Fillable Dr412 DR 412 R 12/92

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Dr412 DR 412 R 12/92

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DR-412
R. 12/92
NOTICE OF INTENT
This is to certify that the non-ad valorem assessment as levied by
In witness whereof, I have subscribed this Notice of Intent on
Chairman of the Board or Authorized Agent
Name of Local Government
Note: A copy of this Notice of Intent is to be furnished to the property appraiser, tax collector, and
department by January 10 of the year in which the election is made to discontinue using the uniform
method of collecting non-ad valorem assessment as described in Section 197.3632, Florida Statutes.
Property Appraiser
Local Government
Florida Department of Revenue
Property Tax Oversight
P O Box 3000
Tallahassee, Florida 32315-3000
will no longer be collected or amortised using the non-ad valorem method of collection described in
Section 197.3632, Florida Statutes.
on
.
cc:
County, Florida
Original to Tax Collector
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Dr412 DR 412 R 1292

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Completed 4 November 2019

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