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CERTIFICATE FOR TRANSFER OF
DR-501RVSH
R. 12/08
HOMESTEAD ASSESSMENT DIFFERENCE
Rule 12DER08-33
Florida Administrative Code
Section 193.155, Florida Statutes
Effective 12/08
FOR USE BY PROPERTY APPRAISER'S OFFICE ONLY
COMPLETE ONLY FOR TRANSFER BETWEEN COUNTIES
FROM : Property appraiser’s office of previous homestead
TO: Property appraiser’s office requesting transfer
Contact name
Contact name
County
County
Address, fax number, or e-mail address
Address, fax number, or e-mail address
The property appraiser in the county of the previous homestead should send this form to the requesting county by April 1 or
within two weeks of the receipt of Form DR-501T, Transfer of Homestead Assessment Difference, whichever is later.
Applicant Name
Parcel ID
Address
City
State
ZIP
Did the applicant receive a homestead
If Yes, most recent year exemption was received.
exemption in either of the last 2 years?
Yes
No
20
Was/will the property be reassessed at
Yes
No
just value as of January 1, 20
?
If Yes, check and complete either box 1 or 2.
Number of homesteaders
SOLE OWNER, JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP, OR TENANCY
of record
BY ENTIRITIES. Enter homesteaders of record, include the applicant. If the ownership
interest is not equal, enter ownership percentages.
Name:
Name:
%
%
Ownership share:
Ownership share:
Name:
Name:
%
Ownership share:
Ownership share:
%
From 20
Tax Roll Values, enter only the values for the homesteaded portion of the property.
Homestead just value
Homestead assessed value
Is the assessment of this property currently under
appeal with the VAB or in circuit court?
Yes
No
Tenant in common.
Enter the values for the applicant’s interest in the property.
Tax Roll Values, enter only the values for the homesteaded portion of the property.
From 20
Homestead just value
Homestead assessed value
Is the assessment of this property currently under
appeal with the VAB or in circuit court?
Yes
No
SIGNATURE OF PROPERTY APPRAISER OR DEPUTY
Signature of Property Appraiser or Deputy
Date
County
DOR county number
Use additional pages, if needed.