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FEB 2 01980 <br />eoo�2. > '72,8 <br />DR . 462 <br />Revised 12/78 <br />(Sec. 195.106, F.S.) <br />LF'U 1111! F) AIDPR 0'!'�D <br />DATE JAN 2 4 MO <br />DEPARTMEN,T 'OF RE*ENU <br />REQUISITION FOR REFUND OF AD VALOREM T \ES <br />STATE, OF FLORIDA <br />COUNTY OF Indian River <br />Pursuant to Section 19:5.106, Florida Statutes, <br />Henry Anthony Fischer <br />(Pavee) <br />of. P. 0. Box 68, Sebastian, F1. <br />(1{esidrnre) <br />l lereb%- ni.tkes application to the Department of Rei,enite for refund of ti 1,845.47 <br />(amount) <br />of moneNls paid to the County Tax Collector and as grounds therefor sets up the following facts: <br />(State reason for Refund) <br />The County Property Appraiser has issued a Certificate -of Correction for 1976 Tax Roll, <br />correcting square footage on building which reduces the just and taxable <br />value from $252,450. to $123,350. This reduces the tax from $3,720.37 <br />to $1,817.82. Dr. Fischer paid the 1976 taxes in Dec. 1976 thereby receiving <br />a 3% discount. With the allowance of the 3% discount on corrected amount, <br />the refund comes to a difference of $1,845.47. <br />Attached hereto is additional proof to establish such claim, as follows: - <br />A certified copy of office receipt - taxpayer lost the original. <br />Certificate of Correction of Tax Roll No. 5- 36032 (copy) <br />Sworn and subscriber) to <br />before me this _J 7 day <br />of — 19 <br />Notary Public, State of Florida at LarO.6. <br />\olmv Pubi' <br />( P.rnee ) <br />L J <br />