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REFWROVED <br />V 80 <br />V9 <br />OR . 462 <br />(Sec1d 1207$ DAi- <br />(sec. <br />. 195.t06, F.S.) <br />1 <br />pART~`3x'�' &/REVEN <br />REQUISITION FUR REFUNI) Oda AI) <br />STATE OF F1.OR11 A <br />COUNTY OF <br />INDIAN RIVER <br />Pursuant to Section 193.106, Florida 5lattites, <br />0 <br />O'Haire, Peterkin A Moran of 2145 15th Ave., Vero Beach, F1. <br />(Payee) <br />(Residence) <br />llereln• mares application to the Department of Revencce for refund of q 365.33 <br />(:\u1ucusl) <br />of nunteys paid to the (:exinty Tax Collector and as grounds therefor sets up the follimicir facts: <br />(State reason for Refund) <br />County Property.Appraiser has issued a Certificate of Correction No. 5-35946 <br />to reduce the assessed value on building which reduces the Just and Taxable <br />value to $64,470, thus reducing the gross 1978 tax to $1,199.15. -With the <br />allowance of a 4% discount there is a refund due of $365.33. There are <br />attached copies showing a refund was approved in June 1979 and this is the <br />second reduction in value and request for refund. <br />Attached hereto is additional proof to eslahli•h finch claim, a. Cottons: <br />Copy of Certificate of Correction No. 5-35946 <br />Copy of Certificate of Correction No. 5-35867 (formerly approved) <br />Ccpy of 1978 Tax Receipt <br />Copy of DR Form 462 approving the first request for refund <br />Sworn and subscribed to <br />before Ile thi$ 22 d - <br />of 3anuary 19� <br />Notary Puhlic <br />Notary PL'Llk. staw of sterid+ at IN" <br />tAl Coasc:issioa Ezpia Oct. 6. 1480 <br />h+d" by A-%,w.w h.e & Gr.dp C 0 aV <br />'Peterkin & Moran <br />BY:( -7" <br />Box 42 PAGE " <br />