Fillable A VALUE ADJUSTMENT BOARD PETITION Suggested Form FOR (Pinellas County Clerk of the Circuit Court and Comptroller)

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A VALUE ADJUSTMENT BOARD PETITION Suggested Form FOR (Pinellas County Clerk of the Circuit Court and Comptroller)

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DR-486MU
R. 6/16
ATTACHMENT TO Page of
A VALUE ADJUSTMENT BOARD PETITION Suggested Form
FOR MULTIPLE PARCELS AND ACCOUNTS
Sections 194.011 and 194.013, Florida Statutes
Each petition to the value adjustment board must be filed with required attachment(s) and a proper filing fee or it will be
invalid and rejected. Each parcel of real property or tangible personal property account being appealed must be identified by
a separate folio or account number. This attachment should be used for substantially similar parcels or substantially similar
accounts and attached to Form DR-486, when used.
Taxpayer name
Agent or contact
Mailing address
for notices
Corporation
Name for TPP
Phone
Email
Multiple parcels of real property
Multiple tangible personal property accounts
For joint petitions filed by condominium, cooperative, or homeowners’ association or an owner of contiguous,
undeveloped parcels, please provide the first 9 digits of real estate folio number here and enter the last
4 digits of each folio number in the spaces below.
For joint petitions filed by an owner of multiple tangible personal property accounts, enter each account number in the
spaces below.
Use additional pages, if needed.
Total number of parcels or accounts on this page
Grand total of parcels or accounts filed on all pages
Number of pages, including this one
Signatures and Certification
Under penalties of perjury, I declare that I have read this attachment and the facts in it are true. By signing and filing this
attachment and the related petition as an agent of the taxpayer/owner, I certify that I am duly authorized to do so.
Signature, petitioner/agent Date
The signature below indicates that the property appraiser has determined that the parcels or accounts are substantially
similar as required by s. 194.011(3)(e), (f) or (g), F.S.
Signature, property appraiser Date
Joint petitions filed by condominium, cooperative, or homeowners’ associations as agents according to s. 194.011(3)(e),
F.S., should include a copy of the board of administration or directors’ resolution authorizing this filing, and the following
information:
For Complex Only
Name
Address
Mail notices to: owner agent
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signature
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ATTACHMENT TO PETITION
DR-486MU
R. 6/16
Page of
For parcels of property, enter the last 4 digits of each folio number in the spaces below.
For tangible personal property accounts, enter each account number in the spaces below.
Total number of parcels or accounts this page:
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A VALUE ADJUSTMENT BOARD PETITION Suggested Form FOR (Pinellas County Clerk of the Circuit Court and Comptroller)

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Completed 15 January 2021

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