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

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).

Use a Florida Business Tax Application (Submit online or download form DR-1) for:

a change in legal entity.
a change of ownership.
a change of business location address from one Florida county to another.

Instructions:

Choose the type of change you are requesting.
Complete Section 1 to identify your account(s).
Check the box next to the tax(es) in Section 2 for which this change request applies.
For business name changes, complete Section 3.
For address changes, complete Section 4.
For account status changes, complete Section 5.
Provide contact information in Section 6.
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* Business Name ChangeAddress ChangeAccount Status Change

Identify Account:

1. Identify your tax account. Enter your current account information as shown on your certificate of exemption, 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:
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)*:

Communications Services TaxPollutants Tax
Corporate Income TaxPrepaid Wireless Fee
Documentary Stamp TaxReemployment Tax
Gross Receipts TaxSales and Use Tax
Insurance Premium TaxSales Tax Exemption Certificate
Miami-Dade Lake Belt FeesSeverance Taxes
Motor Fuels TaxesSolid Waste Fees/Surcharge

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)*:
Business Location AddressMailing AddressBoth

New address information:	Provide information about your new address below (County mandatory for Florida):
Attention:
Street Address:*
City:*
County:
State:*
ZIP Code:*	-
Telephone:*	() - Ext.
Fax Number:	() - Ext.
E-Mail Address:

Change Account Status:

5. Change your account status. Select the appropriate action and provide the effective date of the change. Choose only one*:

Inactivate-change from active to inactive status. You are temporarily suspending business activities; you have no employees at this time; you plan to resume activities at a later date
Reactivate-change from inactive back to active status. You are resuming business activities or you are paying wages again.
Cancel-change from active or inactive to cancelled status. You have no plans for future business activity or you no longer have employees. Cancellations cannot be reversed.
In Business, but Not Required to File (Corporate Income Tax ONLY) -change from active status for corporate income tax to in business, but not required to file. The corporation is still in business, but it is not required to file a Florida corporate income/franchise tax return. Enter the last day of the final taxable year you were required to file in Florida for the effective date below.

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:*
Confirm E-Mail Address:*

Florida Department of Revenue

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