DECISION OF THE VALUE ADJUSTMENT BOARD
EXEMPTION, CLASSIFICATION, ASSESSMENT DIFFERENCE
TRANSFER, CHANGE OF OWNERSHIP OR CONTROL,
OR QUALIFYING IMPROVEMENT PETITION
Decision Summary Denied your petition Granted your petition Granted your petition in part
Lines 1 and 4 must be completed
Value from
TRIM Notice
Value before Board Action
Value presented by property appraiser
Rule 12D-9.025(10), F.A.C.
Value after
Board Action
1. Just value, required
2. Assessed or classified use value,* if
applicable
3. Exempt value,* enter “0” if none
4. Taxable value,* required
*All values entered should be county taxable values. School and other taxing authority values may differ. (Section 196.031(7), F.S.)
Reason for Petition
Homestead
Widow/er
Blind
Low-income senior
Disabled
Disabled veteran
Parent/grandparent assessment reduction
Deployed military
Transfer of homestead assessment difference
Change of ownership or control
Reasons for Decision Fill-in fields will expand, or add pages as needed.
Findings of Fact
Conclusions of Law
Recommended Decision of Special Magistrate The finding and conclusions above are recommendations.
Signature, special magistrate
Print name
Date
Signature, VAB clerk or special representative
Print name
Date
If this is a recommended decision, the board will consider the recommended decision on
at
PM.
Address ________________________________________________________________________________
If the line above is blank, please call ______________ or visit our website at __________________________.
Final Decision of the Value Adjustment Board
Signature, chair, value adjustment board
Print name
Date of decision
Signature, VAB clerk or representative
Print name
Date mailed to parties
The actions below were taken on your petition in ____________________ County.
These actions are a recommendation only, not final.
These actions are a final decision of the VAB.
If you are not satisfied after you are notified of the final decision of the VAB, you have the right to file a lawsuit in circuit
court to further contest your assessment. (See sections 193.155(8)(l), 194.036, 194.171(2), 196.151, and 197.2425, Florida Statutes.)
Petition #
Parcel ID
Petitioner name
The petitioner is: taxpayer of record representative
other, explain: _____________________________
Property
address
DR-485XC
R. 01/17
Rule 12D-16.002
F.A.C.
Eff. 01/17
AM
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