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DR - 462 <br />Revised 12/7a <br />(sec. 195.106, F.S.) <br />LFU j ,jn PPRO'.]ED <br />6 ), i. <br />DATE � � <br />EPA Tiv:"t N r OF /Rt J <br />RE,QU1S11'1ON FOR REF'UtNI) OFAI) N*Al,OREN1 'l'A\I:S <br />S'I':1TE, OF F 1,0R1DA <br />CO 1: NT 0F INDIAN RIVER <br />Pursuant to Section 195.106. Florida Staturtes. <br />O'Naire, Peterkin & Moran <br />( Pavee ) <br />2145 15th Ave., Vero Beach, F1. <br />(Residence) <br />lierelr,• snakes application to the Department of Revenue for refund of.S 359.67 <br />(Aillc►nnl ) <br />of urronetis paid to the County Tax Collector and is grounds therefor sets urp the following facts.: <br />(Mate reason for Refund) <br />County Property Appraiser has issued a Certificate of Correction No. 5-35948 to <br />reduce the assessed value on building which reduces the Just and taxable <br />value to $64,470, thus reducing the gross 1976 tax to $1,180.02. With <br />the allowance of 4% discount there is a refund due of $359.67. There <br />are attached copies showing a refund was approved in June 1979 and this <br />is the second reduction in taxable value and request for refund. <br />Attached hereto is additional proof to establish such claim. as rollmts <br />Copy of Certificate of.Correction No. 5-35948 <br />Copy of Certificate of Correction No. 5-35869 (formerly approved) <br />Copy of 1976 Tax Receipt <br />Copy of DR Form462 approving the first request for refund <br />S .orn and sul►seri}red to <br />Ix1,01,11 rue this 22 dae <br />Of January lc) 80 <br />--/L 1 L.IL' -I-,, �' / . ' 2 Z Z L� 6�" , <br />lotary Public <br />Na:arry Public. State of Florida A targe <br />My Commission Expires Oct. 6. 1980 <br />(PaNee) <br />Peterkin & Moran <br />FEB 2 01980 1 QK 42 ASE7U 7 <br />