Form DR-1CCN "Application for Sales and Use Tax County Control Reporting Number" - Florida

What Is Form DR-1CCN?

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 March 1, 2020;
  • 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 fillable version of Form DR-1CCN 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-1CCN "Application for Sales and Use Tax County Control Reporting Number" - Florida

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DR-1CCN
Application for Sales and Use Tax
R. 03/20
Rule 12A-1.097,F.A.C.
County Control Reporting Number
Effective 03/20
Page 1 of 1
If you operate two or more business locations within a single county, use this application to request a designated county control reporting
number to report sales and use taxes for all business locations within a single county using a single tax return. Sales and use taxes for all
places of business must be reported by the same entity having the same federal identification number. Submit a separate application for
each county.
You may also apply for a consolidated sales and use tax filing number to file a single return and make a single payment for multiple
business locations within multiple counties. Visit floridarevenue.com/forms, select the Account Management and Registration section,
and then select an Application for Consolidated Sales and Use Tax Filing Number (Form DR-1CON), incorporated by reference in
Rule 12A-1.097, Florida Administrative Code (F.A.C.)
-
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):
Business Partner Number:
Social Security Number (SSN)*:
Federal Employer Identification Number (FEIN):
Mailing Address (address where you want to receive correspondence):
County:
City:
State:
ZIP:
Contact Person:
Telephone Number:
Fax Number:
Email Address:
-
Section 2
Sales and Use Tax Certificate Numbers to be Reported Using a County Control
Reporting Number -
(All accounts must have the same FEIN and be located within the same county. The first certificate
number listed will be designated the county control reporting number for this county.)
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Section 3
Effective Date
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(This date must be the first day of a calendar month.)
Under penalties of perjury, I declare that I have read the information provided in this application and the facts stated in it are true.
Date
Signature of Business Owner, Principal Partner, or Corporate Officer
Print or Type the Name Signed Above
Title
Email the completed application to:
* Social security numbers (SSNs) are used by the Florida Department of Revenue as
accountcreation@floridarevenue.com
unique identifiers for the administration of Florida's taxes. SSNs obtained for tax
Mail this completed application to:
administration purposes are confidential under sections 213.053 and 119.071, Florida
Account Management MS 1-5730
Statutes, and not subject to disclosure as public records. Collection of your SSN is
Florida Department of Revenue
authorized under state and federal law. Visit the Department's website at
5050 W Tennessee Street
floridarevenue.com/privacy for more information regarding the state and federal law
Tallahassee, FL 32399-0160
governing the collection, use, or release of SSNs, including authorized exceptions.
DR-1CCN
Application for Sales and Use Tax
R. 03/20
Rule 12A-1.097,F.A.C.
County Control Reporting Number
Effective 03/20
Page 1 of 1
If you operate two or more business locations within a single county, use this application to request a designated county control reporting
number to report sales and use taxes for all business locations within a single county using a single tax return. Sales and use taxes for all
places of business must be reported by the same entity having the same federal identification number. Submit a separate application for
each county.
You may also apply for a consolidated sales and use tax filing number to file a single return and make a single payment for multiple
business locations within multiple counties. Visit floridarevenue.com/forms, select the Account Management and Registration section,
and then select an Application for Consolidated Sales and Use Tax Filing Number (Form DR-1CON), incorporated by reference in
Rule 12A-1.097, Florida Administrative Code (F.A.C.)
-
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):
Business Partner Number:
Social Security Number (SSN)*:
Federal Employer Identification Number (FEIN):
Mailing Address (address where you want to receive correspondence):
County:
City:
State:
ZIP:
Contact Person:
Telephone Number:
Fax Number:
Email Address:
-
Section 2
Sales and Use Tax Certificate Numbers to be Reported Using a County Control
Reporting Number -
(All accounts must have the same FEIN and be located within the same county. The first certificate
number listed will be designated the county control reporting number for this county.)
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Section 3
Effective Date
/
/
(This date must be the first day of a calendar month.)
Under penalties of perjury, I declare that I have read the information provided in this application and the facts stated in it are true.
Date
Signature of Business Owner, Principal Partner, or Corporate Officer
Print or Type the Name Signed Above
Title
Email the completed application to:
* Social security numbers (SSNs) are used by the Florida Department of Revenue as
accountcreation@floridarevenue.com
unique identifiers for the administration of Florida's taxes. SSNs obtained for tax
Mail this completed application to:
administration purposes are confidential under sections 213.053 and 119.071, Florida
Account Management MS 1-5730
Statutes, and not subject to disclosure as public records. Collection of your SSN is
Florida Department of Revenue
authorized under state and federal law. Visit the Department's website at
5050 W Tennessee Street
floridarevenue.com/privacy for more information regarding the state and federal law
Tallahassee, FL 32399-0160
governing the collection, use, or release of SSNs, including authorized exceptions.