Annual/Periodic Report and Trade Name Renewal

Business Information

Business Type *

Florida requires a Federal Tax ID (EIN). If you already have this, provide it below. If not, please APPLY FOR ONE HERE, then return to this form to file your Annual Report.

Is the trade name/DBA renewal past due? *
Is the Sole Proprietorship/Partnership renewal past due? *
Is the periodic/annual report past due? *
Currently Registered Address *
Currently Registered Address
Has the address or registered agent changed? *
Has the address changed? *
What has changed? Please select all that apply *