2023 Scannable Alternative Forms Examples 
   
  Alternative F-1120A form changes 
    
  Note: Refer to the 2023 Alternative Forms Requirements Guide for barcode and OCR line specifications. 
   
  1. Return Coupon Section: 
            a) Changed Line 54, Column A, tax year begin date from  2021 ‘ to ’ 2022‘ .’
            b) Changed Line 55, Column A, tax year end date from  2021 ‘ to ’ 2022‘ .’
            c) Lower OCR Line: 
                   • Changed Vendor ID portion from    ‘82xx’ to ‘83xx’. 
                   • Changed Applied Date portion from ‘ 2021 ’ to ‘ 2022’ . 
   

                                                                                                                                                                                                   Company ID Here
                                                     Florida Corporate Short Form                                                                                                                  F-1120A, R. 01/22
                                                                                                                                                                                                   Rule 12C-1.051
                                                              Income Tax Return                                                                                                                    Florida Administrative Code
                                                     For tax year beginning on or after January 1                                                                                                  Effective 01/22

Make checks payable and mail to:
FLORIDA DEPARTMENT OF REVENUE, 5050 W TENNESSEE STREET, TALLAHASSEE FL 32399-0135
If you are requesting a refund (Line 9b), send your return to:
     FLORIDA DEPARTMENT OF REVENUE
     PO BOX 6440
     TALLAHASSEE FL 32314-6440

PERF LINE--------------------------------------------------------------------------------
                                                     Florida Corporate Short Form Income Tax Return                                                                                                Company ID Here
                                                                                                                                                                                                   F-1120A, R. 01/22
Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, it is true, correct, and complete.  If prepared by 
a person other than the taxpayer, the declaration is based on all information of which the preparer has any knowledge.
Signature of Officer                                 Date                              Contact Email Address                      Phone
Signature of Individual or Firm Preparing the Return Date                              Preparer’s PTIN     or FEIN    (Check one) Phone

FEIN                                                 Taxable Year Beginning___/___/___                                            Taxable Year Ending ___/___/___
Name                FDOR - Corporate Test 
Address            5050 W Tennessee Street
City/State/ZIP  Tallahasse, Fl 32399-0141                                                                                         DOR USE ONLY
                                                                                                                                                                                     ___/___/___   
012345678901234000012345678901234000123456789012345000                                                       012345678901234000
2022010189012340000123456789012340000                                                                        00012345678901234000
202212318901234000012345678901234000123456789012345000 123456789012340000
112345678901234000012345678901234000012345678901234000 123456789012340000
012345678901234000012345678901234000123456789012345000 123456789012340000
012345678901234000012345678901234000123456789012345000 123456789012340000
012345678901234000012345678901234000200301318901234000 123456789012340000
012345678901234000012345678901234000 123456789012340000                                                      0123456789012340

012345678901234                                           83XX   0 20221231 0002005043   8 3012345678 0000 9