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O <br />OVED <br />REFUf gP . goo <br />OR • 462 <br />Revisal 12178 DAT ��/ <br />(see. 195.106, F.S.) <br />1 <br />ARTPAj 'T'01/REVE'i <br />REQUISITION FOIL IREFUNI) Oy.\D \ ,\l.Olum '1, m:s <br />STATE OF FI,ORID,\ <br />COI;N'1'y OF INDIAN RIVER <br />Purouant 10 Srdion 193.106, Florida Sialutrs, <br />O'Haire, Peterkin S Moran2145 15th Avg,, Vero Beach, Fl. <br />(rayon) of <br />(1{rsidrnce) <br />Ilerrh%• makes application to the Department of Rraenue for refund of 3 365.33 <br />(:\mrrmsl ) <br />of mooey's paid to the (:only Tax 041rclor and as grounds therefor xcl+ up the follo%im" fart.: <br />(Stair reason for Refund) r <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 />Allached hereto is addilumal pruol to c+l:rhlish Such claim, a: 141111 sm: <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 />.Ss::rn ;'-d mubmeribed to <br />belorr r Ihie 22 <br />of Suanuary 191A <br />\olary Poldir <br />Noluy Ktrc, S:at^ of Florida at 1"" <br />My Commission Expires Oct. 6, 1480 <br />S -1.4 {r Aw,, -- l-. A C&—b, C.rgay <br />FEB 2 01980 <br />01H Peterkin b Moran <br />(Pa%ee) <br />Box 42 PA033,. <br />