Notice Of Change Of Ownership Or Control Form
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2DR-430
N. 1/09
Rule 12DER09-01
Florida Administrative Code
Effective 01/09
NOTICE OF CHANGE OF OWNERSHIP OR CONTROL
NON-HOMESTEAD PROPERTY
For each parcel of non-homestead real property where a deed has not been recorded with the county clerk of court
documenting a change of ownership or control, the person or entity who acquires the parcel must complete this form
and send it to the property appraiser of the county where the property is located.
A person or entity that transfers non-homestead property or a controlling interest and does not retain ownership
interest may submit this form, but is not required to.
To the Property Appraiser of ______________________ County, Florida
Date
_____/_____/________
Owner Contact Information
Legal entity name
Contact name
Address
Phone
E-mail
Previous Owner (Person or entity transferring ownership or cumulatively transferring control or
ownership of the legal entity cumulatively exceeding 50%)
Legal entity name
Description of property in the county that changed ownership or control.
Parcel number
Date of sale or change of control
(
cumulative ownership or
_____/_____/________
control exceeded 50%)
Physical address
Legal description of property
Type of property
This notification is provided by
The transferee/acquiring owner of this property
An authorized agent of the transferee/acquiring owner
The previous owner (person or entity transferring ownership or control) of the property
An authorized agent of the previous owner
I declare that I have read this document and that the facts in it are true.
___________________________________
____/___/______
Signature
Date
___________________________________
_________________________________________
Print name
Title
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