CERTIFICATION OF FINAL VOTED DEBT MILLAGE
Section 200.065(1) and (6), Florida Statutes
DR-422DEBT
R. 5/11
Rule 12D-16.002
Florida Administrative Code
Effective 11/12
Year County Yes
Is VAB still in session?
No
Principal Authority :
Check type :
County Municipality School District
Independent Special District
Water Management District
Taxing Authority :
Check type :
Principal Authority MSTU
Water Management District Basin Dependent Special District
LEVY DESCRIPTION :
SECTION I: COMPLETED BY PROPERTY APPRAISER
1. Current year gross taxable value from Line 4, Form DR-420DEBT
$ (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
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 not applicable, enter -0-.
Voted debt service millage adopted by resolution or ordinance at final budget hearing under s. 200.065(2)(d), F.S.
4a.
Voted debt service millage
per $1,000 (4a)
4b.
Other voted millage (in excess of the millage cap and not more than two years)
per $1,000 (4b)
Are you adjusting the Voted Debt Service Millage?
Yes
No
If No, STOP HERE, sign and submit.
COUNTIES, MUNICIPALITIES, SCHOOLS, and WATER MANAGEMENT DISTRICTS may adjust the voted debt 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 or 4b, 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 voted debt 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 4a, or 4b 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)
Continued on page 2