Form Dr-570ah - Application For Affordable Housing Property Tax Deferral printable pdf download

Form Dr-570ah - Application For Affordable Housing Property Tax Deferral

APPLICATION FOR AFFORDABLE HOUSING

DR-570AH

N. 10/11

PROPERTY TAX DEFERRAL

Rule 12D-16.002

Florida Administrative Code

Section 197.2423, Florida Statutes

Effective 11/12

Due to the tax collector by March 31

COMPLETED BY TAXPAYER

Owner

Parcel ID

Mailing

Property

address

Property

description

Phone

Phone 2

List all outstanding liens on the property. Add pages, if needed.

Name of Lien Holder

Balance

Name of Lien Holder

Balance

Primary

mortgage

I am applying to defer payment of a portion or all of the ad valorem taxes and any non-ad valorem assessments

authorized by the tax deferral ordinance adopted by

(taxing

, that would be covered by a tax certificate sold under Chapter 197, F.S., for 20

authority authorizing the deferral)

I understand that I must furnish proof of fire and extended coverage insurance at least equal to the total of all

outstanding liens, deferred taxes, non-ad valorem assessments, and interest with a loss payable clause to the

county tax collector.

The information above is true and correct to the best of my knowledge.

____________________________________________

_________________

Signature, applicant

Date

See page 2 for more information.

COMPLETED BY TAX COLLECTOR

Part 1. Ad valorem taxes and non ad valorem

Part 2.

assessments. Do not complete if entire amount is deferred

1. Total deferred (taxes and assessments)

1. Total due before discount

2. Total deferred

2. Interest prior year(s)

3. Total not deferred (1 minus 2)

3. All other unsatisfied liens including

primary mortgage outstanding

4. Less applicable discount

5. Total due and payable (3 minus 4)

4. Total

(1+2+3)

5. Just value

6. 4 divided by 5 (cannot exceed 85%)

7. Total primary mortgage outstanding

See section 197.2524, F.S., for limits on deferrals in

8. 7 divided by 5 (cannot exceed 70%)

a community redevelopment area.

Approved

Not approved

Signature

Date

Date copy sent to applicant

Form Dr-570ah - Application For Affordable Housing Property Tax Deferral

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