2021 Property Tax Exemption Extenuating Circumstances
The March 1st exemption application deadline has passed.
To file an application for the current year, this statement of extenuating circumstances form
must be completed, otherwise your 2021 exemption application will be denied.
PLEASE APPLY FOR THE EXEMPTION ONLINE AT WWW.PCPAO.ORG OR IN PERSON AT ONE OF OUR
OFFICES AND ALSO PROVIDE THIS FORM WITH ALL REQUIRED SUPPORTING DOCUMENTATION.
THE DEADLINE TO SUBMIT INFORMATION FOR CONSIDERATION
IN THE CURRENT TAX YEAR IS SEPTEMBER 17, 2021.
Return the completed form and supporting documents to the Pinellas County Property Appraiser’s office via:
Email: hx@pcpao.org
Mail: P.O. Box 1957, Clearwater, FL 33757-1957
Fax: (727) 464-3448
In Person: At any of our offices listed below.
The Property Appraiser’s office will review your extenuating circumstances. Your exemption status will be
reflected on our website
at www.pcpao.org, and on the Notice of Proposed Property Taxes (TRIM Notice) you
receive in mid-August.
If your exemption is denied after the Extenuating Circumstances form has been reviewed, you can appeal by
filing a petition with the Value Adjustment Board (VAB) before 5:00 PM on September 17, 2021.
Information about the VAB process and instructions to file a petition are accessed through the Clerk of the Circuit
Court and Comptroller’s office at www.mypinellasclerk.org/vab. Please call the Clerk’s office at (727) 464-3458 if
you have any further questions regarding the VAB process.
EXTENUATING CIRCUMSTANCES
LATE-FILED EXEMPTION FORM
Date: Parcel ID:
I, , own and reside on the real property located at:
I failed to file a timely applicat
ion for exemption(s) as required by Florida law on or before March 1
st
due to the
following extenuating circumstances (use additional sheets if necessary):
Extenuating circumstances are events beyond your control that prevented you from making your application
prior to the March 1 deadline. Be specific. List dates, illness, catastrophic event, employment circumstances,
etc. Please provide supporting documentation.
PLEASE APPLY FOR THE EXEMPTION ONLINE AT WWW.PCPAO.ORG OR IN PERSON AT ONE OF OUR
FOUR OFFICES AND ALSO PROVIDE THIS FORM WITH THE REQUIRED SUPPORTING DOCUMENTATION.
THE DEADLINE TO SUBMIT INFORMATION FOR CONSIDERATION
IN THE CURRENT TAX YEAR IS SEPTEMBER 17, 2021.
I affirm that the information provided above is true and correct.
Signature:________________________________________________________
Co-Applicant Signature:___________________________________________________
Phone:
Phone:
Email:
Email:
Rev: 01/21
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