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 .
Parcel ID
O.R. book
Page
Name
Tax roll
description
Address
Values
Initial
Corrected
Just value
Assessed or classified value, school
Assessed or classified value, non-school
Homestead, regular
Homestead, additional
Senior homestead, county
Senior homestead, municipal
Economic
Exempt value, non-homestead, school
Exempt value, non-homestead, non-school
Penalty, TPP
Other:
Add to roll
Delete from roll
Other:
Back assess
Correct description
Taxable value, school
Taxable value, county
Taxable value, municipal
TOTAL TAX
Exemption and Assessment Limitations
Adjusted Value
Homestead
Widowed
Land
Square feet
Disabled
Blind
Building
Lot size
Governmental
Institutional
Miscellaneous
Acreage
Disabled veteran
Disabled veteran discount
Curtilage change
Number of lots
Deployed military
Veteran spouse
Number of residential units
Tangible personal property
First responder spouse
Save Our Homes change
Other:
Senior citizen homestead
Tangible personal property
Adjusted Use
Veteran service connected
Totally & permanently disabled
Improvement
Vacant
10% non-homestead limit
Other:
Commercial
Allow agricultural classification
Disabled veteran confined to wheelchair
Other:
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
Title Date
Received
by:
Signature, tax collector or deputy
Title Date
click to sign
signature
click to edit
click to sign
signature
click to edit