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BAKER LAW, P.A.

Questionnaire for:

Dept. of Revenue Business Tax Application and Resale Certificate

Please type or print clearly and answer all questions as completely as possible to avoid processing delays.

**Have you registered the DBA with the FL Div. of Corporations and published it pursuant to F.S. 865.09?
Is this business location only open during a portion of a calendar year?
Did you file an S-Corp Election for the business?
List below ALL persons and entities in the entire ownership structure. Ownership percentage must total 100%.
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