DR-490
R. 11/12
Rule 12D-16.002
Florida Administrative Code
Effective 11/12
To:
County
Parcel ID or property description
YOUR APPLICATION FOR THE ITEM(S) BELOW WAS DENIED
EXEMPTION DENIED
Homestead up to $50,000 Total and permanent disability (quadriplegics)
Additional homestead age 65 and older
Total and permanent disability (paraplegic, hemiplegic, wheelchair
required for mobility, legally blind)
Widowed - $500 Blind - $500
Disabled - $500 Disabled veteran - $5,000 Veteran’s service connected (total and permanent disability)
Deployed military Disabled veteran discount
Other exemptions, explain:
CLASSIFICATION DENIED Agricultural High-water recharge Historic Conservation
OTHER DENIAL describe:
THIS DENIAL IS Total Partial If partial, explain.
REASON FOR DENIAL OR PARTIAL DENIAL On January 1 of the tax year you did not:
Make the property claimed as homestead your
permanent residence. (ss. 196.011 and 196.031, F.S.)
Meet income requirements for additional homestead,
age 65 and older. (s. 196.075, F.S.).
Have legal or beneficial title to your property. Use the property for the specified purpose. (Ch. 193, F.S.)
Meet other statutory requirements, specifically:
If you disagree with this denial, the Florida Property Taxpayer’s Bill of Rights recognizes your right to an informal conference
with the local property appraiser. You may also file an appeal with the county value adjustment board, according to
sections 196.011 and 196.193, Florida Statutes. Petitions involving denials of exemptions or classifications are due by the
30th day after the mailing of this notice, whether or not you schedule an informal conference with the property appraiser.
Signature, property appraiser or deputy
County Date
PROPERTY APPRAISER CONTACT
Print name
Web site
Mailing
address
Email
Phone
Fax
VALUE ADJUSTMENT BOARD CONTACT
Web site Phone
Email Fax
NOTICE OF DISAPPROVAL OF APPLICATION FOR
PROPERTY TAX EXEMPTION OR CLASSIFICATION
BY THE COUNTY PROPERTY APPRAISER
Select County
Select County
click to sign
signature
click to edit