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FEB 2 01900 <br />J <br />L.-1 <br />• •r U F)PROVED <br />DR .462 DATE JAN 2 4 lqpn <br />Revised 12/78 <br />(Sec. 195.106, F.S.) <br />t� <br />DE ARTP,4EP4FREyU- <br />REQUISI'I'IO\ FOR REFUND OF AD VALOREM'I' M's <br />STAU, OF FLORIDA <br />Indian River <br />P►trsu:n►t to Section 193.106, Florida "talnles, <br />Henry Anthony Fischer ►►1. p P. 0. Box 68, Sebastian, Fl. <br />(Pavice) (Residence) <br />Ilereb% inakes application to the Departuu•nt of Revenue I'or rei'►md of 8 1,845.47 <br />(.\tuounO <br />of 111olims paid to the Connly Tax Colleclor and .s grounds therelor sets up the lollouin•• I'acts: <br />(titale reastm 1'or 1(chind) <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 3a discount on corrected amount, <br />the refund comes to a difference of $1,845.47. <br />Allaelted hereto is additional pmol' to establish such claim, as lolhms: <br />A certified copy of office receipt - taxpayer lost the original. <br />Certificate of Correction of Tax Roll No. 5- 36032 (copy) <br />S%mm and suhscrihed to <br />Ix ►'ore uu lltis _LZ d:►� <br />Notary Public, 'State of Flnrlda at Laron, <br />�ol.tn Puhi� <br />