DR-501M
R. 09/17
Rule 12D-16.002, F.A.C.
Eff. 09/17
DEPLOYED MILITARY EXEMPTION
APPLICATION
Section 196.173, Florida Statutes
Due to the property appraiser by March 1.
Florida Law provides an additional ad valorem exemption on the homestead of servicemembers who were
deployed last year outside the continental United States, Alaska, or Hawaii in support of main or subordinate
military operations designated by the Florida Legislature.
If more than one owner of the homestead was deployed last year, each deployed servicemember should complete a
separate application.
COMPLETED BY APPLICANT
Servicemember’s name
Spouse’s name
*Social security #
*Spouse’s social security #
Parcel ID, if known
County
Phone
Tax year
20
Homestead
address
Mailing
address,
if different
Dates deployed last year:
(outside the continental US, Alaska,
and Hawaii to a designated military
operation)
From / / 20 to / / 20 for a total of days
From / / 20 to / / 20 for a total of days
Total days deployed:
I have attached proof of qualifying deployment. (Information must include dates of the qualifying deployment)
I am applying after the deadline because: (Add documentation, if needed.) (Field will expand online)
*Disclosure of your social security number is mandatory. It is required by s. 196.011(1)(b), F.S. The social security number will be used
to verify taxpayer identity and exemption information submitted to the property appraiser.
Signature
Print name Date
Signature is by servicemember spouse designee under Chapter 709, F.S. Personal representative
If this application was filed on time and is denied, the property appraiser will send you a notice of disapproval (Form DR-
490) by July 1. You have the right to appeal the decision by filing a request for hearing (Form DR-486) with the Value
Adjustment Board in your county.
FOR USE BY PROPERTY APPRAISER’S OFFICE ONLY
Approved for days, proof of qualifying deployment and dates of deployment met the requirements.
Denied or
Denied in part
Explain:
Late application The reason for filing late was accepted rejected.
Signature, property appraiser or deputy
Date
Calculation:
Days deployed
/
365 Days in year
X
100
=
0.0 % exempted
Select County
click to sign
signature
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