Florida Revenue Form – Fill Out and Use This PDF

Select the County, enter the Tax Year, and mark New or Change under "I am applying for homestead exemption".

Enter the Homestead address, the Mailing address, if different, and the Parcel identification number or legal description.

Enter the Type of deed and the Date of deed, then Recorded: Book, Page, Date or Instrument number.

Mark Yes or No for "Is the property in a trust?" and enter the Name of trust on the property deed.

Under Applicant, enter the Name, Phone number, Social Security # and Date of birth. If there is a Co-applicant/Spouse, enter them under Co-applicant/Spouse. Social security numbers will remain confidential under s.193.114(5), F.S.

Mark Yes or No under "Are you a U.S. Citizen?" If not a U.S. Citizen, provide Immigration # or Resident Alien Card #.

Enter the % of ownership, the Date homestead was established, and the Name and address of any owners not residing on the property.

Mark the Marital status of Applicant and of Co-applicant: Single, Married, Divorced, Widowed or Other, Explain. If there is a Co-applicant, enter the Co-applicant relationship to Applicant (Example: Spouse, parent, sibling).

Mark Yes or No for Applicant? and Co-applicant? to "Do you currently claim residency or homestead in another county or state?". Enter the Address of current or previous homestead and the Date current or previous homestead was established and ended, if applicable.

Please provide as much information as possible.

For the Applicant and the Co-applicant/Spouse, enter each of these with its date: Previous residency outside Florida and date terminated, FL driver license or ID card number, Florida vehicle tag number, and Florida voter registration number (if U.S. citizen).

Enter the Declaration of domicile date and the Recorded date, the Current employer and the Address on your last IRS return.

Enter the School location of dependent children, and mark Yes or No for Bank statement and checking account sent to homestead address and Proof of payment of utilities at homestead address.

The appraiser may consider information such as the items requested on page 2.

To apply for benefits in addition to homestead exemption, mark them. See page 5 for qualification and required documents.

By local ordinance only, mark Age 65 and older with limited income (amount determined by ordinance), or Age 65 and older with limited income and permanent residency for 25 years or more. Mark $5,000 widowed, $5,000 blind or $5,000 totally and permanently disabled (checked November 8, 2026).

Please note some exemptions or benefits may require additional applications. A benefit marked with 1 requires an additional application. See page 4 for information.

You certify that all information on this form and any attachments are true, correct, and in effect on January 1 of this year. You own the property and it is your permanent residence or the permanent residence of your legal or natural dependent(s). You have read, or have had someone read to you, the contents of this form.

Under section 196.131(2), F.S., any person who knowingly and willfully gives false information to claim homestead exemption is guilty of a misdemeanor of the first degree, punishable by imprisonment up to one year, a fine up to $5,000, or both (checked November 8, 2026).

Sign and date under Signature, applicant. If there is a co-applicant, the co-applicant signs and dates under Signature, co-applicant.

You may also qualify for a Portability benefit if you previously lived in another Florida county any of the 3 immediately preceding years. A separate application is required, see page 5 for more information.

If you have moved from one Florida homestead to another within the last three years, you may be eligible to take some of your SOH savings with you. See your property appraiser for more information.

The property appraiser has a duty to put a tax lien on your property if you received a homestead exemption during the past 10 years that you were not entitled to receive. The property appraiser will notify you that taxes with penalties and interest are due. You will have 30 days to pay before a lien is recorded.

If this was not an error by the property appraiser, you will be subject to a penalty of 50 percent of the unpaid taxes and 15 percent interest each year (see ss. 196.011(10) and 196.161(1)(b), F.S.).

If you improperly receive a homestead exemption as a result of the property appraiser's clerical mistake or omission, you will not be assessed penalties or interest.

The application is due to the property appraiser by March 1.

File the signed application for exemption with the county property appraiser.