Free DR-29 - Florida

Florida Sales and Use Tax APPLICATION FOR RELEASE OR REFUND OF SECURITY

DR-29 R. 06/07
Rule 12A-1.097 Florida Administrative Code Effective 06/08

SECURITY INFORMATION:
Type of Security Posted (Check only one.)

q Cash Deposit/Cash Bond
Date Security Posted

q Surety Bond

q Irrevocable Letter of Credit
Amount of Security

Certificate No.

Federal Employer Identification Number/Social Security Number*

Business Partner/Certificate Holder

Mailing Address

City

County

State

ZIP Code

RELEASE/REFUND JUSTIFICATION:
Check all that apply:

q The Business Partner/Certificate Holder has complied with the provisions of Chapter 212, F.S., for a period of twelve consecutive months, beginning _________________________ and ending _________________________. q The Business Partner/Certificate Holder has complied with the terms and conditions of the compliance agreement entered into with the Department on this date: ____________________________. q The Business Partner's/Certificate Holder's business operations have ceased as of this date: ____________________________. NOTE FOR BUSINESS PARTNERS/CERTIFICATE HOLDERS THAT CEASE OPERATIONS: · · · A final return with applicable tax payment must accompany this application. Your original Certificate of Registration and Annual Resale Certificate must be surrendered with this application. Your certificates will be cancelled as of the date entered above.

APPLICANT CERTIFICATION Under penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. I understand that if the Business Partner/Certificate Holder later resumes business activities requiring registration with the Department of Revenue, the Business Partner/Certificate Holder may be required to post similar security as condition of obtaining a certificate of registration. ________________________________________________________________________
Signature of Owner(s), Partner, Corporate Officer or Member

_________________________
Date

DEPARTMENT VERIFICATION: q Release/refund entire amount of security. q Apply $ _____________________________ to Certificate No. __________________________ Period: _______________ For the Department: _________________________________________________________________ Date: _______________
* * Social Security Numbers are used by the Florida Department of Revenue as unique identifiers for the administration of Florida's taxes. Social Security Numbers obtained for tax administration purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not subject to disclosure as public records.