The Dr 501T form is a document used to report and track the use of an investigational drug. This form is used by clinical researchers to collect information on the investigational drug and the patient's response to it. The information collected on the form can help researchers understand how well the drug works and whether it is safe for use in patients. Complete and accurate reporting of information on the Dr 501T form is critical for ensuring that clinical research can be conducted safely and effectively.
Question | Answer |
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Form Name | Dr 501T Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | PORTABILITY_dr5 01t dr 501 tax exemption seminole county form |
TRANSFER OF HOMESTEAD ASSESSMENT DIFFERENCE |
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R. 12/08 |
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Attachment to Original Application for Ad Valorem Tax Exemption
Section 193.155, Florida Statutes
RULE
Florida Administrative Code
EFFECTIVE 12/08
If you have applied for a new homestead exemption and are entitled to transfer a homestead assessment difference from a previous homestead, file this form with your property appraiser by March 1.
NEW HOMESTEAD APPLICANT — COMPLETE STEPS
STEP 1 |
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NEW HOMESTEAD |
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Applicant name |
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Home phone (include area code) |
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Work phone (include area code) |
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New address |
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Parcel ID number |
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City, State, ZIP |
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County |
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Total number of |
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owner applicants |
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STEP 2 |
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PREVIOUS HOMESTEAD |
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County |
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Parcel ID number |
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Date sold or no longer used as your |
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homestead |
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Address |
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City, State, ZIP |
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Other owners of the previous homestead not applying for |
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homestead. |
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transfer to this new homestead |
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3* |
1.___________________________________________ |
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4* |
1.____________________________________________ |
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STEP |
2.___________________________________________ |
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STEP |
2.____________________________________________ |
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3.___________________________________________ |
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Did any of these owners remain |
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in the previous homestead? |
Yes |
No |
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STEP 5* |
THE APPLICANT AND ALL |
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I affirm that I qualify for the homestead exemption assessment transfer from the above previous homestead. Under penalties of perjury, I declare that I have read the foregoing application and the facts in it are true.
Signature of Applicant |
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Signature of |
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Signature of |
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COMPLETED BY PROPERTY APPRAISER OF APPLICANT’S NEW COUNTY
Signature of Property Appraiser or Deputy
Date
If previous homestead was in a different county, add your contact information. Send this form with a copy of the Original Application for Ad Valorem Tax Exemption (Form
Contact name |
Mailing address |
Fax |
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City, State, ZIP |
INSTRUCTIONS TO PROPERTY APPRAISER OF PREVIOUS HOMESTEAD
Based on your county’s records, complete and return Form
1or within 2 weeks after receiving Form
*Use additional pages, if needed.