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FLORIDA
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DR-41C
Dealer's Sales Tax Statement - Boats
R. 04/01
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DEPARTMENT
OF REVENUE
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Date: 04/19/2026
I hereby certify that the sales tax due under Chapter 212, Florida Statutes, has been paid by the purchaser on the boat described herein:
| Purchaser's Name: |
John Smith |
| Address: |
123 Ocean Blvd, Miami, FL 33139 |
| City: |
Miami (See addr) |
State: |
FL |
ZIP: |
_____ |
Phone: 305-555-0101 |
| Previous Owner's Name: |
Robert Johnson |
| Address: |
456 Marina Way, Fort Lauderdale, FL 33316 |
| City: |
______ |
State: |
__ |
ZIP: |
_____ |
Phone: 954-555-0202 |
| Description-Make: |
Azimut |
Model: |
Grande 27 Metri |
| Hull Number: |
AZI27M12345678 |
| State Reg and/or Doc Number: |
FL 1234 AB / 1234567 |
| Vessel Name: |
La Dolce Vita |
Type (check one):
X Inboard
Outboard
Sail
Other
| Date Purchased: |
March 30, 2024 |
|
| Purchase Price: |
$ $6,500,000.00 |
|
| Tax Collected: |
$ $390,000.00 |
|
| Dealer's Name: |
Reel Deal Yachts |
| Address: |
19790 W Dixie Hwy, PH 1 |
| City: |
Miami |
State: |
FL |
ZIP: |
33180 |
Phone: 305-538-2022 |
Certificate of Registration Number:
80-12345678-90-1
Signature:
(Authorized Dealer Representative)
This form is not valid unless completed in its entirety, signed by selling dealer, and the dealer's sales tax certificate of registration number shown.