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FEB 2 01980 <br />• • q <br />-7 <br />too 42 pAcE7.32 <br />APPROVED <br />DATE ---j. <br />OR - 462 <br />Revised 12/78 <br />(Sec. 195.106, F.S.) <br />N <br />DEPARi7vf EOF <br />FSU <br />UQUISITION FOR I{UU`D OF ,%DA AL0RE.Nl 'i':\\I,:s <br />STATP:O!' FLORIDA <br />(.OUti'[ Y OF INDIAN RIVER <br />Pursuant to Section 195.I06• Florida Statiites, <br />O'Haire, Peterkin & Moran of 2145 15th Ave., Vero Beach, F1. <br />(PaNlee) (lic•sidenc e) <br />flerel)v wakes application to the Department of Rewnne for refund of S 403.11 <br />(Aillourht) <br />of 111one',.8 paid to the County Tax Collector and as grounds therefor sets up the follo%ing facts: <br />(Mate reason for Refund) <br />County Property Appraiser has issued a Certificate of Correction No. 5-35947 <br />to reduce the assessed value on building which reduces the Just and Taxable <br />value to $64,470, thus reducing the gross 1977 tax to $1,322.29. With the <br />allowance of 4% discount there is a refund due of $403.11. There are attached <br />copies showing a refund was approved in June 1979 and this is the second <br />reduction in value and request for refund. <br />:ltlaclied hereto is additional proof to establish such claim• as follows: <br />Copy of Certificate of Correction No. 5-35947 <br />Copy of Certificate of Correction No. 5-35868 (formerly approved) <br />Copy of 1977 Tax Receipt <br />Copy of DR Form 462 approving the first request for refund <br />Sworn and subscribed to <br />Ix -fore me this 22 day <br />of January , 19 80 <br />\otary Public J <br />,'rotary Pubix, St.te ct Co" A Larva <br />fAy Commission Expires Oct. 6, 1710 <br />60ef.4 4 f". a C&..414, Coi.P461 <br />O'Haire, Peterkin & Moran <br />' (PaNee) <br />