Get FL DR-191 2019-2021
Will be rejected if fields in red are not completed in full. Name of applicant/payee: Mailing street address: Mailing city, state, ZIP: Location street address: Location city, state, ZIP: Email address: Business telephone number (include area code): Fax number (include area code optional): FAC number Federal employer identification number: RT number: Business partner number: Computation of Refund 1. Total Florida wages paid during the quarter (per Form RT-6) $.
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