Form Dr-501ts - Designation Of Ownership Shares Of Abandoned Homestead - 2012

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DR-501TS
N. 11/12
DESIGNATION OF OWNERSHIP SHARES
Rule 12D-16.002, F.A.C.
Provisional
OF ABANDONED HOMESTEAD
Section 193.155(8), Florida Statutes
Date
File this form if you and your spouse (or former spouse) are currently joint owners, or former owners, of qualifying property
and wish to designate shares of the homestead assessment difference. The designated share can be transferred to each
of your new homesteads when you each apply for the homestead exemption on your property.
Submit this form to the property appraiser in the county of the abandoned homestead before either of you submit a form
DR-501T for a new homestead. If you apply for a new homestead exemption and wish to transfer your designated share
of the homestead assessment difference, attach a copy of this statement to your homestead application form (DR-501) in
the county of the new homestead and with your completed DR-501T. Percentages must total 100%.
Abandoned Homestead
Address
County
Parcel ID
Date abandoned
Husband’s Name
Designated
Wife’s Name
Designated
as it appears on the joint title
% Ownership
as it appears on the joint title
% Ownership
At the time we abandoned the homestead we were married and jointly owned the property above as husband and wife.
We designate the percentages above to each owner for transferring the homestead assessment difference when that
owner establishes a new homestead.
We understand when this designation is filed with the property appraiser, it is irrevocable.
I swear that the information above, including ownership
I swear that the information above, including ownership and
and percentages, is true and correct.
percentages, is true and correct.
Signature, husband:
Signature, wife:
State of Florida
State of Florida
County of
County of
This instrument was sworn to and subscribed before me
This instrument was sworn to and subscribed before me
this date,
, by
this date,
, by
Date
Date
who is personally known to me or who has produced
who is personally known to me or who has produced
as identification.
as identification.
Notary public seal
Notary public seal
Notary public signature
Notary public signature

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