NOTICE OF AD VALOREM TAXES
AND NON-AD VALOREM ASSESSMENTS
Section 197.3635, Florida Statutes
DR-528, R. 11/12
Example
Rule 12D-16.002, F.A.C.
Effective 11/12
See payment boxes below for discounted amounts due by each month.
DETACH RETURN TO TAX COLLECTOR WITH YOUR PAYMENT DETACH
TAX NOTICE/RECEIPT FOR ______________________COUNTY PROPERTY ID NO:
20____ REAL ESTATE
(year)
TAXES AND ASSESSMENTS
IF PAID IN
EX-TYPE
ESCROW
CODE
MILLAGE
CODE
ASSESSMENT
CODE
MAKE CHECKS PAYABLE TO:
NAME AND ADDRESS (OR LEGAL DESCRIPTION)
LEGAL DESCRIPTION (OR NAME AND ADDRESS)
RETURN THIS PART WITH YOUR PAYMENT
CLEAR SPACE FOR OPTICAL CHARACTER SCANNING
AD VALOREM TAXES
Legal Description
Property ID Number
Just Value
____________________County 20___ (year) REAL ESTATE
TAXING AUTHORITY
ASSESSED
VALUE
EXEMPTION
VALUE
TAXABLE VALUE
MILLAGE
(dollars per $1,000)
TAXES LEVIED
Board of County Commissioners
Public Schools
By State Law
By Local Board
Bonds
City/Municipality
Water Management
TOTAL
NON-AD VALOREM ASSESSMENTS
LEVYING AUTHORITY AND PURPOSE RATE/BASIS AMOUNT
TOTAL
Page 1 of 2
KEEP TOP PART FOR YOUR RECORDS
Print Form
This notice covers property taxes and non-ad valorem assessments for the calendar year shown. If you have
sold any of the property assessed to you, please forward this notice to the new owners or return it to the tax
collector.
Please verify the description of the property. If you find any errors on this notice, notify the tax collector as soon
as possible.
To pay by mail: Detach the bottom portion of this notice and return it with your payment. If you pay by
mail, your cancelled check will be your receipt.
To pay in person: Bring both portions of this notice with your payment to the county tax collector.
Discount and interest are determined by the postmark date of the payment. Checks are credited subject to
payment.
Do not staple, tear, fold, or write on this form.
GENERAL INFORMATION
The law provides the following discounts, which have been calculated for you:
4% if paid in November 2% if paid in January
3% if paid in December 1% if paid in February
Ad valorem taxes and non-ad valorem assessments are due November 1. They become delinquent April 1 and
the law imposes an interest rate of up to 18% a year, plus other costs or fees.
Tax Sale Certificates for the unpaid property tax will be sold by June 1. This notice becomes a receipt when
validated by the tax collector’s office and the transfer of funds is completed.
NOTICE OF AD VALOREM TAXES
AND NON-AD VALOREM ASSESSMENTS
INSTRUCTIONS
DR-528
R. 11/12
Page 2 of 2
For questions about: Contact:
Errors on this notice, escrow code, millage code,
or any payment problem
The tax collector
Ad valorem millage or taxes levied The taxing authority
Non-ad valorem assessment - rate, basis, or amount
of the levy
The levying authority
The legal description, just value, assessed value,
exemptions, or taxable value
The property appraiser