Form Dr-462 - Application For Refund Of Ad Valorem Taxes

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DR-462
APPLICATION FOR REFUND
R.12/11
Rule 12D-16.002
OF AD VALOREM TAXES
Florida Administrative Code
Effective 11/12
Section 197.182 Florida Statutes
COMPLETED BY APPLICANT
Applicant name
County
Date
Mailing
I am applying for a refund of $
address
For the tax year(s)
20
, 20
, 20
, 20
Describe the reason for the refund. Attach any documents that support your request for a refund.
I declare I have read this application and the facts in it are true. If prepared by someone other than the
taxpayer, the declaration is based on all information the preparer knows.
Signature, applicant
Date
Applicant: File this form and supporting documents with your County Tax Collector.
COMPLETED BY TAX COLLECTOR
Approved
Parcel ID
Date received
Denied
Page and number
Check #
Submitted to the Department of Revenue (DOR)
Recommendation:
Order
Deny
Explanation:
Signature
Title
Date
Tax collector instructions for submitting to DOR, if $2,500 or above or otherwise required
Complete DR-462 and send with:
For taxes paid in error:
1. A copy of the paid tax receipt for each tax year
1. Copy of certified letter to taxpayer (45 day notice)
requested
2. Copy of certified mail, return receipt requested
2. Certificate of correction to the tax roll signed and dated
3. Tax notice receipt
by the property appraiser
4. Other supporting documents
3. Other supporting documents
4. Copy of homestead application or renewal, if required
Mail:
Property Tax Oversight Program
Email:
PTORefunds@dor.state.fl.us
Refund Section
Efax:
850-617-6107
P.O. Box 3000
Tallahassee, FL 32315-3000
COMPLETED BY DOR
Subject matter index code
RP
TPP
Date approved
Ordered
Denied
Reviews
______________________________________________
Signature, DOR

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