Form DR-HS1 "Hope Scholarship Program Contribution Election" - Florida

What Is Form DR-HS1?

This is a legal form that was released by the Florida Department of Revenue - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • 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 DR-HS1 by clicking the link below or browse more documents and templates provided by the Florida Department of Revenue.

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Download Form DR-HS1 "Hope Scholarship Program Contribution Election" - Florida

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DR-HS1
Hope Scholarship Program
N. 08/18
Rule 12AER18-07, F.A.C.
Contribution Election
Effective 08/18
Page 1 of 1
The Hope Scholarship Program (Program) provides a public-school student who was subjected to an
incident of violence or bullying at school the opportunity to apply for a scholarship to attend an eligible
private school rather than remain in an unsafe school environment.
Beginning on or after October 1, 2018, when you purchase or register a motor vehicle qualifying for the
Program in Florida, you may designate $105 per vehicle to an eligible nonprofit scholarship-funding
organization participating in the Program. If the state sales tax due is less than $105, you may
designate the amount of state sales tax due. Your motor vehicle dealer, county tax collector, or private
tag agent will remit your contribution to the organization and remit the remaining state sales tax and
surtax to the Florida Department of Revenue.
To make your contribution to the Program, complete the following. Sign and date.
Eligible Nonprofit Scholarship-Funding Organization:
Contribution Amount
(Lesser of $105, or
Step Up for Students, Inc.
state sales tax due):
Vehicle Owner’s Name:
Mailing Address:
City:
State:
ZIP:
Vehicle Co-Owner’s Name:
Mailing Address:
City:
State:
ZIP:
Vehicle Year:
Vehicle Manufacturer:
Vehicle Identification Number:
Signature of Owner:
Date:
Signature of
Co-Owner*:
Date:
*For vehicles owned by more than one person, the signature of the owner and the co-owner is required.
For use by motor vehicle dealer, county tax collector, or private tag agency.
DR-HS1
Hope Scholarship Program
N. 08/18
Rule 12AER18-07, F.A.C.
Contribution Election
Effective 08/18
Page 1 of 1
The Hope Scholarship Program (Program) provides a public-school student who was subjected to an
incident of violence or bullying at school the opportunity to apply for a scholarship to attend an eligible
private school rather than remain in an unsafe school environment.
Beginning on or after October 1, 2018, when you purchase or register a motor vehicle qualifying for the
Program in Florida, you may designate $105 per vehicle to an eligible nonprofit scholarship-funding
organization participating in the Program. If the state sales tax due is less than $105, you may
designate the amount of state sales tax due. Your motor vehicle dealer, county tax collector, or private
tag agent will remit your contribution to the organization and remit the remaining state sales tax and
surtax to the Florida Department of Revenue.
To make your contribution to the Program, complete the following. Sign and date.
Eligible Nonprofit Scholarship-Funding Organization:
Contribution Amount
(Lesser of $105, or
Step Up for Students, Inc.
state sales tax due):
Vehicle Owner’s Name:
Mailing Address:
City:
State:
ZIP:
Vehicle Co-Owner’s Name:
Mailing Address:
City:
State:
ZIP:
Vehicle Year:
Vehicle Manufacturer:
Vehicle Identification Number:
Signature of Owner:
Date:
Signature of
Co-Owner*:
Date:
*For vehicles owned by more than one person, the signature of the owner and the co-owner is required.
For use by motor vehicle dealer, county tax collector, or private tag agency.