DR-482HW
R. 12/99
Section 193.625, Florida Statutes
The undersigned hereby requests that the lands listed hereon be classified as High-Water Recharge Lands, for property tax
purposes, by the property appraiser of the county in which the lands are located based on the formula adopted by the County.
This form must be signed and returned on or before March 1.
Applicant
name
Return to
Address
Phone
Parcel ID
Legal description
As of January 1, 20 , the lands listed above were used primarily for bona fide high-water recharge purposes.
I understand that the property appraiser may require supplemental and additional information, other than the application,
and I am willing to comply with any reasonable request to furnish such information.
Under penalties of perjury, I declare that I have read the foregoing application and that the facts stated in it are true. If prepared
by someone other than the applicant, his/her declaration is based on all information of which he/she has any knowledge.
Print name
Date
For Record Purposes Only
This acknowledges receipt of your Application for High-Water Recharge Classification of Lands on the above described property.
County
Date
Record of Action of County Property Appraiser (Check only the appropriate box below.)
Application is:
Approved and all lands are classified as high-water recharge.
Disapproved and high-water recharge classification of lands denied on all lands.
Approved in part and disapproved in part. High-water recharge classification of lands is approved on the following
described portion. (Use the space below if this item is checked. Field will expand online.)
County
Date
APPLICATION AND RETURN FOR
HIGH-WATER RECHARGE CLASSIFICATION OF LANDS
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