DR-482C
R. 11/12
Rule 12D-16.002
Florida Administrative Code
Effective 11/12
LAND USED FOR CONSERVATION
ASSESSMENT APPLICATION
Section 193.501, Florida Statutes
Tax Year 20
Return this form and the required documents to your county property appraiser by March 1.
COMPLETED BY PROPERTY OWNER
Parcel ID
County
Owner
Agent
Mailing
address
Address of
conservation
land
Phone
Fax
On January 1 of this tax year, this property met the requirements for assessment under section 193.501, F.S.
I have included a copy of the instrument that conveys the development right or establishes a covenant for
the conservation purposes of the land for 10 years or more.
Check all that apply and attach supporting documents. This land:
meets the requirements of a conservation easement in section 704.06, F.S.
is designated as environmentally endangered by resolution of the municipality or county as described
in section 193.501(6)(i), F.S.
is designated as conservation land in the adopted local comprehensive plan.
is used for outdoor recreational or park purposes as described in section 193.501(6)(g), F.S.
Failure to file an application by March 1 is a waiver of the conservation assessment for that tax year.
You may be required to reapply for this assessment each year. Check with your county property appraiser.
If the land is no longer eligible for this assessment, you must promptly notify the property appraiser. If you
don't and it is determined the land was not eligible for any time within the last 10 years, the owner is subject to
taxes avoided plus 15% interest each year and a penalty of 50% of the taxes avoided. Any property of the
same owner will be subject to a lien for the unpaid taxes and penalties.
I certify the facts above and on the attached documents are true and the property complies with the restrictions
and requirements of section 193.501, F.S.
Print name
Date
Signature
Title
Select County
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signature
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