CUT OUT REQUEST - Florida Department of Revenue
-54610-129540004610100-513080Text fields will expand online.00Text fields will expand online.5067300-15875DR-518R. 04/16Rule 12D-16.002, F.A.C.Eff. 04/1600DR-518R. 04/16Rule 12D-16.002, F.A.C.Eff. 04/16CUTOUT REQUESTSection 197.373, Florida Statutes FORMTEXT ????? County, FloridaTax roll year 20 FORMTEXT ??Date FORMTEXT ?????Tax certificate number, if available FORMTEXT ?????Year 20 FORMTEXT ??COMPLETED BY REQUESTOR AND TAX COLLECTORName FORMTEXT ?????Complete this section and send it to the property appraiser.Property descriptionParcel ID FORMTEXT ???? FORMTEXT ?????Assessed to FORMTEXT ?????Address FORMTEXT ?????Description of cutout propertyParcel ID FORMTEXT ????? FORMTEXT ?????Assessed to FORMTEXT ?????Address FORMTEXT ????? FORMTEXT ?????by FORMTEXT ?????Signature, requestor Signature, tax collectorCOMPLETED BY PROPERTY APPRAISERDate received by appraiser FORMTEXT ?????Date returned to tax collector FORMTEXT ?????Cutout Property ValueMillage Breakdown, All districtsDistrict name or codeMillageJust value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Classified use value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Wholly exempt value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Exempt for county purposes FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????County taxable value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Additional exempt value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Exempt for schools FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Description of Property Remaining after Cutout Parcel ID FORMTEXT ????? FORMTEXT ?????Assessed to FORMTEXT ?????Address FORMTEXT ?????Property Value Remaining after CutoutMillage Breakdown, All districtsDistrict name or codeMillageJust value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Classified use value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Wholly exempt value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Exempt for county purposes FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????County taxable value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Additional exempt value FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Exempt for schools FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Complete this form andreturn it to the tax collector. Signature, appraiser Date ................
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