Form Dr-95a - Schedule Of Florida Sales Or Use Tax Credits Claimed On Tangible Personal Property Repossessed - Florida Department Of Revenue

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DR-95A
Florida Department of Revenue
R. 04/95
Schedule of Florida Sales or Use Tax Credits Claimed on Tangible Personal Property Repossessed
Attachment to Return for
(Month -Year)
Sales Tax Certificate of Registration Number
(If Applicable)
Sales Tax
Purchase
Purchase Price
Length of
Monthly
Sales
Number of
Actual
Property
Date Tax
Paid on Orig.
Price Less
Less Trade-In
Contract
Payment X
or Use
X Payments =
Tax
Date of
Customer's Name
Description
Paid
Pur. Price
Trade-In
Less Cash Down
Months
Prorated
Tax Rate
Unpaid
Credits
Repossession
-1-
-4-
-5-
-6-
-7-
-8-
-9-
-10-
-12-
-2-
-3-
-11-
Certification
This is to certify the undersigned was the seller of the tangible personal property sold to the above listed customers; that the Florida sales or use tax was remitted to the Florida
Department of Revenue as stated on this schedule; and the tangible personal property was repossessed within the last twelve months preceding the month during which this claim
is being made. Certification is also made that the tangible personal property on this schedule was financed by the seller and subsequently repossessed; or that the tangible personal
property was financed through a financial institution with recourse and the seller, under the terms of the recourse agreement, repurchased the finance papers and repossessed the
tangible personal property. Therefore, claim is hereby made for sales or use tax attributable to that portion of the sales price which remained unpaid at the time of repossession. It is
understood any false or fraudulent statements in conjunction with this claim may result in prosecution as provided by the law.
Name of Dealer
Authorized Signature
Title
Date
(Instructions and applicable Department of Revenue Rule reference on reverse side.)

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