×
tax forms found in
Tax Form Code
Tax Form Name

Florida Free Printable  for 2023 Florida Florida Business Tax Application

It appears you don't have a PDF plugin for this browser. Please use the link below to download 2022-florida-form-dr-1.pdf, and you can print it directly from your computer.

Florida Business Tax Application
Form DR-1

)ORULGD%XVLQHVV7D[$SSOLFDWLRQ 5HJLVWHURQOLQHDW IORULGDUHYHQXHFRPWD[HVUHJLVWUDWLRQ ,W VIDVWDQGVHFXUH '5 5 7& 5XOH$)$& (IIHFWLYH 3DJHRI $//LQIRUPDWLRQSURYLGHGDVDSDUWRIWKLVDSSOLFDWLRQLVKHOGFRQILGHQWLDOE\WKH)ORULGD'HSDUWPHQWRI5HYHQXH6RFLDOVHFXULW\ QXPEHUVDUHXVHGE\WKH)ORULGD'HSDUWPHQWRI5HYHQXHDVXQLTXHLGHQWLILHUVIRUWKHDGPLQLVWUDWLRQRI)ORULGD VWD[HV6RFLDOVHFXULW\ QXPEHUVREWDLQHGIRUWD[DGPLQLVWUDWLRQSXUSRVHVDUHFRQILGHQWLDOXQGHUVHFWLRQVDQG)ORULGD6WDWXWHVDQGQRW VXEMHFWWRGLVFORVXUHDVSXEOLFUHFRUGV&ROOHFWLRQRI\RXUVRFLDOVHFXULW\QXPEHULVDXWKRUL]HGXQGHUVWDWHDQGIHGHUDOODZ9LVLWWKH 'HSDUWPHQW VZHEVLWHDWIORULGDUHYHQXHFRPSULYDF\IRUPRUHLQIRUPDWLRQUHJDUGLQJWKHVWDWHDQGIHGHUDOODZJRYHUQLQJWKH FROOHFWLRQXVHRUUHOHDVHRIVRFLDOVHFXULW\QXPEHUVLQFOXGLQJDXWKRUL]HGH[FHSWLRQV 8VH%ODFNRU%OXH,QNWR&RPSOHWH7KLV$SSOLFDWLRQ %XVLQHVV,QIRUPDWLRQ $OO$SSOLFDQWV ,GHQWLILFDWLRQ1XPEHUV ,GHQWLILFDWLRQ1XPEHUV )HGHUDO(PSOR\HU,GHQWLILFDWLRQ1XPEHU )(,1  <RXPXVWSURYLGH\RXU)(,1EHIRUH\RXFDQUHJLVWHUIRU5HHPSOR\PHQW7D[,I\RXDUHQRWUHTXLUHGE\WKH ,QWHUQDO5HYHQXH6HUYLFHWRREWDLQDQ)(,1\RXPXVWSURYLGH\RXUVRFLDOVHFXULW\QXPEHUXQOHVV\RXDUHQRWD FLWL]HQRIWKH8QLWHG6WDWHV 6RFLDO6HFXULW\1XPEHU 661  ,I\RXDUHQRWDFLWL]HQRIWKH8QLWHG6WDWHVDQG\RXGRQRWKDYHDVRFLDOVHFXULW\QXPEHUSURYLGH\RXUFRPSOHWH9LVD QXPEHU 9LVD1XPEHU )ORULGD%XVLQHVV3DUWQHU1XPEHU LIUHJLVWHUHG   EXVLQHVVSDUWQHUQXPEHUVDUHWRGLJLWVLQOHQJWK  &RQVROLGDWHG6DOHVDQG8VH7D[)LOLQJ1XPEHU  LI\RXILOHDFRQVROLGDWHGVDOHVDQGXVHWD[UHWXUQ  &RXQW\&RQWURO1XPEHU   LI\RXXVHWKLVQXPEHUWRUHSRUWWD[IRUWKHFRXQW\ZKHUH\RXUEXVLQHVVLVORFDWHG  5HDVRQIRU$SSO\LQJ VHOHFWRQO\RQH  %XVLQHVVHQWLW\QRWFXUUHQWO\UHJLVWHUHG $OO$SSOLFDQWV 5HDVRQIRU$SSO\LQJ    'DWHRIILUVW)ORULGDWD[DEOHDFWLYLW\         PPGG\\\\ $GGLWLRQDO)ORULGDORFDWLRQIRU6DOHVDQGXVHWD[IRUWKLVORFDWLRQZLOOEHUHSRUWHGXVLQJP\FXUUHQW    FXUUHQWO\UHJLVWHUHGEXVLQHVV VHOHFWDOOWKDWDSSO\     'DWHRIILUVWWD[DEOHDFWLYLW\FRQVROLGDWHGUHWXUQ FRXQW\FRQWUROUHSRUWLQJQXPEHU         PPGG\\\\ $GGLWLRQDO)ORULGDUHQWDOSURSHUW\IRU6DOHVDQGXVHWD[IRUWKLVORFDWLRQZLOOEHUHSRUWHGXVLQJP\FXUUHQW    FXUUHQWO\UHJLVWHUHGEXVLQHVV VHOHFWDOOWKDWDSSO\     'DWHRIILUVWWD[DEOHDFWLYLW\FRQVROLGDWHGUHWXUQ FRXQW\FRQWUROUHSRUWLQJQXPEHU         PPGG\\\\ 0RYHGUHJLVWHUHG)ORULGDORFDWLRQWR   &XUUHQWVDOHVDQGXVHWD[FHUWLILFDWHQXPEHUIRUORFDWLRQ DQRWKHU)ORULGDFRXQW\  (IIHFWLYHGDWH WKLVQXPEHUZLOOEHFDQFHOOHG  PPGG\\\\6DOHVDQGXVHWD[IRUWKLVORFDWLRQZLOOEHUHSRUWHGXVLQJP\FXUUHQW  VHOHFWDOOWKDWDSSO\   FRQVROLGDWHGUHWXUQFRXQW\FRQWUROUHSRUWLQJQXPEHU  DR-1 R. Page 2 of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eport to Determine Succession and Application for Transfer of Experience Rating Records )RUP5766 ZLWKLQGD\VDIWHUWKHGDWHRIWUDQVIHUZKHQ z<RXDFTXLUHGDQH[LVWLQJEXVLQHVVLQZKROHRULQSDUWDQG z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est control services for nonresidential buildings Interior cleaning services for nonresidential buildings Detective services Protection services Security alarm system monitoring services )XHO Sell tax paid gasoline, diesel fuel, or aviation fuel to retail dealers or end users in Florida (select all that apply below): Gas station only Gas station and convenience store Truck stop Marine fueling Aircraft fueling Reseller of fuel in bulk quantities Purchase dyed diesel fuel for off-road purposes 6HFRQGKDQG*RRGVRU6FUDS0HWDO Purchase, consign, trade, or sell secondhand goods Purchase, gather, obtain, or sell salvage or scrap metal to be recycled or convert ferrous or nonferrous metals into raw material products ,I\RXVHOHFWHLWKHURIWKHVHDFWLYLWLHV\RXPXVWDOVRVXEPLWDRegistration Application for Secondhand Dealers and Secondary Metals Recyclers )RUP'56   &RLQ2SHUDWHG$PXVHPHQW0DFKLQHV   Place and operate coin-operated amusement machines at locations belonging to others Operate coin-operated amusement machines at this location (select all that apply below): Self-operate some or all the amusement machines at this location (no other machine operator used) Have entered into a written agreement with the following person or business to operate some or all the machines at this location. 1DPH 7HOHSKRQH  &KHFNLILVRXWVLGH86 H[W 0DLOLQJDGGUHVV &LW\6WDWH=,3 ,I\RXRSHUDWHDPXVHPHQWPDFKLQHVDW\RXUORFDWLRQRUDWORFDWLRQVEHORQJLQJWRRWKHUV\RXPXVWDOVRVXEPLWDQApplication for Amusement Machine Certificate )RUP'5 WRREWDLQDQDQQXDO Amusement Machine Certificate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pplication for Self-Accrual Authority/Direct Pay Permit Sales and Use Tax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egistration Package *7 IRUIXHOVDQGSROOXWDQWV 5HHPSOR\PHQW7D[ 5HHPSOR\PHQW7D[ )RUSXUSRVHVRIUHHPSOR\PHQWWD[HPSOR\HHVLQFOXGHRIILFHUVRIDFRUSRUDWLRQDQGPHPEHUVRIDOLPLWHGOLDELOLW\ FRPSDQ\FODVVLILHGDVDFRUSRUDWLRQIRUIHGHUDOWD[SXUSRVHVZKRSHUIRUPVHUYLFHVIRUWKHFRUSRUDWLRQRUOLPLWHGOLDELOLW\ FRPSDQ\DQGUHFHLYHSD\PHQWIRUVXFKVHUYLFHV VDODU\RUGLVWULEXWLRQV  ,QDGGLWLRQWRUHJLVWHULQJIRU5HHPSOR\PHQW7D[ z 1HZ)ORULGDHPSOR\HUVPXVWUHJLVWHUZLWKWKH)ORULGD1HZ+LUH5HSRUWLQJ&HQWHUWRUHSRUWQHZO\KLUHGDQGUHKLUHG    HPSOR\HHVLQ)ORULGDDWVHUYLFHVIRUHPSOR\HUVIORULGDUHYHQXHFRP    z )ORULGDHPSOR\HUVDUHUHTXLUHGWRREWDLQDSSURSULDWHZRUNHUV FRPSHQVDWLRQLQVXUDQFHFRYHUDJHIRUWKHLUHPSOR\HHV     9LVLWZZZP\IORULGDFIRFRPGLYLVLRQZF 19. 'R\RXKDYHRUZLOO\RXKDYHHPSOR\HHVLQ)ORULGD"<HV1R 20. 'R\RXRUZLOO\RXOHDVHZRUNHUVIURPDQHPSOR\HHOHDVLQJFRPSDQ\WRZRUNLQ)ORULGD"<HV1R   If yes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ndependent Contractor Analysis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pplication for Self-Accrual Authority/Direct Pay Permit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pplication for Certification of Communications Services Database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otification of Method Employed to Determine Taxing Jurisdiction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±7KH'HSDUWPHQW VEDQNZLWKGUDZVDSD\PHQWIURP\RXUEDQNDFFRXQWZKHQ\RXDXWKRUL]HWKHSD\PHQW    $&+&UHGLW±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z3URYLGHG\RXUEXVLQHVVLGHQWLILFDWLRQQXPEHUV" )ORULGD'HSDUWPHQWRI5HYHQXH z&RPSOHWHGDOOVHFWLRQVRIWKLVDSSOLFDWLRQ" :7HQQHVVHH6W z6LJQHGDQGGDWHGWKLVDSSOLFDWLRQ" 7DOODKDVVHH)/ z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‡7D[,QIRUPDWLRQ3XEOLFDWLRQV 7,3V  ‡3URSRVHGUXOHVLQFOXGLQJQRWLFHVRIUXOHGHYHORSPHQWZRUNVKRSV DQGHPHUJHQF\UXOHPDNLQJ ‡'XHGDWHUHPLQGHUVIRUUHHPSOR\PHQWWD[DQGVDOHVDQGXVHWD[ 5HIHUHQFHV The following documents were mentioned in this form and are incorporated by reference in the rules indicated below. The forms are available online at floridarevenue.com/forms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
Extracted from PDF file 2022-florida-form-dr-1.pdf, last modified September 2022

More about the Florida Form DR-1 Corporate Income Tax TY 2022

We last updated the Florida Business Tax Application in February 2023, so this is the latest version of Form DR-1, fully updated for tax year 2022. You can download or print current or past-year PDFs of Form DR-1 directly from TaxFormFinder. You can print other Florida tax forms here.

Related Florida Corporate Income Tax Forms:

TaxFormFinder has an additional 40 Florida income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Florida Form DR-1.

Form Code Form Name
Form DR-116000 Application for Tax Credit Allocation for Contributions to Nonprofit Scholarship Funding Organizations (SFOs) R.01/20
Form DR-116100 Application for Rescindment of Tax Credit Allocation for Contributions to Nonprofit Scholarship Funding Organizations (SFOs) R.07/11

Download all FL tax forms View all 41 Florida Income Tax Forms


Form Sources:

Florida usually releases forms for the current tax year between January and April. We last updated Florida Form DR-1 from the Department of Revenue in February 2023.

Show Sources >

About the Corporate Income Tax

The IRS and most states require corporations to file an income tax return, with the exact filing requirements depending on the type of company.

Sole proprietorships or disregarded entities like LLCs are filed on Schedule C (or the state equivalent) of the owner's personal income tax return, flow-through entities like S Corporations or Partnerships are generally required to file an informational return equivilent to the IRS Form 1120S or Form 1065, and full corporations must file the equivalent of federal Form 1120 (and, unlike flow-through corporations, are often subject to a corporate tax liability).

Additional forms are available for a wide variety of specific entities and transactions including fiduciaries, nonprofits, and companies involved in other specific types of business.

Historical Past-Year Versions of Florida Form DR-1

We have a total of nine past-year versions of Form DR-1 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2021 Form DR-1

DR-1 - Doug R. 01-22 Fillable ER version.pdf

2019 Form DR-1

DR-1 R. 01-18.indd

2018 Form DR-1

DR-1 R. 01-18.indd


TaxFormFinder Disclaimer:

While we do our best to keep our list of Florida Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By TaxFormFinder.org **
Source: http://www.taxformfinder.org/florida/form-dr-1