Free DR-600 - Florida

Enrollment and Authorization for e-Services Program
This form can be completed online at www.myflorida.com/dor To enroll for multiple taxes or fees, you must use a separate form for each tax or fee or you can enroll online all at once.

DR-600 R. 04/09
Rule 12-24.011 Florida Administrative Code Effective 06/09

Section 1 ­ Check the Box That Applies
Initial enrollment
Complete all sections

Change in filing/ payment method
Complete sections 2, 4, 5, and 6

Bank change
Complete sections 2, 5, and 6

Contact information change
Complete sections 2, 3, & 6

Section 2 ­ Business Information
Business entity name Type of tax

FEIN/SSN

Tax account/certificate number (if different from FEIN/SSN)

Section 3 ­ Contact Information
Electronic Payment Contact Person's Information
Name Name

Electronic Return Contact Person's Information

Mailing address

Mailing address

City/State/ZIP

City/State/ZIP

Telephone number (incl. area code)

Fax number (incl. area code)

Telephone number (incl. area code)

Fax number (incl. area code)

E-mail address

E-mail address

Contact is a:

company employee

non-related tax preparer

Contact is a:

company employee

non-related tax preparer

If tax preparer, provide Preparer Taxpayer Identification Number (PTIN):

If tax preparer, provide Preparer Taxpayer Identification Number (PTIN):

If unemployment (UT) agent, provide UT Agent Number

If unemployment (UT) agent, provide UT Agent Number

Section 4 ­ Tax Type and Filing/Payment Method Selection
All taxes that have electronic filing and/or payment options are listed in the chart below. Locate the tax you want to enroll for, select the reporting method you intend to use, and check the appropriate box. Note: If you wish to enroll for multiple taxes or accounts, you must use a separate form for each one or enroll online using our Internet site. The online application allows you to enroll for all taxes at one time.

Software file and pay (ACH-Debit)

Software file only w/ACH-Credit*

Internet file and pay (ACH-Debit)

Internet file and pay (ACH-Debit)

Internet file only w/ACH-Credit*

Internet file only w/ACH-Credit*

Direct file & pay (ACH Credit)*

Tax/Fee Type Sales and use tax Solid waste and surcharge Unemployment tax Insurance premium tax Documentary stamp tax Gas and sulfur production tax Communications services tax Corporate income tax F-1120A (short form) Corporate income tax F-1120 (long form) Gross receipts tax Oil and gas production tax Mitigation fees Clerk of Court

Tax/Fee Type Fuel tax (Terminal Supplier) Fuel tax (Terminal Operator) Fuel tax (Wholesaler/Importer) Fuel tax (Local Government) Fuel tax (Mass Transit) Fuel tax (Blender/Retailer of Alt. Fuel) Fuel tax (Petroleum Carrier) Fuel tax (Exporter) Fuel tax (Air Carrier) Pollutants tax Severance tax/solid minerals

See Next Page for Filing/Payment Method Descriptions.

* You must supply a letter that states a valid business reason for selecting the ACH Credit method. Valid reasons include your previous use of this method in other business-related activities, or internal controls within your business regarding ACH transfers.

Direct file & pay (ACH Credit)*

Direct file & pay (ACH Debit)

Direct file & pay (ACH Debit)

EFT only (ACH-Credit*)

EFT only (ACH-Credit*)

EFT only w/ACH-Debit

EFT only w/ACH-Debit

Information Returns

Filing/Payment Method Descriptions
ACH ­ Debit is the action taken when the Department's bank withdraws a tax payment from the taxpayer's bank account upon payers request; the taxpayer's account is debited. ACH ­ Credit is the action taken when the taxpayer's bank transfers a tax payment to the Department's bank account; the Department's account is credited. This is not a credit card payment. EFT only (ACH Debit) means electronic funds transfer only and refers to an electronic payment through the Department's telephone payment system. EFT only (ACH Credit) means electronic funds transfer only and refers to an electronic payment made through the remitter's financial institution or banking software. The Department's payment system(s) would not be used to make payment. Internet file refers to filing return(s)/report(s) on the Department of Revenue Internet site. Internet access is required. No commercial filing software is needed. Software file refers to filing return(s)/report(s) using commercial software. Direct file and pay refers to converting tax data to a file format specified by the Department. This requires approval. For more information regarding direct file you may send an e-mail to: [email protected] Information returns refers to when the Department requires an informational tax return but no tax is due with the return.

Section 5 ­ Banking Information Note: Section 5 is not required for ACH Credit payment method. Bank Name _________________________________________ Bank Account No. ___________________________________ Account Type Business Checking Personal Checking Business Savings Personal Savings ABA Routing/Transit No.

Section 6 ­ Enrollee Authorization and Agreement
This is an Agreement between the Florida Department of Revenue, hereinafter "the Department," and the business entity named herein, hereinafter "the Enrollee," entered into according to the provisions of the Florida Statutes and the Florida Administrative Code. By completing this agreement and submitting this enrollment request, the Enrollee applies and is hereby authorized by the Department to file tax returns and reports, make tax and fee payments, and transmit remittances to the Department electronically. This agreement represents the entire understanding of the parties in relation to the electronic filing of returns, reports, and remittances. The same statute and rule sections that pertain to all paper documents filed or payments made by the Enrollee also govern an electronic return, or payment initiated electronically according to this enrollment. I certify that I am authorized to sign on behalf of the business entity identified herein, and that all information provided in this document has been personally reviewed by me and the facts stated in it are true. According to the payment method selected above, I hereby authorize the Department to present debit entries into the bank account referenced above at the depository designated herein (ACH-Debit), or I am authorized to register for the ACH-Credit payment privilege and accept all responsibility for the filing of payments through the ACH-Credit method.
_________________________________________________________________ Signature _________________________________________________________________ Print Name _________________________________________________________________ Second signature (if dual signature account) ______________________________ Title ______________________________ Telephone Number ______________________________ Title _____________________________ Date _____________________________ Date

Change/update requests for some taxes can be made online if you are already enrolled and have your user information.

Complete and mail this form to:
e-Services Unit Florida Department of Revenue PO Box 5885 Tallahassee FL 32314-5885 Fax 850-922-5088

Or enroll online: www.myflorida.com/dor

Call for assistance: 800-352-3671