Documentary Stamp Tax Explanation Form - Orange Country Comptroller Page 2

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ORANGE COUNTY COMPTROLLER – OFFICIAL RECORDS
Documentary Stamp Tax Explanation Form
SUBMITTER INFORMATION
Last Name
First
M.I.
Date
Company/Firm Name
Street Address
Apartment/Unit #
City
State
ZIP
Phone
E-mail Address
PROPERTY INFORMATION
Purchase Price/Consideration: $______________________________
Is there an existing mortgage on the property?
YES
NO
If YES, what is the mortgage balance? $______________________________
If NO, is this a gift? YES
NO
If YES, what is the consideration amount? $____________________
Are you paying full doc stamps?
YES
NO
If NO, are you exempt under Florida Law or Florida Administrative
Code? YES
NO
P lease ex plain below
.
If YES, please explain below.
Are you paying minimal ($0.70) doc
YES
NO
If NO, are you exempt under Florida Law or Florida Administrative
stamps?
P lease ex plain below
Code? YES
NO
.
please ex plain below
If paying no ($0.00) doc stamps,
.
NOTE: FAILURE TO PAY REQUIRED TAXES MAY RESULT IN PENALTIES AND INTEREST.
(F.A.C. 12B-4.005)
EXPLANATION
Eff. 04/30/12

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