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Dr422 (Florida)

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CERTIFICATION OF FINAL TAXABLE VALUE
DR-422
R. 5/13
Rule 12D-16.002
Florida Administrative Code
Effective 5/13
Provisional
Year : County :
Is VAB still in session?
Yes
No
Principal Authority :
Check type :
County School District Municipality
Independent Special District Water Management District
Taxing Authority :
Check type :
Principal Authority MSTU
Dependent Special District
Water Management District Basin
SECTION I : COMPLETED BY PROPERTY APPRAISER
1.
Current year gross taxable value from Line 4, Form DR-420
$ (1)
2.
Final current year gross taxable value from Form DR-403 Series
$ (2)
3.
Percentage of change in taxable value (Line 2 divided by Line 1, minus 1, multiplied by 100)
% (3)
The taxing authority must complete this form and return it to the property appraiser by
time
date
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
MILLAGE RATE ADOPTED BY RESOLUTION OR ORDINANCE AT FINAL BUDGET HEARING UNDER s. 200.065(2)(d), F.S.
If this portion of the form is not completed in full your taxing authority will be denied TRIM certification and possibly lose its millage
levy privilege for the tax year. If any line is inapplicable, enter N/A or -0-.
Non-Voted Operating Millage Rate (from resolution or ordinance)
4a.
(4a)
County or municipal principal taxing authority
per $1,000
4b.
(4b)
Dependent special district
per $1,000
4c. Municipal service taxing unit (MSTU)
(4c)per $1,000
4e. School district Required Local Effort
(4e)per $1,000
Capital Outlay per $1,000
Discretionary Operating per $1,000
Discretionary Capital Improvement per $1,000
Additional Voted Millage per $1,000
4f. Water management district District Levy (4f)per $1,000
Basin per $1,000
Are you going to adjust adopted millage ?
YES NO
If No, STOP HERE, Sign and Submit.
Continued on page 2
4d. Independent Special District
per $1,000 (4d)
Print Form
Reset Form
A.M.,
DR-422
R. 5/13
Page 2
Taxing Authority :
COUNTIES, MUNICIPALITIES, SCHOOLS, and WATER MANAGEMENT DISTRICTS may adjust the non-voted millage rate only if the
percentage on Line 3 is greater than plus or minus 1% . (s. 200.065(6), F.S)
5.
Unadjusted gross ad valorem proceeds
(Line 1 multiplied by Line 4a, 4e, or 4f as applicable , divided by 1,000)
$ (5)
6.
Adjusted millage rate (Only if Line 3 is greater than plus or minus 1%)
(Line 5 divided by Line 2 multiplied by 1,000)
per $1000
(6)
MSTUs, DEPENDENT SPECIAL DISTRICTS , and INDEPENDENT SPECIAL DISTRICTS may adjust the non-voted millage rate only if
the percentage on Line 3 is greater than plus or minus 3% (s. 200.065(6), F.S.)
7.
Unadjusted gross ad valorem proceeds
(Line 1 multiplied by Line 4b, 4c, or 4d as applicable, divided by 1,000)
$ (7)
8.
Adjusted Millage rate (Only if Line 3 is greater than plus or minus 3%)
(Line 7 divided by Line 2, multiplied by 1,000)
per $1000 (8)
S
I
G
N
H
E
R
E
Taxing Authority Certification
I certify the millages and rates are correct to the best of my knowledge. The millages
comply with the provisions of s. 200.065 and the provisions of either s. 200.071 or s.
200.081, F.S.
Signature of Chief Administrative Officer :
Date :
Title :
Contact Name and Contact Title :
Mailing Address :
Physical Address :
City, State, Zip :
Phone Number : Fax Number :
INSTRUCTIONS
SECTION I: Property Appraiser
1. Initiate a separate DR-422 form for each DR-420, Certification of Taxable Value, and DR-420S, Certification of School
Taxable Value, submitted.
2. Complete Section 1 and sign.
3. Send the original to the taxing authority and keep a copy.
SECTION II: Taxing Authority
1. Complete Section II and sign.
2. Return the original to the property appraiser.
3. Keep a copy for your records.
4. Send a copy to the tax collector.
5. Send a copy with the DR-487, Certification of Compliance, to the Department of Revenue at the address below. Send
separately if the DR-487 was previously sent to the Department.
Florida Department of Revenue
Property Tax Oversight - TRIM Section
P. O. Box 3000
Tallahassee, Florida 32315 - 3000
All taxing authorities must complete Line 4, millages adopted by resolution/ordinance at final budget hearing.
Counties, municipalities, schools, and water management districts may complete Line 5 and Line 6 only when Line 3 is greater than plus or
minus 1%. (s. 200.065(6), F.S.)
MSTUs, dependent special districts, and independent special districts may adjust the non-voted millage rate only when Line 3 is greater than
plus or minus 3%. (s. 200.065(6), F.S.)
Adjusted millage rate must comply with statutes. The adjusted millage rate entered on Line 6 or Line 8 cannot exceed the rate allowed by other
provisions of law or the state constitution.
Multi-county and water management districts must complete a separate DR-422 for each county.
All TRIM forms for taxing authorities are available on our website at
http://floridarevenue.com/property/Pages/TRIM.aspx
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Dr422 (Florida)

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Completed 25 July 2020

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