Fla. Admin. Code Ann. R. 12D-16.002 - Index to Forms
|
Form Number |
Form Title |
Effective Date |
|
|
(2) |
DR-401 |
Private Car and Freight Line Equipment Companies Annual Report and Return to the State of Florida (r. 12/11) |
11/12 |
|
(3)(a) |
DR-402 |
Declaration of Mobile Home as Real Property |
6/83 |
|
(b) |
DR-403 |
Tax Roll Certification (r. 6/11) |
11/12 |
|
(4) |
DR-403BM |
Recapitulation of Taxes as Extended on the ____ Tax Rolls; Municipalities (r. 6/11) https://www.flrules.org/Gateway/reference.asp?No=Ref-01735 |
11/12 |
|
(5)(a) |
DR-403CC |
Recapitulation of Taxes as Extended on the ____ Tax Rolls; County Commission School Board, and Taxing Districts (r. 6/11) |
11/12 |
|
(b) |
DR-403EB |
The 20XX Ad Valorem Assessment Rolls Exemption Breakdown of ____ County, Florida (r. 02/24) |
02/24 |
|
(6)(a) |
DR-403PC |
The Value and Number of Parcels on the Real Property Countywide Assessment Roll by Category (r. 6/11) |
11/12 |
|
(b) |
DR-403V |
The 20XX Revised Recapitulation of the Ad Valorem Assessment Roll Value Data (r. 02/24) https://www.flrules.org/Gateway/reference.asp?No=Ref-16345 |
02/24 |
|
(7)(a) |
DR-404PA |
Property Appraiser Budget Amendment/Transfer (r. 3/08) |
11/12 |
|
(b) |
DR-404TC |
Tax Collector Budget Amendment/Transfer (r. 3/08) |
11/12 |
|
(c) |
DR-405 |
Tangible Personal Property Tax Return (r. 1/18) |
1/18 |
|
(d) |
DR-405W |
Notice to Taxpayer Whose Tangible Personal Property Return was Waived in the Previous Year (n. 12/08) |
11/12 |
|
(8)(a) |
DR-408 |
Certificate to Roll (r. 6/91) |
6/91 |
|
(b) |
DR-408A |
Certificate to Non-Ad Valorem Assessment Roll (n. 2/91) |
2/91 |
|
(9)(a) |
DR-409 |
Certificate of Correction of Tax Roll (r. 4/16) |
4/16 |
|
(b) |
DR-409A |
Certificate of Correction of Non-Ad Valorem Assessment Roll (r. 12/96) https://www.flrules.org/Gateway/reference.asp?No=Ref-01815 |
1/04 |
|
(10) |
DR-412 |
Notice of Intent (r. 12/92) |
12/92 |
|
(11)(a) |
DR-416 |
Physician's Certification of Total and Permanent Disability (r. 11/12) |
11/12 |
|
(b) |
DR-416B |
Optometrist's Certification of Total and Permanent Disability (r. 11/12) |
11/12 |
|
(12)(a) |
DR-418 |
Economic Development Ad Valorem Property Tax Exemption (r. 12/99) |
1/00 |
|
(b) |
DR-418C |
Real Property Dedicated in Perpetuity for Conservation, Exemption Application (r. 09/17) https://www.flrules.org/Gateway/reference.asp?No=Ref-08604 |
09/17 |
|
(13)(a) |
DR-420 |
Certification of Taxable Value (r. 5/12) |
11/12 |
|
(b) |
DR-420DEBT |
Certification of Voted Debt Millage (r. 6/10) |
11/12 |
|
(c) |
DR-420FC |
Distribution to Fiscally Constrained Counties Application (r. 10/22) |
10/22 |
|
(d) |
DR-420MM |
Maximum Millage Levy Calculation, Final Disclosure (r. 5/12) |
11/12 |
|
(e) |
DR-420MM-P |
Maximum Millage Levy Calculation, Preliminary Disclosure (r. 5/12) |
11/12 |
|
(f) |
DR-420S |
Certification of School Taxable Value (r. 5/11) |
11/12 |
|
(g) |
DR-420TIF |
Tax Increment Adjustment Worksheet (r. 6/10) |
11/12 |
|
(14)(a) |
DR-421 |
Certification for Taxing Authorities That Do Not Levy Ad Valorem Taxes (r. 11/12) https://www.flrules.org/Gateway/reference.asp?No=Ref-01758 |
11/12 |
|
(b) |
DR-422 |
Certification of Final Taxable Value (r. 5/11) |
11/12 |
|
(c) |
DR-422DEBT |
Certification of Final Voted Debt Millage (r. 5/11) |
11/12 |
|
(d) |
DR-428B |
Maximum Millage Calculation, General Information for Fiscal Year 2009-10 and Thereafter (r. 5/11) |
11/12 |
|
(e) |
DR-430 |
Change of Ownership or Control Non-Homestead Property (n. 11/12) |
11/12 |
|
(f) |
DR-430M |
Change of Ownership or Control, Multiple Parcels (n. 11/12) |
11/12 |
|
(g) |
DR-431 |
Voluntary Disclosure of Property (r. 11/12) |
11/12 |
|
(15) |
DR-452 |
Return of Real Property in Attempt to Establish Adverse Possession Without Color of Title (r. 12/20) |
12/20 |
|
(16)(a) |
DR-453 |
Notice of Tax Lien for Exemptions and Assessment Limitations (r. 4/16) |
4/16 |
|
(b) |
DR-453B |
Notice of Tax Lien for Assessment of Escaped Taxes (r. 4/16) |
4/16 |
|
(17)(a) |
DR-462 |
Application for Refund of Ad Valorem Taxes (r. 12/11) |
11/12 |
|
(b) |
DR-465 |
Application for Catastrophic Event Tax Refund (r. 11/23) |
11/23 |
|
(18) |
DR-470A |
Railroad Company Annual Report and Return to the State of Florida (r. 12/11) |
11/12 |
|
(19)(a) |
DR-471 |
Railroad Distribution Sheet (r. 1/95) |
11/12 |
|
(b) |
DR-474 |
Notice of Proposed Property Taxes (r. 11/12) |
11/12 |
|
(c) |
DR-474M |
Amended Notice of Proposed Property Taxes (r. 11/12) |
11/12 |
|
(d) |
DR-474N |
Notice of Proposed Property Taxes and Proposed or Adopted Non-Ad Valorem Assessments (r. 11/12) |
11/12 |
|
(20) |
DR-481 |
Value Adjustment Board - Notice of Hearing (r. 01/17) https://www.flrules.org/Gateway/reference.asp?No=Ref-07705 |
01/17 |
|
(21)(a) |
DR-482 |
Application and Return for Agricultural Classification of Lands (r. 01/23) |
1/23 |
|
(b) |
DR-482C |
Land Used for Conservation, Assessment Application (r. 11/12) |
11/12 |
|
(c) |
DR-482CR |
Land Used for Conservation, Assessment Reapplication (r. 11/12) |
11/12 |
|
(d) |
DR-482HW |
Application and Return for High-Water Recharge Classification of Lands (n. 12/99) |
1/00 |
|
(e) |
DR-482HP |
Application and Return for Classification/Exemption of Property as Historic Property Used for Commercial or Certain Nonprofit Purposes (r. 12/04) |
12/04 |
|
(f) |
DR-483 |
Request for Extension of the Time for Completion of Assessment Roll(s) |
8/89 |
|
(22) |
DR-484 |
Budget Form for Property Appraisers (r. 11/12) |
11/12 |
|
(23) |
485 Series: |
||
|
(a) |
DR-485C |
Decision of the Value Adjustment Board - Catastrophic Event Tax Refund (r. 11/23) |
11/23 |
|
(b) |
DR-485D |
Decision of the Value Adjustment Board - Denial for Non-Payment (n. 11/23) |
11/23 |
|
(c) |
DR-485M |
Notice of Decision of the Value Adjustment Board (r. 11/23) |
11/23 |
|
(d) |
DR-485R |
Value Adjustment Board - Remand to Property Appraiser (n. 12/09) |
3/10 |
|
(e) |
DR-485V |
Decision of The Value Adjustment Board - Value Petition (r. 11/23) |
11/23 |
|
(f) |
DR-485WCN |
Value Adjustment Board - Clerk's Notice (r. 01/17) |
01/17 |
|
(g) |
DR-485WI |
Value Adjustment Board - Withdrawal of Petition (r. 01/17) https://www.flrules.org/Gateway/reference.asp?No=Ref-07708 |
01/17 |
|
(h) |
DR-485XC |
Decision of the Value Adjustment Board - Exemption, Classification, Assessment Difference Transfer, Change of Ownership or Control, or Qualifying Improvement Petition (r. 11/23) |
11/23 |
|
(24)(a) |
DR-486 |
Petition to The Value Adjustment Board - Request for Hearing (r. 11/23) |
11/23 |
|
(b) |
DR-486A |
Written Authorization for Representation Before the Value Adjustment Board (n. 01/17) |
01/17 |
|
(c) |
DR-486DP |
Petition to The Value Adjustment Board - Tax Deferral or Penalties - Request for Hearing (r. 01/17) |
01/17 |
|
(d) |
DR-486POA |
Power of Attorney for Representation Before the Value Adjustment Board (r. 12/20) |
12/20 |
|
(e) |
DR-486PORT |
Petition to The Value Adjustment Board - Transfer of Homestead Assessment Difference - Request for Hearing (r. 04/18) |
04/18 |
|
(f) |
DR-486XCO |
Cross-County Notice of Appeal and Petition - Transfer of Homestead Assessment Difference (r. 12/09) |
3/10 |
|
(g) |
DR-487 |
Certification of Compliance (r. 06/22) |
06/22 |
|
(h) |
DR-487V |
Vote Record for Final Adoption of Millage Levy (r. 6/10) |
11/12 |
|
(25)(a) |
DR-488 |
Certification of The Value Adjustment Board (r. 12/09) |
3/10 |
|
(b) |
DR-488P |
Initial Certification of the Value Adjustment Board (n. 12/09) |
3/10 |
|
(26) |
DR-489 |
Tax Roll Certification (r. 6/11) |
11/12 |
|
(27)(a) |
DR-489EB |
The 20XX Ad Valorem Assessment Rolls Exemption Breakdown of ____ County, Florida (r. 02/24) |
02/24 |
|
(b) |
DR-489PC |
The Value and Number of Parcels on the Real Property Countywide Assessment Roll by Category (r. 6/11) |
11/12 |
|
(c) |
DR-489V |
The 20XX Preliminary Recapitulation of the Ad Valorem Assessment Roll, Value Data (r. 02/24) |
02/24 |
|
(28)(a) |
DR-490 |
Notice of Disapproval of Application for Property Tax Exemption or Classification by The County Property Appraiser (r. 01/23) |
01/23 |
|
(b) |
DR-490PORT |
Notice of Denial of Transfer of Homestead Assessment Difference (r. 11/23) |
11/23 |
|
(29)(a) |
DR-492 |
Return of Pollution Control Devices for Ad Valorem Tax Purposes (r. 11/12) |
11/12 |
|
(b) |
DR-493 |
Adjustments Made to Recorded Selling prices or Fair Market Value in Arriving at Assessed Value (r. 11/12) |
11/12 |
|
(30) |
DR-498 |
Renewal Application for Total or Partial Property Tax Exemption (r. 1/93) |
1/93 |
|
(31) |
DR-498AR |
Removal of Total or Partial Exemption [front side of form]; Automatic Renewal of Total or Partial Exemption [back side of form] (r. 11/12) |
11/12 |
|
(32)(a) |
DR-498R |
Renewal Application for Total or Partial Property Tax Exemption - Receipt (r. 6/91) |
6/91 |
|
(b) |
DR-499 |
Renewal Application for Agricultural or High-Water Recharge Classification of Lands (r. 12/96) |
12/96 |
|
(c) |
DR-499AR |
Removal of Agricultural or High-Water Recharge Classification [front side of form]; Automatic Renewal of Agricultural or High-Water Recharge Classification [back side of form] (r. 11/12) |
11/12 |
|
(d) |
DR-499C |
Renewal and Certification of Agricultural Classification of Lands (r. 12/03) |
1/04 |
|
(33) |
DR-499R |
Renewal Application for Agricultural Classification of Lands - Receipt (r. 6/91) |
6/91 |
|
(34) |
DR-500 |
Renewal Application for Homestead and Related Tax Exemptions (r. 11/12) |
11/12 |
|
(35) |
DR-500AR |
Removal of Homestead Exemption(s) [front side of form]; Automatic Renewal for Homestead Exemption [back side of form] (r. 01/22) |
01/22 |
|
(36) |
DR-500R |
Renewal Application for Homestead and Related Tax Exemptions - Receipt (r. 6/91) |
6/91 |
|
(37)(a) |
DR-501 |
Original Application for Homestead and Related Tax Exemptions (r. 11/23) |
11/23 |
|
(b) |
DR-501A |
Statement of Gross Income (r. 12/20) |
12/20 |
|
(c) |
DR-501CC |
Ad Valorem Tax Exemption Application and Return for Proprietary Continuing Care Facility (r. 11/21) |
11/21 |
|
(d) |
DR-501DV |
Application and Return for Homestead Tax Discount, Veterans Age 65 and Older with a Combat-Related Disability and Surviving Spouse (r. 11/21) |
11/21 |
|
(e) |
DR-501M |
Deployed Military Exemption Application (r. 09/17) |
09/17 |
|
(f) |
DR-501PGP |
Original Application for Assessment Reduction for Living Quarters of Parents or Grandparents (r. 11/12) |
11/12 |
|
(g) |
DR-501RVSH |
Certificate for Transfer of Homestead Assessment Difference (r. 11/21) |
11/21 |
|
(h) |
DR-501SC |
Household Income Sworn Statement and Return (r. 01/22) |
01/22 |
|
(i) |
DR-501T |
Transfer of Homestead Assessment Difference, Attachment to Original Application for Homestead Tax Exemption (r. 12/08) |
11/12 |
|
(j) |
DR-501TS |
Designation of Ownership Shares of Abandoned Homestead (r. 12/20) |
12/20 |
|
(38)(a) |
DR-502 |
Tax Collector's Recapitulation of the Tax Roll (r. 6/85) |
6/85 |
|
(b) |
DR-503 |
Tax Collector's Recapitulation of the Non-Ad Valorem Assessment Levy (r. 12/05) |
1/06 |
|
(c) |
DR-503NA |
Tax Collector's Report on Non-Ad Valorem Assessments Collected on the Notice of Taxes (r. 6/09) |
11/12 |
|
(39)(a) |
DR-504 |
Ad Valorem Tax Exemption Application and Return for Charitable, Religious, Scientific, Literary Organizations, Hospitals, Nursing Homes, and Homes for Special Services (r. 11/21) |
11/21 |
|
(b) |
DR-504AFH |
Ad Valorem Tax Exemption Application and Return for Multifamily Project and Affordable Housing Property (r. 02/24) |
02/24 |
|
(c) |
DR-504CS |
Ad Valorem Tax Exemption Application and Return for Charter School Facilities (r. 11/21) |
11/21 |
|
(d) |
DR-504ED |
Ad Valorem Tax Exemption Application and Return for Educational Property (n. 11/21) |
11/21 |
|
(e) |
DR-504HA |
Ad Valorem Tax Exemption Application and Return for Nonprofit Homes for the Aged (r. 11/21) |
11/21 |
|
(f) |
DR-504S |
Individual Affidavit for Ad Valorem tax Exemption-Homes for the Aged (r. 11/21) |
11/21 |
|
(g) |
DR-504W |
Ad Valorem Tax Exemption Application and Return for Not-for-Profit Sewer and Water Company and Not-for-Profit Water and Wastewater Systems (n. 11/21) |
11/21 |
|
(40) |
DR-505 |
Report of Discounts, Errors, Double Assessments, and Insolvencies (r. 09/17) |
09/17 |
|
(41)(a) |
DR-506 |
Tax Deed (r. 4/16) |
4/16 |
|
(b) |
DR-506E |
Escheatment Tax Deed (r. 4/16) |
4/16 |
|
(42) |
DR-508 |
Application for Separate Assessment of Mineral, Oil and Other Sub-Surface Rights (r. 12/94) |
12/94 |
|
(43)(a) |
DR-509 |
Tax Certificate (r. 4/16) |
4/16 |
|
(b) |
DR-509D |
Deferred Payment Tax Certificate (r. 4/16) |
4/16 |
|
(44)(a) |
DR-510 |
Cancellation or Correction of Tax Certificate (r. 12/11) |
11/12 |
|
(b) |
DR-511 |
Interest Table for Tax Sale Certificates (r. 6/89) |
6/89 |
|
(45)(a) |
DR-512 |
Application for Tax Deed (r. 4/16) |
4/16 |
|
(b) |
DR-513 |
Certification of Tax Deed Application |
07/19 |
|
(c) |
DR-514 |
Notice of Sale of Tangible Personal Property for Delinquent Taxes (r. 4/16) |
4/16 |
|
(46)(a) |
DR-515 |
Receipt of Deposit of County Funds (r. 3/77) |
3/77 |
|
(b) |
DR-515C |
Receipt of Deposit of County Funds (continuous) (r. 3/93) |
3/93 |
|
(c) |
DR-517 |
Tax Collector's Warrant |
07/19 |
|
(47) |
DR-517L |
Execution and Warrant for Collection of Delinquent Ad Valorem Leasehold Taxes (r. 4/16) |
4/16 |
|
(48)(a) |
DR-518 |
Cutout Request (r. 4/16) |
4/16 |
|
(b) |
DR-520A |
Tax Roll Sheet |
10/91 |
|
(49)(a) |
DR-521 |
Index Tax Roll Sheet |
10/91 |
|
(b) |
DR-522 |
Report of Total Reductions in Taxes from Catastrophic Events (n. 01/23) https://www.flrules.org/Gateway/reference.asp?No=Ref-14894 |
01/23 |
|
(c) |
DR-528 |
Notice of Ad Valorem Taxes and Non-Ad Valorem Assessments (example only) (r. 11/12) https://www.flrules.org/Gateway/reference.asp?No=Ref-01806 |
11/12 |
|
(d) |
DR-529 |
Notice Tax Impact of Value Adjustment Board (r. 12/09) |
3/10 |
|
(50)(a) |
DR-533 |
Warrant Notice (r. 5/89) |
5/89 |
|
(b) |
DR-534 |
Application for Installment Payment of Property Taxes (r. 06/22) |
06/22 |
|
(51) |
DR-535 |
Notice to Property Appraiser of Name and/or Address Change (r. 5/92) |
12/94 |
|
(52) |
DR-545 |
Income Data Verification Sheet |
1/93 |
|
(53) |
DR-546 |
Agricultural Income and Information |
07/19 |
|
(54)(a) |
DR-570 |
Application for Homestead Tax Deferral (r. 10/11) |
11/12 |
|
(b) |
DR-570AH |
Application for Affordable Housing Property Tax Deferral (n. 10/11) |
11/12 |
|
(c) |
DR-570WF |
Application for Recreational and Commercial Working Waterfronts Property Tax Deferral (r. 10/11) |
11/12 |
|
(55)(a) |
DR-571A |
Disapproval of Application for Tax Deferral-Homestead, Affordable Rental Housing, or Working Waterfront (r. 11/12) |
11/12 |
|
(b) |
DR-584 |
Budget Form for Tax Collectors (r. 11/12) |
11/12 |
|
(56) |
DR-590 |
Standard Record Layout for Rule 12D-8 Name, Address and Legal (N.A.L.) File (required format) (r. 12/00) |
1/01 |
|
(57) |
DR-592 |
N.A.P. file Record Layout (n. 3/98) |
12/98 |
|
(58)(a) |
DR-593 |
Application for Section 218.66, F.S., Special Distributions for Contested Property Taxes (n. 6/98) |
12/98 |
|
(b) |
DR-593A |
Application for Section 194.035, F.S., Reimbursement of Special Master Payments by Small Counties (n. 12/02) |
1/03 |
|
(59)(a) |
DR-4001 |
Application for Florida Professional Certification (n. 10/21) |
10/21 |
|
(b) |
DR-4002 |
Application for Approval of a Course or Continuing Education Credit Hours (n. 10/21) |
10/21 |
|
(60)(a) |
DR-5002 |
Decision of the Value Adjustment Board - Hurricane Ian or Hurricane Nicole Tax Refund (n. 07/23) |
07/23 |
|
(b) |
DR-5003 |
Report of Total Reductions in Taxes From Hurricane Ian or Hurricane Nicole (n. 07/23) |
07/23 |
Notes
Rulemaking Authority 195.002(2), 195.027(1), 196.075(4)(d), (5), 196.1978, 196.1979, 197.319 FS. Law Implemented 95.18, 136.03, 192.001(18), 192.0105, 193.052, 193.077, 193.085, 193.092, 193.114, 193.122, 193.155, 193.1554, 193.1555, 193.1556, 193.461, 193.501, 193.503, 193.625, 193.703, 194.011, 194.032, 194.034, 194.035, 194.036, 194.037, 194.171, 194.181, 195.002, 195.022, 195.087, 196.011, 196.015, 196.031, 196.075, 196.095, 196.101, 196.121, 196.131, 196.141, 196.151, 196.173, 196.183, 196.193, 196.1961, 196.1978, 196.1979, 196.1983, 196.1995, 196.202, 196.24, 196.26, 197.182, 197.222, 197.2423, 197.2425, 197.3181, 197.319, 197.3632, 197.3635, 197.414, 197.432, 197.472, 197.502, 197.512, 197.552, 200.065, 200.069, 218.12, 218.125, 218.66, 218.67 FS.
New 10-12-76, Amended 4-11-80, 9-17-80, 5-17-81, 1-18-82, 4-29-82, Formerly 12D-16.02, Amended 12-26-88, 1-9-92, 12-10-92, 1-11-94, 12-27-94, 12-28-95, 12-25-96, 12-30-97, 12-31-98, 2-3-00, 1-9-01, 12-27-01, 1-20-03, 1-26-04, 12-30-04, 1-16-06, 10-2-07, 3-30-10, 11-1-12, 9-10-15, 4-5-16, 6-14-16, 1-9-17, 9-19-17, 1-17-18, 4-10-18, 9-17-18, 7-9-19, 12-7-20, 10-26-21, 11-11-21, 6-13-22, 10-30-22, 11-20-22, 7-18-23, 11-26-23, 2-8-24.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
| Form Number | Form Title | Effective Date | |
| (2) | DR-401 | Private Car and Freight Line Equipment Companies Annual Report and Return to the State of Florida (r. 12/11) | 11/12 |
| (3)(a) | DR-402 | Declaration of Mobile Home as Real Property | 6/83 |
| (b) | DR-403 | Tax Roll Certification (r. 6/11) | 11/12 |
| (4) | DR-403BM | Recapitulation of Taxes as Extended on the ____ Tax Rolls; Municipalities (r. 6/11) https://www.flrules.org/Gateway/reference.asp?No=Ref-01735 | 11/12 |
| (5)(a) | DR-403CC | Recapitulation of Taxes as Extended on the ____ Tax Rolls; County Commission School Board, and Taxing Districts (r. 6/11) | 11/12 |
| (b) | DR-403EB | The 20XX Ad Valorem Assessment Rolls Exemption Breakdown of ____ County, Florida (r. 02/24) | 02/24 |
| (6)(a) | DR-403PC | The Value and Number of Parcels on the Real Property Countywide Assessment Roll by Category (r. 6/11) | 11/12 |
| (b) | DR-403V | The 20XX Revised Recapitulation of the Ad Valorem Assessment Roll Value Data (r. 02/24) https://www.flrules.org/Gateway/reference.asp?No=Ref-16345 | 02/24 |
| (7)(a) | DR-404PA | Property Appraiser Budget Amendment/Transfer (r. 3/08) | 11/12 |
| (b) | DR-404TC | Tax Collector Budget Amendment/Transfer (r. 3/08) | 11/12 |
| (c) | DR-405 | Tangible Personal Property Tax Return (r. 1/18) | 1/18 |
| (d) | DR-405W | Notice to Taxpayer Whose Tangible Personal Property Return was Waived in the Previous Year (n. 12/08) | 11/12 |
| (8)(a) | DR-408 | Certificate to Roll (r. 6/91) | 6/91 |
| (b) | DR-408A | Certificate to Non-Ad Valorem Assessment Roll (n. 2/91) | 2/91 |
| (9)(a) | DR-409 | Certificate of Correction of Tax Roll (r. 4/16) | 4/16 |
| (b) | DR-409A | Certificate of Correction of Non-Ad Valorem Assessment Roll (r. 12/96) https://www.flrules.org/Gateway/reference.asp?No=Ref-01815 | 1/04 |
| (10) | DR-412 | Notice of Intent (r. 12/92) | 12/92 |
| (11)(a) | DR-416 | Physician's Certification of Total and Permanent Disability (r. 11/12) | 11/12 |
| (b) | DR-416B | Optometrist's Certification of Total and Permanent Disability (r. 11/12) | 11/12 |
| (12)(a) | DR-418 | Economic Development Ad Valorem Property Tax Exemption (r. 12/99) | 1/00 |
| (b) | DR-418C | Real Property Dedicated in Perpetuity for Conservation, Exemption Application (r. 09/17) https://www.flrules.org/Gateway/reference.asp?No=Ref-08604 | 09/17 |
| (13)(a) | DR-420 | Certification of Taxable Value (r. 5/12) | 11/12 |
| (b) | DR-420DEBT | Certification of Voted Debt Millage (r. 6/10) | 11/12 |
| (c) | DR-420FC | Distribution to Fiscally Constrained Counties Application (r. 10/22) | 10/22 |
| (d) | DR-420MM | Maximum Millage Levy Calculation, Final Disclosure (r. 5/12) | 11/12 |
| (e) | DR-420MM-P | Maximum Millage Levy Calculation, Preliminary Disclosure (r. 5/12) | 11/12 |
| (f) | DR-420S | Certification of School Taxable Value (r. 5/11) | 11/12 |
| (g) | DR-420TIF | Tax Increment Adjustment Worksheet (r. 6/10) | 11/12 |
| (14)(a) | DR-421 | Certification for Taxing Authorities That Do Not Levy Ad Valorem Taxes (r. 11/12) https://www.flrules.org/Gateway/reference.asp?No=Ref-01758 | 11/12 |
| (b) | DR-422 | Certification of Final Taxable Value (r. 5/11) | 11/12 |
| (c) | DR-422DEBT | Certification of Final Voted Debt Millage (r. 5/11) | 11/12 |
| (d) | DR-428B | Maximum Millage Calculation, General Information for Fiscal Year 2009-10 and Thereafter (r. 5/11) | 11/12 |
| (e) | DR-430 | Change of Ownership or Control Non-Homestead Property (n. 11/12) | 11/12 |
| (f) | DR-430M | Change of Ownership or Control, Multiple Parcels (n. 11/12) | 11/12 |
| (g) | DR-431 | Voluntary Disclosure of Property (r. 11/12) | 11/12 |
| (15) | DR-452 | Return of Real Property in Attempt to Establish Adverse Possession Without Color of Title (r. 12/20) | 12/20 |
| (16)(a) | DR-453 | Notice of Tax Lien for Exemptions and Assessment Limitations (r. 4/16) | 4/16 |
| (b) | DR-453B | Notice of Tax Lien for Assessment of Escaped Taxes (r. 4/16) | 4/16 |
| (17)(a) | DR-462 | Application for Refund of Ad Valorem Taxes (r. 12/11) | 11/12 |
| (b) | DR-465 | Application for Catastrophic Event Tax Refund (r. 11/23) | 11/23 |
| (18) | DR-470A | Railroad Company Annual Report and Return to the State of Florida (r. 12/11) | 11/12 |
| (19)(a) | DR-471 | Railroad Distribution Sheet (r. 1/95) | 11/12 |
| (b) | DR-474 | Notice of Proposed Property Taxes (r. 11/12) | 11/12 |
| (c) | DR-474M | Amended Notice of Proposed Property Taxes (r. 11/12) | 11/12 |
| (d) | DR-474N | Notice of Proposed Property Taxes and Proposed or Adopted Non-Ad Valorem Assessments (r. 11/12) | 11/12 |
| (20) | DR-481 | Value Adjustment Board - Notice of Hearing (r. 01/17) https://www.flrules.org/Gateway/reference.asp?No=Ref-07705 | 01/17 |
| (21)(a) | DR-482 | Application and Return for Agricultural Classification of Lands (r. 01/23) | 1/23 |
| (b) | DR-482C | Land Used for Conservation, Assessment Application (r. 11/12) | 11/12 |
| (c) | DR-482CR | Land Used for Conservation, Assessment Reapplication (r. 11/12) | 11/12 |
| (d) | DR-482HW | Application and Return for High-Water Recharge Classification of Lands (n. 12/99) | 1/00 |
| (e) | DR-482HP | Application and Return for Classification/Exemption of Property as Historic Property Used for Commercial or Certain Nonprofit Purposes (r. 12/04) | 12/04 |
| (f) | DR-483 | Request for Extension of the Time for Completion of Assessment Roll(s) | 8/89 |
| (22) | DR-484 | Budget Form for Property Appraisers (r. 11/12) | 11/12 |
| (23) | 485 Series: | ||
| (a) | DR-485C | Decision of the Value Adjustment Board - Catastrophic Event Tax Refund (r. 11/23) | 11/23 |
| (b) | DR-485D | Decision of the Value Adjustment Board - Denial for Non-Payment (n. 11/23) | 11/23 |
| (c) | DR-485M | Notice of Decision of the Value Adjustment Board (r. 11/23) | 11/23 |
| (d) | DR-485R | Value Adjustment Board - Remand to Property Appraiser (n. 12/09) | 3/10 |
| (e) | DR-485V | Decision of The Value Adjustment Board - Value Petition (r. 11/23) | 11/23 |
| (f) | DR-485WCN | Value Adjustment Board - Clerk's Notice (r. 01/17) | 01/17 |
| (g) | DR-485WI | Value Adjustment Board - Withdrawal of Petition (r. 01/17) https://www.flrules.org/Gateway/reference.asp?No=Ref-07708 | 01/17 |
| (h) | DR-485XC | Decision of the Value Adjustment Board - Exemption, Classification, Assessment Difference Transfer, Change of Ownership or Control, or Qualifying Improvement Petition (r. 11/23) | 11/23 |
| (24)(a) | DR-486 | Petition to The Value Adjustment Board - Request for Hearing (r. 11/23) | 11/23 |
| (b) | DR-486A | Written Authorization for Representation Before the Value Adjustment Board (n. 01/17) | 01/17 |
| (c) | DR-486DP | Petition to The Value Adjustment Board - Tax Deferral or Penalties - Request for Hearing (r. 01/17) | 01/17 |
| (d) | DR-486POA | Power of Attorney for Representation Before the Value Adjustment Board (r. 12/20) | 12/20 |
| (e) | DR-486PORT | Petition to The Value Adjustment Board - Transfer of Homestead Assessment Difference - Request for Hearing (r. 04/18) | 04/18 |
| (f) | DR-486XCO | Cross-County Notice of Appeal and Petition - Transfer of Homestead Assessment Difference (r. 12/09) | 3/10 |
| (g) | DR-487 | Certification of Compliance (r. 06/22) | 06/22 |
| (h) | DR-487V | Vote Record for Final Adoption of Millage Levy (r. 6/10) | 11/12 |
| (25)(a) | DR-488 | Certification of The Value Adjustment Board (r. 12/09) | 3/10 |
| (b) | DR-488P | Initial Certification of the Value Adjustment Board (n. 12/09) | 3/10 |
| (26) | DR-489 | Tax Roll Certification (r. 6/11) | 11/12 |
| (27)(a) | DR-489EB | The 20XX Ad Valorem Assessment Rolls Exemption Breakdown of ____ County, Florida (r. 02/24) | 02/24 |
| (b) | DR-489PC | The Value and Number of Parcels on the Real Property Countywide Assessment Roll by Category (r. 6/11) | 11/12 |
| (c) | DR-489V | The 20XX Preliminary Recapitulation of the Ad Valorem Assessment Roll, Value Data (r. 02/24) | 02/24 |
| (28)(a) | DR-490 | Notice of Disapproval of Application for Property Tax Exemption or Classification by The County Property Appraiser (r. 01/23) | 01/23 |
| (b) | DR-490PORT | Notice of Denial of Transfer of Homestead Assessment Difference (r. 11/23) | 11/23 |
| (29)(a) | DR-492 | Return of Pollution Control Devices for Ad Valorem Tax Purposes (r. 11/12) | 11/12 |
| (b) | DR-493 | Adjustments Made to Recorded Selling prices or Fair Market Value in Arriving at Assessed Value (r. 11/12) | 11/12 |
| (30) | DR-498 | Renewal Application for Total or Partial Property Tax Exemption (r. 1/93) | 1/93 |
| (31) | DR-498AR | Removal of Total or Partial Exemption [front side of form]; Automatic Renewal of Total or Partial Exemption [back side of form] (r. 11/12) | 11/12 |
| (32)(a) | DR-498R | Renewal Application for Total or Partial Property Tax Exemption - Receipt (r. 6/91) | 6/91 |
| (b) | DR-499 | Renewal Application for Agricultural or High-Water Recharge Classification of Lands (r. 12/96) | 12/96 |
| (c) | DR-499AR | Removal of Agricultural or High-Water Recharge Classification [front side of form]; Automatic Renewal of Agricultural or High-Water Recharge Classification [back side of form] (r. 11/12) | 11/12 |
| (d) | DR-499C | Renewal and Certification of Agricultural Classification of Lands (r. 12/03) | 1/04 |
| (33) | DR-499R | Renewal Application for Agricultural Classification of Lands - Receipt (r. 6/91) | 6/91 |
| (34) | DR-500 | Renewal Application for Homestead and Related Tax Exemptions (r. 11/12) | 11/12 |
| (35) | DR-500AR | Removal of Homestead Exemption(s) [front side of form]; Automatic Renewal for Homestead Exemption [back side of form] (r. 01/22) | 01/22 |
| (36) | DR-500R | Renewal Application for Homestead and Related Tax Exemptions - Receipt (r. 6/91) | 6/91 |
| (37)(a) | DR-501 | Original Application for Homestead and Related Tax Exemptions (r. 11/23) | 11/23 |
| (b) | DR-501A | Statement of Gross Income (r. 12/20) | 12/20 |
| (c) | DR-501CC | Ad Valorem Tax Exemption Application and Return for Proprietary Continuing Care Facility (r. 11/21) | 11/21 |
| (d) | DR-501DV | Application and Return for Homestead Tax Discount, Veterans Age 65 and Older with a Combat-Related Disability and Surviving Spouse (r. 11/21) | 11/21 |
| (e) | DR-501M | Deployed Military Exemption Application (r. 09/17) | 09/17 |
| (f) | DR-501PGP | Original Application for Assessment Reduction for Living Quarters of Parents or Grandparents (r. 11/12) | 11/12 |
| (g) | DR-501RVSH | Certificate for Transfer of Homestead Assessment Difference (r. 11/21) | 11/21 |
| (h) | DR-501SC | Household Income Sworn Statement and Return (r. 01/22) | 01/22 |
| (i) | DR-501T | Transfer of Homestead Assessment Difference, Attachment to Original Application for Homestead Tax Exemption (r. 12/08) | 11/12 |
| (j) | DR-501TS | Designation of Ownership Shares of Abandoned Homestead (r. 12/20) | 12/20 |
| (38)(a) | DR-502 | Tax Collector's Recapitulation of the Tax Roll (r. 6/85) | 6/85 |
| (b) | DR-503 | Tax Collector's Recapitulation of the Non-Ad Valorem Assessment Levy (r. 12/05) | 1/06 |
| (c) | DR-503NA | Tax Collector's Report on Non-Ad Valorem Assessments Collected on the Notice of Taxes (r. 6/09) | 11/12 |
| (39)(a) | DR-504 | Ad Valorem Tax Exemption Application and Return for Charitable, Religious, Scientific, Literary Organizations, Hospitals, Nursing Homes, and Homes for Special Services (r. 11/21) | 11/21 |
| (b) | DR-504AFH | Ad Valorem Tax Exemption Application and Return for Multifamily Project and Affordable Housing Property (r. 02/24) | 02/24 |
| (c) | DR-504CS | Ad Valorem Tax Exemption Application and Return for Charter School Facilities (r. 11/21) | 11/21 |
| (d) | DR-504ED | Ad Valorem Tax Exemption Application and Return for Educational Property (n. 11/21) | 11/21 |
| (e) | DR-504HA | Ad Valorem Tax Exemption Application and Return for Nonprofit Homes for the Aged (r. 11/21) | 11/21 |
| (f) | DR-504S | Individual Affidavit for Ad Valorem tax Exemption-Homes for the Aged (r. 11/21) | 11/21 |
| (g) | DR-504W | Ad Valorem Tax Exemption Application and Return for Not-for-Profit Sewer and Water Company and Not-for-Profit Water and Wastewater Systems (n. 11/21) | 11/21 |
| (40) | DR-505 | Report of Discounts, Errors, Double Assessments, and Insolvencies (r. 09/17) | 09/17 |
| (41)(a) | DR-506 | Tax Deed (r. 4/16) | 4/16 |
| (b) | DR-506E | Escheatment Tax Deed (r. 4/16) | 4/16 |
| (42) | DR-508 | Application for Separate Assessment of Mineral, Oil and Other Sub-Surface Rights (r. 12/94) | 12/94 |
| (43)(a) | DR-509 | Tax Certificate (r. 4/16) | 4/16 |
| (b) | DR-509D | Deferred Payment Tax Certificate (r. 4/16) | 4/16 |
| (44)(a) | DR-510 | Cancellation or Correction of Tax Certificate (r. 12/11) | 11/12 |
| (b) | DR-511 | Interest Table for Tax Sale Certificates (r. 6/89) | 6/89 |
| (45)(a) | DR-512 | Application for Tax Deed (r. 4/16) | 4/16 |
| (b) | DR-513 | Certification of Tax Deed Application | 07/19 |
| (c) | DR-514 | Notice of Sale of Tangible Personal Property for Delinquent Taxes (r. 4/16) | 4/16 |
| (46)(a) | DR-515 | Receipt of Deposit of County Funds (r. 3/77) | 3/77 |
| (b) | DR-515C | Receipt of Deposit of County Funds (continuous) (r. 3/93) | 3/93 |
| (c) | DR-517 | Tax Collector's Warrant | 07/19 |
| (47) | DR-517L | Execution and Warrant for Collection of Delinquent Ad Valorem Leasehold Taxes (r. 4/16) | 4/16 |
| (48)(a) | DR-518 | Cutout Request (r. 4/16) | 4/16 |
| (b) | DR-520A | Tax Roll Sheet | 10/91 |
| (49)(a) | DR-521 | Index Tax Roll Sheet | 10/91 |
| (b) | DR-522 | Report of Total Reductions in Taxes from Catastrophic Events (n. 01/23) https://www.flrules.org/Gateway/reference.asp?No=Ref-14894 | 01/23 |
| (c) | DR-528 | Notice of Ad Valorem Taxes and Non-Ad Valorem Assessments (example only) (r. 11/12) https://www.flrules.org/Gateway/reference.asp?No=Ref-01806 | 11/12 |
| (d) | DR-529 | Notice Tax Impact of Value Adjustment Board (r. 12/09) | 3/10 |
| (50)(a) | DR-533 | Warrant Notice (r. 5/89) | 5/89 |
| (b) | DR-534 | Application for Installment Payment of Property Taxes (r. 06/22) | 06/22 |
| (51) | DR-535 | Notice to Property Appraiser of Name and/or Address Change (r. 5/92) | 12/94 |
| (52) | DR-545 | Income Data Verification Sheet | 1/93 |
| (53) | DR-546 | Agricultural Income and Information | 07/19 |
| (54)(a) | DR-570 | Application for Homestead Tax Deferral (r. 10/11) | 11/12 |
| (b) | DR-570AH | Application for Affordable Housing Property Tax Deferral (n. 10/11) | 11/12 |
| (c) | DR-570WF | Application for Recreational and Commercial Working Waterfronts Property Tax Deferral (r. 10/11) | 11/12 |
| (55)(a) | DR-571A | Disapproval of Application for Tax Deferral-Homestead, Affordable Rental Housing, or Working Waterfront (r. 11/12) | 11/12 |
| (b) | DR-584 | Budget Form for Tax Collectors (r. 11/12) | 11/12 |
| (56) | DR-590 | Standard Record Layout for Rule 12D-8 Name, Address and Legal (N.A.L.) File (required format) (r. 12/00) | 1/01 |
| (57) | DR-592 | N.A.P. file Record Layout (n. 3/98) | 12/98 |
| (58)(a) | DR-593 | Application for Section 218.66, F.S., Special Distributions for Contested Property Taxes (n. 6/98) | 12/98 |
| (b) | DR-593A | Application for Section 194.035, F.S., Reimbursement of Special Master Payments by Small Counties (n. 12/02) | 1/03 |
| (59)(a) | DR-4001 | Application for Florida Professional Certification (n. 10/21) | 10/21 |
| (b) | DR-4002 | Application for Approval of a Course or Continuing Education Credit Hours (n. 10/21) | 10/21 |
| (60)(a) | DR-5002 | Decision of the Value Adjustment Board - Hurricane Ian or Hurricane Nicole Tax Refund (n. 07/23) | 07/23 |
| (b) | DR-5003 | Report of Total Reductions in Taxes From Hurricane Ian or Hurricane Nicole (n. 07/23) | 07/23 |
Notes
Rulemaking Authority 195.002(2), 195.027(1), 196.075(4)(d), (5), 196.1978, 196.1979, 197.319 FS. Law Implemented 95.18, 136.03, 192.001(18), 192.0105, 193.052, 193.077, 193.085, 193.092, 193.114, 193.122, 193.155, 193.1554, 193.1555, 193.1556, 193.461, 193.501, 193.503, 193.625, 193.703, 194.011, 194.032, 194.034, 194.035, 194.036, 194.037, 194.171, 194.181, 195.002, 195.022, 195.087, 196.011, 196.015, 196.031, 196.075, 196.095, 196.101, 196.121, 196.131, 196.141, 196.151, 196.173, 196.183, 196.193, 196.1961, 196.1978, 196.1979, 196.1983, 196.1995, 196.202, 196.24, 196.26, 197.182, 197.222, 197.2423, 197.2425, 197.3181, 197.319, 197.3632, 197.3635, 197.414, 197.432, 197.472, 197.502, 197.512, 197.552, 200.065, 200.069, 218.12, 218.125, 218.66, 218.67 FS.
New 10-12-76, Amended 4-11-80, 9-17-80, 5-17-81, 1-18-82, 4-29-82, Formerly 12D-16.02, Amended 12-26-88, 1-9-92, 12-10-92, 1-11-94, 12-27-94, 12-28-95, 12-25-96, 12-30-97, 12-31-98, 2-3-00, 1-9-01, 12-27-01, 1-20-03, 1-26-04, 12-30-04, 1-16-06, 10-2-07, 3-30-10, 11-1-12, 9-10-15, 4-5-16, 6-14-16, 1-9-17, 9-19-17, 1-17-18, 4-10-18, 9-17-18, 7-9-19, 12-7-20, 10-26-21, 11-11-21, 6-13-22, 10-30-22, 11-20-22, 7-18-23, 11-26-23, 2-8-24.