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Form Dr-486mu - Attachment To A Value Adjustment Board Petition For Multiple Parcels And Accounts

DR-486MU

R. 6/16

ATTACHMENT TO

Page

A VALUE ADJUSTMENT BOARD PETITION

Suggested Form

FOR MULTIPLE PARCELS AND ACCOUNTS

Sections 194.011 and 194.013, Florida Statutes

Each petition to the value adjustment board must be filed with required attachment(s) and a proper filing fee or it will be

invalid and rejected. Each parcel of real property or tangible personal property account being appealed must be identified by

a separate folio or account number. This attachment should be used for substantially similar parcels or substantially similar

accounts and attached to Form DR-486, when used.

Taxpayer name

Agent or contact

Mailing address

Corporation

for notices

Name for TPP

Phone

Multiple parcels of real property

Multiple tangible personal property accounts

For joint petitions filed by condominium, cooperative, or homeowners’ association or an owner of contiguous,

undeveloped parcels, please provide the first 9 digits of real estate folio number here

and enter the last

4 digits of each folio number in the spaces below.

For joint petitions filed by an owner of multiple tangible personal property accounts, enter each account number in the

spaces below.

Total number of parcels or accounts on this page

Use additional pages, if needed.

Grand total of parcels or accounts filed on all pages

Number of pages, including this one

Joint petitions filed by condominium, cooperative, or homeowners’ associations as agents according to s. 194.011(3)(e),

F.S., should include a copy of the board of administration or directors’ resolution authorizing this filing, and the following

information:

For Complex Only

Address

Name

Mail notices to:

owner

agent

Signatures and Certification

Under penalties of perjury, I declare that I have read this attachment and the facts in it are true. By signing and filing this

attachment and the related petition as an agent of the taxpayer/owner, I certify that I am duly authorized to do so.

Signature, petitioner/agent

Date

The signature below indicates that the property appraiser has determined that the parcels or accounts are substantially

similar as required by s. 194.011(3)(e), (f) or (g), F.S.

Signature, property appraiser

Date

Form Dr-486mu - Attachment To A Value Adjustment Board Petition For Multiple Parcels And Accounts

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