Form Dr-430 - Change Of Ownership Or Control Non-Homestead Property - 2012
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1
2DR-430
CHANGE OF OWNERSHIP OR CONTROL
N. 11/12
Rule 12D-16.002
NON-HOMESTEAD PROPERTY
Florida Administrative Code
Effective 11/12
Sections 193.1554, 193.1555, and 193.1556, Florida Statutes
For non-homestead real property when a deed or other instrument has not been recorded with the clerk of court
for a change of ownership or control, the owner must complete this form and send it to the property appraiser of
the county where the property is located.
County
Date
New Owner
Individual or legal entity
Owner name
Address
Contact name
Phone
Type of ownership,
Corporation
Limited liability company
Limited partnership
if not an individual
General partnership or joint venture
Unincorporated REIT
Other, specify,
State of formation
Individual or entity transferring ownership or transferring control or ownership of the
Previous Owner
legal entity cumulatively exceeding 50%
Individual or legal entity name
Description of Property
Date of sale or change of ownership
Parcel ID
(Cumulative ownership or control exceeded 50%)
Physical
Legal
address
description
Type of property
Total number of pages,
This notice covers multiple parcels. I have attached Form DR-430M
including this one
This notification
the owner of the property
the previous owner
is provided by
an authorized agent of the owner
an authorized agent of the previous owner
I declare I have read this document and the facts in it are true.
Signature
Print name
Date
Title, if not an individual
See instructions on page 2.
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