DR-420DEBT
R. 6/10
Rule 12D-16.002
Florida Administrative Code
Effective 11/12
Year :
County :
Principal Authority :
Taxing Authority :
Levy Description :
1.
SECTION I: COMPLETED BY PROPERTY APPRAISER
Current year taxable value of real property for operating purposes
(1)$
2.
Current year taxable value of personal property for operating purposes
$ (2)
3.
Current year taxable value of centrally assessed property for operating purposes
$ (3)
4.
Current year gross taxable value for operating purposes (Line 1 plus Line 2 plus Line 3)
(4)$
SIGN
HERE
Property Appraiser Certification
I certify the taxable values above are correct to the best of my knowledge.
Signature of Property Appraiser :
Date :
SECTION II: COMPLETED BY TAXING AUTHORITY
5. Current year proposed voted debt millage rate per $1,000 (5)
6.
Current year proposed millage voted for 2 years or less under s. 9(b) Article VII, State
Constitution
per $1,000 (6)
S
I
G
N
H
E
R
E
Taxing Authority Certification
I certify the proposed millages and rates are correct to the best of my knowledge.
Signature of Chief Administrative Officer :
Date :
Title : Contact Name and Contact Title :
Mailing Address :
Physical Address :
City, State, Zip :
Phone Number :
CERTIFICATION OF VOTED DEBT MILLAGE
Fax Number :
INSTRUCTIONS
Property appraisers must complete and sign Section I of this form with the DR-420, Certification of Taxable Value, and DR-420S,
Certification of School Taxable Value, and provide it to all taxing authorities levying a
- Voted debt service millage levied under Section 12, Article VII of the State Constitution or
- Millage voted for two years or less under s. 9(b), Article VII of the State Constitution
Section I: Property Appraiser
Use a separate DR-420DEBT for each voted debt service millage that's levied
by a taxing authority. The property appraiser should check the Yes box on
Line 9 of DR-420, Certification of Taxable Value, or Line 8 of DR-420S,
Certification of School Taxable Value. The property appraiser should provide
the levy description and complete Section I, Lines 1 through 4 of this form, for
each voted debt service millage levied.
Enter only taxable values that apply to the voted debt service millage
indicated.
Sign, date, and forward the form to the taxing authority with the DR-420.
Section II: Taxing Authority
Each taxing authority levying a voted debt service millage requiring this form
must provide the proposed voted debt millage rate on Line 5.
If a DR-420DEBT wasn't received for any
- Voted debt service millages or
- Millages voted for two years or less
contact the property appraiser as soon as possible and request a
DR-420DEBT.
Sign, date, and return the form to your property appraiser with the
DR-420 or DR-420S.
All TRIM forms for taxing authorities are available on our website at http://floridarevenue.com/property/Pages/TRIM.aspx
