DR-518
R. 04/16
Rule 12D-16.002, F.A.C.
Eff. 04/16
CUTOUT REQUEST
Section 197.373, Florida Statutes
County, Florida
Tax roll year 20 Date
Tax certificate number, if available Year 20
COMPLETED BY REQUESTOR AND TAX COLLECTOR
Name
Complete this section and send it to the property appraiser.
Parcel ID
Assessed to
Address
Parcel ID
Assessed to
Address
by
Signature, requestor
Signature, tax collector
COMPLETED BY PROPERTY APPRAISER
Date received by appraiser
Date returned to tax collector
Cutout Property Value
Millage Breakdown, All districts
District name or code
Millage
Just value
Classified use value
Wholly exempt value
Exempt for county purposes
County taxable value
Additional exempt value
Exempt for schools
Description of Property Remaining after Cutout
Parcel ID
Assessed to
Address
Property Value Remaining after Cutout
Millage Breakdown, All districts
District name or code
Millage
Just value
Classified use value
Wholly exempt value
Exempt for county purposes
County taxable value
Additional exempt value
Exempt for schools
Complete this form and
return it to the tax collector.
Signature, appraiser
Date
Text fields will expand online.
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signature
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signature
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click to sign
signature
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