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



Image of a check mark                       Use this form to notify the Department of Revenue of:
  • a change of address.
  • a change in your tax account status.
  • a change in business name (no change in legal entity or business ownership).
Image of an x                       Do not use this form if you are reporting:
  • a change in legal entity.†
  • a change of ownership.†
  • a change of business location address from one Florida county to another.†
    † For these changes, you must submit a new Florida Business Tax Application (Submit online or download form DR-1).
Instructions:
  1. Choose the type of change you are requesting.
  2. Complete Section 1 to identify your account(s).
  3. Check the box next to the tax(es) in Section 2 for which this change request applies.
  4. For business name changes, complete Section 3.
  5. For address changes, complete Section 4.
  6. For account status changes, complete Section 5.
  7. Provide contact information in Section 6.
  8. Review your request for accuracy, scroll to the bottom of the page and click submit.
* Indicates a required field; information must be provided.


Select the type of change(s) you are requesting*

Identify Account:

1. Identify your tax account.  Enter your current account information as shown on your certificate of registration, tax return, or other correspondence issued to you by the Department.

***Do not enter new name or new address information here.

Federal Identification (provide at least one)*
Federal Employer Identification Number (FEIN):  - 
Social Security Number (SSN):  -   - 
Department of Revenue (DOR) Account Number
Business Partner Number:
Tax Certificate Number:  -   - 
Employer/RT Number:
Current Account Information
Account Name (name of business or individual):*
Street Address:*
City:*
State:*
ZIP Code:*  - 
Telephone:* ()  -   Ext. 

Tax Information:

2. Tax Type. This change applies to my accounts for the following tax or taxes (check at least one)*:








Change Business name:

3. Change your business name.

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


Change Address:

4. Change your address. Select the address type, provide your new address.

Address Type: This is a change of (check one)*:
New address information: Provide information about your new address below:
Attention:
Street Address:*
City:*
County:*
State:*
ZIP Code:*  - 
Telephone:* ()  -   Ext. 
Fax Number: ()  -   Ext. 
E-Mail Address:

Change Account Status:

5. Change your account status.  Request to inactivate, reactivate or cancel your account. Check the box next to the appropriate action, provide the effective date of the change.

Action Requested (choose only one)*:



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

Effective Date of Action:*  (mm/dd/yyyy)


Contact Information:

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

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