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FEB 2 0 1980UK 42 <br />DR .462 <br />Revised 12/78 <br />(Sec. 195.106, F.S.) <br />Itv-Quisrrlon <br />STATE OF FLORIDA <br />COUNTY OF _ Indian River <br />t <br />RErUND APPRO ED <br />DATE—AMR-2,4-1989 <br />DE?'PARTNIENt OF 42EVE' UE <br />FOR REFUND OF AD VM.OIlrm •r.%x s <br />Pursuant to Scclion 195.106, Florida Slalo(es, <br />Henry Anthony Fischer <br />(I'a)•ec) <br />i <br />of P. 0. Box 68, Sebastian, F1. <br />(Residence) <br />Ilerebv snakes application to the Department of Reveime for refood ol• J 1 950.35 <br />(Annrlull) <br />of tnuneNs pair) to the Count), Tax Collector and as gromids therefor sols tip the follorcing fact;: <br />(Slate reason for Refund) <br />The County Property Appraiser has issued a Certificate of Correction for 1978 <br />Tax Roll, correcting square footage on building which reduces the just and <br />taxable value from $252,450. to $123,350. This reduces the 1978 tax from <br />$3,852.33 to $1,882.28. Dr. Fischer paid the 1978 taxes in Feb.1979, <br />thereby receiving a 1% discount. With the allowance of the 1% discount <br />on corrected amount of tax, the refund comes to $1,950.35. <br />Attached hereto is additional proof to eslablish Snell claim, its folloti,s: <br />Certified copy of office receipt - taxpayer lost the original. <br />Copy of Certificate of Correction of Tax Roll No. 5- 36030. <br />Sworn and subscribed to <br />Ix- fore me (itis <br />of 19 <br />Notary Pub, <br />'ate Florld.i <br />/Ay Cam.r Sion Expues es A�r� I at <br />•\olar�'f�'uhlic <br />