Form Dr-418 - Economic Development Ad Valorem Property Tax Exemption
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DR-418
ECONOMIC DEVELOPMENT AD VALOREM PROPERTY TAX EXEMPTION
R. 12/99
Chapter 196.1995, Florida Statutes
To be filed with the Board of County Commissioners, the governing boards of the municipality, or both,
no later than March 1 of the year the exemption is desired to take effect.
1
Business name
Mailing address
Please give name and telephone number of owner or person in charge of this business.
2
Name
Telephone number
Date you began, or will
3
4
Exact Location (Legal Description and Street Address) of Property for which this return is filed
begin, business at this facility
Date of commencement of
5
Description of the improvements to real property for which this exemption is requested
construction of improvements
6
Description of the tangible personal property for which this exemption is requested and date when property was, or is to be purchased
APPRAISER’S USE ONLY
Date of
Taxpayer's Estimate of
Class or Item
Age
Purchase
Original Cost
Cond*
Fair Market Rent
Cond*
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Average value of inventory on hand:
*Condition: good, avg (average), or poor
Any additional personal property not listed above for which an exemption is claimed must be returned on form
DR-405 (Tangible Personal Property Tax Return) and a copy attached to this form.
7 Do you desire exemption as a
new business or
expansion of an existing business
9 Trade levels (check as many as apply)
8 Describe type or nature of your business
Retail
Wholesale
Manufacturing
Professional
Service
Office
Other, specify:
10 Number of full-time employees to be employed in Florida
Net increase
Increase in productive output
If an expansion of an existing business:
%
%
in employment
resulting from this expansion
11 Sales factor for the facility requesting exemption:
divided
Total sales in Florida from this
Total sales everywhere from this
=
%
by
facility-one (1) location only
facility-one (1) location only
12 For office space owned and used by a
Date of incorporation
Number of full-time
corporation newly domiciled in Florida
in Florida
employees at this location
I hereby request the adoption of an ordinance granting an exemption from ad valorem taxation on the above property pursuant to Section 196.1995, Florida
Statutes. I agree to furnish such other reasonable information as the Board of County Commissioners, the governing authority of the municipality, or the
Property Appraiser may request in regard to the exemption requested herein. I hereby certify that the information and valuation stated above by me is true,
correct, and complete to the best of my knowledge and belief. (If prepared by someone other than the taxpayer, his declaration is based on all information of
which he has any knowledge.)
Signature, preparer
Date
Preparer's address
Signature, taxpayer
Title
Preparer's telephone number
Property Appraiser’s Use Only
I
$
Total revenue available to the county or municipality for the current fiscal year from ad valorem tax sources
II
$
Revenue lost to the county or municipality for the current fiscal year by virtue of exemptions previously granted under this section
Estimate of the revenue which would be lost to the county or municipality during the current fiscal year if the exemption applied
III
$
for were granted and the property for which the exemption is requested would otherwise have been subject to taxation
IV
Estimate of the taxable value lost to the county or municipality if the exemption applied for was granted
Improvements to real property $
Personal property $
V
I have determined that the property listed above meets the definition, as defined by Section 196.012(15) or (16), Florida Statutes, as a
new business
expansion of an existing business
neither
VI Last year for which exemption may be applied
Application to be filed not later than March 1
Date
Signature, Property Appraiser
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