DR-409
R. 04/16
Rule 12D-16.002
F.A.C.
Eff. 04/16
CERTIFICATE OF CORRECTION OF TAX ROLL
Sections 197.131 and 197.122, Florida Statutes
To: Tax Collector, County, Florida
Tax Roll ID #:
Please make the corrections below to the Real Property Tangible Personal Property Tax Roll for 20 .
Refund less than $2,500
Tax collector: determine refund
Assessed or classified value, school
Refund $2,500 or more
Tax collector: send to DOR for action
(s. 197.182, F.S.)
Assessed or classified value, non-school
Material mistake of fact being
corrected according to s. 197.122,
F.S., within one year of approval of
the tax roll according to s. 193.1142,
F.S., on
(enter date).
Senior homestead, municipal
Exempt value, non-homestead, school
Exempt value, non-homestead, non-school
Combine with or Double with
Parcel ID
Exemption and Assessment Limitations
Disabled veteran discount
Number of residential units
Tangible personal property
Tangible personal property
Veteran service connected
Totally & permanently disabled
Allow agricultural classification
Disabled veteran confined to wheelchair
Surviving spouse of veteran who died on active duty
Reasons for correction Add pages, if needed. (Field will expand online.)
Senior citizen homestead – 25 year resident
Parent, grandparent assessment reduction
Signature, property appraiser or deputy
Signature, tax collector or deputy
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signature
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signature
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