DR-151
Blind Person’s Application for
R. 03/13
Certificate of Exemption
Office Use Only
BP ___________________
CO __________________
RS _________ N ___ R __
PM Date _____________
This application is for requesting a consumer’s certificate of exemption.
Date Rec'd ___________
This exemption certificate grants the holder a sales and use tax exemption
in Florida for the:
•
Rental or purchase of a “seeing eye” guide dog.
•
Purchase of food and other items for a guide dog.
To be eligible for a consumer’s certificate of exemption, a blind person must first hold an
identification card issued by the Florida Department of Education, Bureau of Blind Services,
certifying the holder as visually impaired. Any blind person holding an identification card issued by
the Department of Education, Bureau of Blind Services will be issued a Consumer’s Certificate of
Exemption for the Blind (Form DR-152). The exemption certificate does not expire.
Applicant’s Name:______________________________________________________________________
Street Address:_________________________________________________________________________
City:__________________________________State:_______________ZIP code:____________________
Mailing Address if Different from Above
Street Address:_________________________________________________________________________
City:__________________________________State:_______________ZIP code:____________________
Identification Card Number for the Identification Card issued by the Florida Department of Education,
Bureau of Blind Services:__________________
This application is for (Check One)
A New exemption certificate:_______ or,
1)
2)
A Reprint of a previously issued exemption certificate:_______.
•
Original Card Number:________________________
Signature:______________________________________________Date:_________________________
Mail Completed Application To:
If you have any questions or need assistance,
Florida Department of Revenue
call 800-352-3671.
Account Management/Exemptions
PO Box 6480
Tallahassee, FL 32314-6480