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DR-501T R. 12/08

Transfer of Homestead Assessment Difference
Attachment to Original Application for Ad Valorem Tax Exemption
Section 193.155, Florida Statutes

Rule 12DER08-33 Florida Administrative Code Effective 12/08

If you have applied for a new homestead exemption and are entitled to transfer a homestead assessment difference from a previous homestead, file this form with your property appraiser by March 1. Co-applicants transferring from a different homestead must fill out a separate form. NEW HOMESTEAD APPLICANT -- COMPLETE STEPS 1-5
STEP 1
Applicant name New address City, State, ZIP

NEW HOMESTEAD
Home phone (include area code) Parcel ID number County Total number of owner applicants Work phone (include area code)

STEP 2
County Address Parcel ID number

PREVIOUS HOMESTEAD
Date sold or no longer used as your homestead City, State, ZIP

Co-applicants who owned and lived at the previous homestead.
STEP 3* STEP 4*
1.___________________________________________ 2.___________________________________________ 3.___________________________________________

Other owners of the previous homestead not applying for transfer to this new homestead
1.____________________________________________ 2.____________________________________________

Did any of these owners remain in the previous homestead?

Yes

No

STEP 5*

THE APPLICANT AND ALL CO-APPLICANTS (STEP 3) MUST SIGN BELOW.

I affirm that I qualify for the homestead exemption assessment transfer from the above previous homestead. Under penalties of perjury, I declare that I have read the foregoing application and the facts in it are true.
Signature of Applicant Signature of Co-applicant 1 Signature of Co-applicant 2 Date Date Date

COMPLETED BY PROPERTY APPRAISER OF APPLICANT'S NEW COUNTY
Signature of Property Appraiser or Deputy Date

If previous homestead was in a different county, add your contact information. Send this form with a copy of the Original Application for Ad Valorem Tax Exemption (Form DR-501) to the Property Appraiser's office in the county of the previous homestead.
Contact name Fax E-mail address City, State, ZIP Mailing address

INSTRUCTIONS TO PROPERTY APPRAISER OF PREVIOUS HOMESTEAD
Based on your county's records, complete and return Form DR-501RVSH, Certificate of Transfer of Homestead Assessment Difference to the contact above by April 1 or within 2 weeks after receiving Form DR-501T, Transfer of Homestead Assessment Difference, whichever is later. *Use additional pages, if needed.