Form Ez-M - Florida Enterprise Zone Program
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5FORM EZ-M
R. 07/10
FLORIDA ENTERPRISE ZONE PROGRAM
BUILDING MATERIALS SALES TAX REFUND
APPLICATION FOR ELIGIBILITY
(Based on s. 212.08 (5) (g), F.S.)
Date of Application:
Taxpayer Name:
Mailing Address:
Property Address:
Assessment Roll Parcel Number:
Florida Enterprise Zone Number:
EZ-
Description of Improvements:
Building Permit Number:
Attach a copy of actual building permit with inspection dates.
Building Inspector Name:
Phone:
FAX:
Attach a certificate from building inspector that improvements are substantially completed.
Date of certificate stating that improvements are substantially completed:
Date when rehabilitated property is first subject to assessment:
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