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Dr409a (Florida)

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DR-409A
R. 12/96
CERTIFICATE OF CORRECTION OF
NON-AD VALOREM ASSESSMENT ROLL
Section 197.3632, F.S, and Rule 12D-18.006(2), F.A.C.
To: Tax Collector
You are hereby authorized to correct the assessment, rate/basis, or legal description of the
Non-Ad Valorem Assessment Roll as follows:
County
.
Parcel or folio number
Name to whom assessed
Address
Change legal description to:
Change rate/basis from: to:
Change non-ad valorem
assessment from:
to:
State reason for correction:
Local government representative Date
Name of government unit or taxing authority
Property Appraiser
Local Government
Attach additional documents when necessary
Department of Revenue
Property Tax Oversight
PO Box 3000
Tallahassee, FL 32315-3000
Tax year
Original: Tax Collector
cc:
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Dr409a (Florida)

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Completed 24 July 2020

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