Tangible Personal Property Tax Return Form - Rental Form
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1Bill Donegan, CFA
Tangible Personal Property Tax Return - Rental
State of Florida,
County of Orange
in lieu of DR-405
O
C
P
A
RANGE
OUNTY
ROPERTY
PPRAISER
Confidential § 193.074 F.S.
200 South Orange Avenue, Suite 1700
As Required by § 193.052 & 193.062 F.S.
Account Number Tax Year
Orlando, FL 32801-3438
2004
Return to County Property Appraiser
_____________
(407) 836-5049
By April 1 to Avoid Penalties
This return is subject to audit with all records kept by you.
Incomplete entries are subject to penalties.
1. Please give name and address of owner or person in charge of the property.
Name: ______________________________________________________
Address:_____________________________________________________
City:____________________________ State: __________ Zip: ________
Phone: ______________________________________________________
Check here if above is a permanent address change.
!
.
Federal Employer Ident. No
Social Security Number
2. Address of physical location of property.
_____________________________________________________________
NAICS
_____________________________________________________________
If name or mailing address is incorrect, make corrections in this box.
3. Is the property used as a rental? Yes ____ No ____
________________________________________________
If yes, complete Sections A & B; if no, complete Section A only.
________________________________________________
This box for Appraiser’s use only
4. If this property is not used as a rental, did you or will you apply for a
Original return only, no copies accepted
homestead exemption this year? Yes ____ No ____
5. Please indicate the types of property you are reporting:
! Single Family / Townhouse
! Condominium
! Duplex / Triplex, etc.
! Co-Op Apartment
! Multi-family
! Mobile Home
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Total Personal Property
Under penalties of perjury, I declare that I have read the foregoing tax
Less Exemption:
return and the accompanying schedules and statements and that the
!Total Disability !Other
!Widow !Widower !Blind
facts stated in them are true. If prepared by someone other than the
______________________________________________________
taxpayer, the preparer signing this return certifies that this declaration is
based on all information of which he/she has any knowledge
.
Taxable Value:
_______________________________________________________
Date: __________ Title: __________________________
Deputy:
Penalty:
Signed: ________________________________________
(Taxpayer)
Signed: ________________________________________
Please sign and date your return, send the original to
the County Appraiser ’s Office by April 1. Unsigned
(Preparer)
Address: _______________________________________
returns cannot be accepted by the Appraiser’s Office.
Phone Number: _________________________________
Notice: If you are entitled to a widow’s, widower’s or disability
exemption on personal property (not already claimed on real estate)
Preparer’s ID Number: ____________________________
contact the Appraiser’s Office.
TP120 REV 11/03
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