.
e.
-
-
,
.
(______)_________________________________
Telephone Number
f.
________________________
_________
-
-
,
.
Signature of Preparer
Date
g.
-
-
,
.
(______)_________________________________
h.
Telephone Number
,
.
1.
Total Lines a. through h.
Bring this total to Line 2
and enter on Line 1.
on the front of the coupon.
STOP
Line a. - Report fees in your business location’s county.
If you need more than the lines provided below to report
Line b. - Report fees where the county is unknown
the fees you collected, use the Schedule (Form E911-PPWS) instead.
Do not use the back of the coupon.
(Code 79, Nonspecific).
County Name
County Code
DOLLARS
CENTS
-
-
,
.
Lines c. through h. - Include the county code for all prepaid
County
wireless fees reported. The county total for each of the outside
# #
a.
county’s fees should be listed on a separate line and each line
-
-
,
.
should be dedicated to sales for just the county listed.
7 9
Nonspecific
b.
-
-
,
.
________________________
_________
c.
Signature of Taxpayer
Date
-
-
,
.
d.
-
-
,
.
e.
-
-
,
.
(______)_________________________________
Telephone Number
f.
________________________
_________
-
-
,
.
Signature of Preparer
Date
g.
-
-
,
.
(______)_________________________________
h.
Telephone Number
,
.
1.
Total Lines a. through h.
Bring this total to Line 2
and enter on Line 1.
on the front of the coupon.
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