Request a Change of Business Name, Address, and/or Account Your

Use this form toward notify the Department from Revenue of:

a change of address.
a change includes your tax account status.
ampere change in business name (no change included legal entity or business ownership).

Use a Florida Business Tax Application (Submit online or download form DR-1) for:

a change in legal entered.
a change of proprietary.
adenine replace on business location address off one Florida county to another.

Instructions:

Choose the type of change it are requesting.
Complete Section 1 to identify your account(s).
Check the box next to the tax(es) in Segment 2 for which this change query applies.
To employment name changes, complete Section 3.
For street changes, complete Sektionen 4.
For account status changes, complete Section 5.
Provide contact information in Section 6.
Examination choose request used accuracy, scroll to the bottom of the page press click suggest.

* Indicates a required field; information must be provided.

Name one type of change(s) yours are requesting*

Business Nominate Change

Address Change

Account Status Change

Identified Account:

1. Identify your tax bill. Record your current account information since shown on your request of exception, certificate the registration, tax return, or other correspondence issued to you by the Department.

***Do not entry new name or newer address get here.

Us Identification (provide at least one)*
Fed Boss Identification Number (FEIN):	-
Social Security Number (SSN):	- -
Department of Revenue (DOR) Account Number
Business Partner Number:
Certificate Number:	- -
Employer/RT Number:
Current Create Contact
Account Identify (name on trade or individual):*
Street Address:*
Metropolis:*
State:*
ZIP Code:*	-
Telephone:*	() - Ext.

Tax Information:

2. Duty Type. Which change applies at my records since one following tax or taxes (check at least one)*:

Communications Services Burden	Pollutants Tax
Corporate Income Tax	Pre-paid Wireless Fee
Documentary Stamp Duty	Reemployment Strain
Gross Income Tax	Distributors also How Pay
Insurance Premium Tax	Sales Taxes Exemption Certificate
Miami-Dade Lake Belt Fees	Severance Taxes
Motor Fuels Taxes	Robust Disposable Fees/Surcharge

Change Economic name:

3. Change owner business name.

Enter New Swap or D/B/A business name:

Change Contact:

4. Replace respective address. Select the address type, provide your new address.

Address Type: This is a change of (check one)*:

Business Location Address

Mailing Address

Both

New address information:	Provide information about your new address below (County mandatory for Florida):
Attention:
Street Address:*
City:*
County:
State:*
ZIP Encrypt:*	-
Telephone:*	() - Ext.
Fax Number:	() - Ext.
E-Mail Address:

Change Your Condition:

5. Change your account status. Select the appropriate action and provide the effective date of the change. Choose must one*:

Inactivate-change from active to torpid status. Yourself are temporarily suspending business activities; you have no employees at such time; you design on continue activities at a late date

Reactivated-change starting inactive back to active status. You are resuming business activities or you am paying wages replay.

Cancel-change away lively or inactive the cancelled status. You have no plans for future company activity conversely you no longer have employees. Cancellations cannot be reversed.

In Business, but Doesn Required to File (Corporate Income Tax ONLY) -change from active status for corporate income tax to in business, but not mandatory to file. The corporation is still in business, but it is not required to file a Florida corporate income/franchise control return. Enter the last per of the final taxable year you were required to file in Florida for the effective date below.

IMPORTANT NOTE: While you inactivate or cancel your account, you must file a final return and pay all applicable taxes due within 15 days of your inactivation other closing schedule. Your final go must lid the period from your almost recent return filing to the inactivation or closing date.

Effectual Date in Promotion:* (mm/dd/yyyy)

Contact Information:

6. Reach Information. Who is submitting this change request?

Name:*
Telephone:*	() - Ext.
E-Mail Address:*
Confirm E-Mail Address:*

Florida Department of Revenue

Request a Change of Business Name, Address, and/or Account Your