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MAR 51980 <br />OR - 462 <br />Revised 12/78 <br />(Sec. 195.106, F.S.) <br />BOOK... <br />:� 1 1��' P ROVED <br />t�� 2 t 198 <br />DATE <br />G <br />CEPA Thi Nr OF hz-V lU <br />11F:QUI.SITIO,\ FOR IIF:FUNI) OF AI) N'ALORENI I'AXES <br />STATE OF F'LO1U1)A <br />COI. NTY OF <br />INDIAN RIVER <br />Pursuant to `ertion 195.106, Florida Stalutes, <br />O'Haire, Peterkin & Moran <br />2145 15th Ave., Vero Beach, Fl. <br />(l(esidenre) <br />llerebN- makes application to the Uepartsnenl of lievenue for refund of 359.67 <br />(Atnount ) <br />of tnone�s paid to the CountN• Tax Collector and as grounds therefor sets np the following facts: <br />(date reason for Refund) <br />County Property Appraiser has issued a Certificate of Correcti on 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 claiut, as follous: <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 />Svrorn and subscribed to <br />lwfon- rrre this 22 day <br />of• January . fg 80 <br />\otar�I'ul,lic <br />Notary PlArit, State of Florida at Large <br />My Cocr.a:issioa Expires Od. 6, 1?30 <br />k.nG.a bt A.••..aan i..• b Cw+•L/ C�ay�q <br />MA=1980 <br />/z'0' Ham i re� Peterkin & Moran <br />'t <br />Wa► ee) <br />2 <br />