Application For Homestead Exemption Form - Seminole County Property Appraiser printable pdf download

1101 E. First Street

Sanford, FL 32771

Tel: 407.665.7506

Fax: 407.665.7924

APPLICATION FOR HOMESTEAD EXEMPTION

NEW

CHANGE

ADDITIONAL

YEAR:

PROPERTY ID NUMBER:

PHYSICAL ADDRESS:

CODES:

OWNER'S NAME AND MAILING ADDRESS:

LEGAL:

DEED TYPE:

BOOK/PAGE:

SALE DATE:

PLEASE ANSWER THE FOLLOWING QUESTIONS

1. YES

ARE YOU A CITIZEN OF THE UNITED STATES? IF NOT, HOMESTEAD IS GRANTED ONLY TO THOSE PERSONS WHO

CAN PROVIDE A COPY OF AN ALIEN RESIDENT CARD (GREEN CARD) OR LETTER GRANTING PERMANENT STATUS. YOU MUST

ATTACH A COPY OF YOUR GREEN CARD OR LETTER TO THIS APPLICATION.

IMMIGRATION #

2. WHAT DATE DID YOU MOVE INTO THIS PROPERTY?

MONTH

YEAR

3. YES

IS THIS YOUR FIRST TIME APPLYING FOR HOMESTEAD EXEMPTION AT THIS ADDRESS?

4. YES

DID YOU HAVE HOMESTEAD IN AT LEAST ONE OF THE LAST TWO YEARS? IF YES, MOST RECENT YEAR

IF YES, ADDRESS

COUNTY

STATE

5. YES

DOES ANYONE ON THE TITLE NOT LIVE AT THIS PROPERTY?

IF YES, WHO?

WHERE?

6. WHAT IS YOUR MARITAL STATUS?

SINGLE

MARRIED*

DIVORCED

SEPARATED (NOT DIVORCED)

WIDOW/WIDOWER

* IF YOU MARKED MARRIED, YOU MUST PROVIDE SPOUSE'S IDENTIFICATION EVEN IF THEY ARE NOT ON TITLE.

REQUIRED IDENTIFICATION INFORMATION - COPIES REQUIRED

Florida ID # Non Driver

Owner Name

Social Security #

Date of Birth

Phone Number

Florida ID # Non Driver

NOTE: Disclosure of your social security number is mandatory. It is required by section 196.011(1)Florida Statutes. The social security number will be used to

verify taxpayer identity information, homestead exemption information submitted to property appraisers and intangible tax information submitted to the

Department of Revenue.

NOTE: If all information is not received by March 1st, your application will be processed for whatever exemptions you qualify for on that date.

NOTICE: A tax lien can be imposed on your property pursuent to 196.161, Florida Statutes.

DECLARATION: I hereby authorize this agency to obtain information necessary to determine my eligibility for the exemption(s) applied for. I hereby make

application for the exemptions indicated and affirm that I do qualify for same under Florida Statutes. I am a permanent resident of the State of Florida

and I own and occupy the property described above. I understand that section 196.131 (2), Florida Statutes, provides that any person who knowingly and

willfully gives false information for the purpose of claiming homestead is guilty of a misdemeanor of the first degree, punishable by a term of imprisonment not

exceeding 1 year or a fine not exceeding $5,000 or both. Further, under penalty of perjury, I declare that I have read the foregoing application and the facts in it

are true.

First Owner Signature

Date

Second Owner Signature

Date

YOU MAY BE QUALIFIED FOR OTHER TYPES OF EXEMPTIONS. PLEASE REVIEW THE QUESTIONS ON BACK

TURN OVER PAGE FOR MORE INFORMATION!!!

Homestead Exemption Hotline 407.665.7506

1101 E First Street Sanford, FL 32771