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DR . 462 <br />Revised 12/78 <br />(Sec. 195.106, F.S.) <br />DATE_ A —I Rfl— ----- <br />D'E�nRTiVL <br />`.itlli OF'P,CIVUE <br />111"QUISITION FOR RGFU\!) Or :\D '1•:\\FS <br />STATE OF FLORID,\ <br />CO(i•\'1'1' OF Indian River <br />I'nrsnvll hr Seclion 195.106, Florida Stalnlcs, <br />Henry Anthony Fischer.P. 0. Box 68, Sebastian, F1. <br />o <br />(i'a%w) (lirsidcnce) <br />Ilcrch� nial.cs iiPPlication to the Deharlinenl of Re%emie I•or refund of 5 2.137.09 <br />( \nuunil) <br />of uumns Laid to the County Tax Collector and as grounds Ihcrefor cels 111, the follosiu_ I'acl:: <br />(Talc reason for Refund) <br />The County Property Appraiser has issued a Certificate of Correction for 1977 Tax Roll <br />correcting square footage on building which reduces the just and taxable value <br />from $252,450. to $123,350. This reduces the 1977 tax from $4,353.12 to <br />$2,126.99• Dr. Fischer paid the 1977 taxes in Nov. 1977 thereby receiving a <br />4% discount. With the allowance of the 4'/" discount on corrected amount of <br />tax, the refund comes to $2,137.09. <br />Allached hereto is additional Drool' In caahli:h such claim, as fullnss:: <br />Photo of original 1977 Tax Receipt <br />Copy of Certificate of Correction of Tax Roll No. 5- 36031 <br />S%vorn mid suh>crihcrl to <br />IH•t•ore me thi._ii r ' <br />day <br />ol, -Z-'c .19 <br />Public, State of Florida at LarE� <br />MYy co <br />COarymU•� lix,•ir <br />a� APril <br />\oIari�l!'II II#IIriiI <br />FEB 2 01980 <br />t <br />eon- ` 42 ? <br />