DR-486MU (Contiguous Multiple Units) - dated 12/09 �to R B L�A DR-486MU
N. 12/09
VALUE ADJUSTMENT BOARD Page of
I ATTACHMENT TO SINGLE JOINT PETITION Suggested form
DEPARTMENT FOR MULTIPLE UNITS FILING
OF REVENUE County
Phone
Each petition with any attachments must be filed with the proper filing fee or it will be invalid and rejected. Each
parcel of property being appealed must be identified by a separate folio number. This form must be attached to a
Form DR-486, when used.
Joint petitions filed by condominium, cooperative, or homeowners' associations as agents according to section
194.011(3)(e), F.S., should attach a copy of the board of administration or directors' resolution authorizing this filing.
For Complex Only
Name Address
Mail notices to: ❑owner El agent
Name Home phone
Address Apt Work phone
City I State Zip Other
List the folio numbers for all parcels covered by this petition.
First 9 digits of real estate folio number Enter last 4 digits of each folio number in the spaces below.
Total number of parcels this page:
Continue on additional pages, if needed.
Grand total, number of parcels filed, all pages Number of pages, including this one:—
Signatures and Certification
Under penalties of perjury, I declare that I have read this attachment and the facts in it are true. If I am signing and filing
this attachment and the related petition as an agent of the taxpayer/owner, I certify that I am duly authorized to do so.
Signature, petitioner/agent Date
Attached or indicated below is the property appraiser's determination that the parcels are substantially similar as required by s.
194.011(3)(e)or(3)(f), F.S.
The parcels on this form are substantially similar as required by s. 194.011(3)(e)or(3)(f), F.S.
Signature, property appraiser Date
ATTACHMENT TO SINGLE JOINT PETITION DR-486MU
N. 12/09
Page of
Enter last 4 digits of each folio number in the spaces below.
Total number of parcels this page: