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The Florida EX501FL form serves as the original application for ad valorem tax exemption, allowing eligible residents to apply for various property tax exemptions. This form is essential for individuals seeking benefits such as the homestead exemption, which can provide up to $50,000 in tax relief, as well as exemptions for widows, widowers, disabled individuals, and veterans. Applicants must provide detailed information, including their legal description of the property, ownership percentages, and personal details such as marital status and residency history. The form requires disclosure of any tax benefits received in other jurisdictions, ensuring that applicants do not double-dip on tax exemptions. Additionally, the form mandates the inclusion of a social security number for identity verification purposes. Applicants must also declare their permanent residency status in Florida and confirm that they occupy the property for which they are applying. It is crucial to submit the completed application by March 1st to ensure consideration for the exemptions for that tax year. Failure to provide all required information may result in the processing of only those exemptions for which the applicant qualifies as of that date.

Form Example

Florida Department of Revenue

EX501FL

 

 

Original Application for Ad Valorem Tax Exemption

County

 

Tax year

 

Property ID

 

 

 

New

Applicant Name and address

 

 

 

1Co-Applicant name (s) Legal Description

2

 

 

 

 

 

 

 

Phone

 

 

 

 

3

Marital Status

 

Single

 

Married

 

 

Widow

 

Widower

 

Divorced

 

 

 

 

 

 

Are you or your spouse receiving tax benefits in another county, state or Country?

4

(i.e. Homestead, school tax relief, tax rebate, rollback, lottery credit, etc.)

 

 

Yes

 

No If yes, Where?

 

 

 

 

 

 

 

 

 

 

 

 

Own

 

Rent

 

Other

5 Your last year's address

 

 

 

 

 

 

6Do you or your spouse own property anywhere other than Florida?

Yes

 

No If yes, Where?

7Do you or your spouse have an out of state drivers license or vehicle tag?

Yes

 

No If yes, Where?

8Did you file tax exemptions last year?

Yes

 

No If yes, Where?

9Email Address

CaseClerk

Change Additional

Permanent Florida residency required as of

January 1

Homestead exemption up to $50,000* $500 Widow’s exemption

$500 Widower’s exemption $500 Disability exemption $500 Blind persons exemption

$5000 Disabled Veteran exemption

Total and permanent disability exemption - Quadriplegics Service connected total and permanent disability exemption Exemption for disabled veterans confined to wheelchairs Total and permanent disability exemption

Surviving spouse of veteran who died while on active duty Surviving spouse of first responder who died in the line of duty

By local ordinance only:

Age 65 and older with limited income (amount determined by ordinance)

(Additional documentation may be required)

Ownership information

Percent of ownership

 

 

Type of Deed

 

Recorded: Book

 

 

 

 

Page

 

Date recorded

 

 

 

Date of deed

 

NOTE: Disclosure of your social security number is mandatory. It is required by section 196.011 (1), Florida Statutes. The social security number will be used to verify taxpayer identity information and homestead exemption information submitted to property appraisers.

Proof of Residence for all owners

10Give address of each owner not residing on property

11

Date you last became a permanent resident of Florida

 

 

 

 

 

 

 

 

12

Date of occupancy

 

 

 

 

 

 

 

 

13

Florida driver license number

(date)

(date)

(date)

 

 

14

Florida vehicle tag number

 

 

 

 

 

 

 

 

15

Florida voter registration number (if U.S. citizen)

(date)

(date)

(date)

 

 

16

Immigration number (Alien Card- if not U.S. citizen)

(date)

(date)

(date)

 

 

17

Declaration of domicile

Res. date

 

Res. date

 

Res. date

 

18

Date of birth

 

 

 

 

 

 

 

 

19

Current employer

 

 

 

 

 

 

 

 

20

Address listed on last IRS return

 

 

 

 

 

 

 

 

21

Social Security Number

 

 

 

 

 

 

 

 

22

Signature / Date

 

 

 

I authorize this agency to obtain information to determine my eligibility for the exemptions applied for. I qualify for these exemptions under Florida Statutes. I am a permanent resident of the State of Florida and I own and occupy the property above. I understand that under section 196.131(2), Florida Statutes, any person who knowingly gives false information to claim homestead exemption is guilty of a misdemeanor of the first degree, punishable by imprisonment up to 1 year, a fine up to $5,000 or both. Under penalties of perjury, I declare that I have read the foregoing application and the facts in it are true.

NOTE: If all information is not received by March 1st, your application will be processed for whatever exemptions you qualify for on that date.

Document Breakdown

Fact Name Description
Purpose of the Form The Florida EX501FL form is used to apply for various ad valorem tax exemptions, such as homestead exemptions and disability exemptions.
Governing Law This form is governed by Florida Statutes, specifically section 196.011, which outlines the requirements for tax exemptions.
Eligibility Requirements Applicants must be permanent residents of Florida and occupy the property for which they are seeking exemptions.
Deadline for Submission All information must be received by March 1st to ensure consideration for the exemptions available on that date.
Consequences of False Information Providing false information on the form can lead to serious penalties, including fines and imprisonment, as stated in section 196.131(2) of Florida Statutes.
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