Gary Pederson VALUE ADJUSTMENT BOARD DR-485WCN
R. 11/12
CLERK'S NOTICE Rule 12D-16.002
Florida Administrative Code
Effective 11/12
FLORIDA Collier County TC
To Gary Pederson From Martha Vergara
3308 Europa Dr#25 Clerk, Value Adjustment Board
Naples, FL 34105 Address 3299 Tamiami Trail East
Suite 401
do P.O. Box 2623, Avila Beach, CA 93424 Naples, FL 34112
Petition # Not Assigned as of yet Phone 239-252-7240
Agent# Email vabclerk(c�collierclerk.com
. ;notice will inform the parties of the following action taken on the petition.
You have 15 days to complete the petition and return it to the value adjustment board. (Rule 12D-9.015(9), F.A.C.)
❑ The petition will not be set for hearing because it was not completed and filed as specified in the previous clerk's
notice. (Rule 12D-9.015(9), F.A.C.)
❑ The board found good cause for your failure to file your petition on time. The clerk will schedule a hearing by
separate notice (Rule 12D-9.015(11), F.A.C.)
❑ The board did not find good cause for your failure to file your petition on time. Your petition will not be scheduled for
hearing. (Rule 12D-9.015(11), F.A.C.)
❑ Your petition was returned. There was no filing fee included with the petition.
❑ We received duplicate petitions for this property. The VAB is trying to resolve this issue. Please contact the clerk
when you receive this notice.
❑ The property appraiser has produced a revised assessment after remand (attached). If you do not agree with the
revised assessment, you have the right to present additional evidence at a continuation hearing. You must notify
the VAB clerk and request a continuation hearing within 25 days of the date of this notice. (Rule 12D-9.029, F.A.C.)
❑ The board found good cause to reschedule your hearing. Your new hearing date will be sent to you.
❑ The board did not find good cause to reschedule your hearing. Your hearing will be held on at
Iq Other, specify
Mr. Pederson we received your filing fees but have no Petition to process. Please fill out the attached petition and
return it to the VAB Office as listed above. You will also need to file with the Property Appraiser's Office to receive the
Senior exemption, you can contact their office at 239-252-8141. If you have any questions feel free to call our office any
time. We are also sending this notice along with the petition to the e-mail address provided and via US Mail to the two
addresses (the PO Box and Europa) so that we are sure you receive this notice. Thanks, Martha
Certificate,.of Service
I certify a true copy was served by US mail or the method 1.1 petitioner
requested on the petitioner's form on: 'pother C6 oto q— kg(
R.'
❑ A copy was provided to the property appraiser.
(--)r\tuo,
1411.v t
Signature, deputy clerk ' ate
PETITION TO THE VALUE ADJUSTMENT BOARD DR-486
0, / REQUEST FOR HEARINGRule 12D-16.002 R. 07/16
Section 194.011, Florida Statutes F.A.C.
Eff.07116
FLORIDA Provisional
You have the right to an informal conference with the property appraiser. This conference is not required and does not
change your filing due date. You can present facts that support your claim and the property appraiser can present facts
that support the correctness of the assessment. To request a conference, contact your county property appraiser.
For portabilit of homestead assessment difference, use Form DR-486PORT. For deferral or penalties, use DR-486DP.
COMPLETED BY CLERK OF THE VALUE ADJUSTMENT BOARD (VAB)
Petition# County Tax year 20_ Date received
COMPLETED BY THE PETITIONER
PART 1. Taxpayer Information
Taxpayer name Representative
Mailing address Parcel ID and physical address or
for notices TPP account#
Phone Fax Email
The standard way to receive information is by US mail. If possible, I prefer to receive information by ❑email ❑fax.
❑ I am filing this petition after the petition deadline. I have attached a statement of the reasons I filed late and any
documents that support my statement.
❑ I will not attend the hearing but would like my evidence considered. (In this instance only, you must submit duplicate copies of
your evidence to the value adjustment board clerk. Florida law allows the property appraiser to cross examine or object to your
evidence. The VAB or special magistrate ruling will occur under the same statutory guidelines as if you were present.)
Type of Property ❑Res. 1-4 units ❑Industrial and miscellaneous ❑High-water recharge 0 Historic,commercial or nonprofit
❑Commercial 0 Res.5+units ❑Agricultural or classified use ❑Vacant lots and acreage 0 Business machinery,equipment
PART 2. Reason for Petition Check one. If more than one, file a separate petition.
❑ Real property value ❑ Denial of exemption Select or enter type: _
❑ Denial of classification 0 Denial for late filing of exemption or classification (Include a
O Parent/grandparent reduction
date-stamped copy of application.)
❑Property was not substantially complete on January 1
0 Qualifying improvement(s. 193.1555(5),F.S.)or change of ownershil
❑Tangible personal property value(You must have timely or control(s. 193.155(3), 193.1554(5),or 193.1555(5),F.S.)
filed a return required by s.193.052. (s.194.034,F.S.))
o Check here if this is a joint petition. Attach a list of parcels or accounts with the property appraiser's determination that
they are substantially similar. (s. 194.011(3)(e), (f), and (g), F.S.)
Enter the time(in minutes)you think you need to present your case. Most hearings take 15 minutes.The VAB is not bound
by the requested time. For single joint petitions for multiple parcels or accounts, provide the time needed for the entire group
o My witnesses or I will not be available to attend on specific dates. I have attached a list of dates.
You have the right to exchange evidence with the property appraiser. To initiate the exchange, you must submit your
evidence directly to the property appraiser at least 15 days before the hearing and make a written request for the property
appraiser's evidence.At the hearing, you have the right to have witnesses sworn.
You have the right, regardless of whether you initiate the evidence exchange, to receive from the property appraiser a copy
of your property record card containing information relevant to the computation of your current assessment,with
confidential information redacted. When the property appraiser receives the petition, he or she will either send the property
record card to you or notify you how to obtain it online.
Your petition will not be complete until you pay the filing fee. When the VAB has reviewed and accepted it, they will assign
a number, send you a confirmation, and give a copy to the property appraiser. Unless the person filing the petition is
completing part 4, the taxpayer must sign the petition in part 3.Alternatively, the taxpayer's written authorization or power
of attorney must accompany the petition at the time of filing with the signature of the person filing the petition in part 5 (s.
194.011(3), F.S.). Please complete one of the signatures below.
DR-486
R. 07/16
Page 2
PART 3. Taxpayer Signature
Complete part 3 if you are representing yourself or if you are authorizing a representative listed in part 5 to represent you
without attaching a completed power of attorney or authorization for representation to this form.
Written authorization from the taxpayer is required for access to confidential information from the property appraiser or tax
collector.
❑ I authorize the person I appoint in part 5 to have access to any confidential information related to this petition.
Under penalties of perjury, I declare that I am the owner of the property described in this petition and that I have read this
petition and the facts stated in it are true.
Signature,taxpayer Print name Date
PART 4. Employee,Attorney, or Licensed Professional Signature
Complete part 4 if you are the taxpayer's or an affiliated entity's employee or you are one of the following licensed
representatives.
I am (check any box that applies):
❑An employee of (taxpayer or an affiliated entity).
❑A Florida Bar licensed attorney(Florida Bar number ).
❑A Florida real estate appraiser licensed under Chapter 475, Florida Statutes(license number ).
❑A Florida real estate broker licensed under Chapter 475, Florida Statutes (license number ).
❑A Florida certified public accountant licensed under Chapter 473, Florida Statutes(license number ).
I understand that written authorization from the taxpayer is required for access to confidential information from the property
appraiser or tax collector.
Under penalties of perjury, I certify that I have authorization to file this petition on the taxpayer's behalf, and I declare that I
am the owner's authorized agent for purposes of filing this petition and of becoming an agent for service of process under s.
194.011(3)(h), Florida Statutes, and that I have read this petition and the facts stated in it are true.
Signature, agent Print name Date
PART 5. Unlicensed Representative Signature
Complete part 5 if you are an authorized representative not listed in part 4 above.
❑ I am a compensated representative not acting as one of the licensed representatives or employees listed in part 4 above
AND(check one)
❑Attached is a power of attorney that conforms to the requirements of Part II of Chapter 709, F.S., executed with the
taxpayer's authorized signature OR❑the taxpayer's authorized signature is in part 3 of this form.
❑ I am an uncompensated representative filing this petition AND(check one)
❑ the taxpayer's authorization is attached OR❑the taxpayer's authorized signature is in part 3 of this form.
I understand that written authorization from the taxpayer is required for access to confidential information from the property
appraiser or tax collector.
Under penalties of perjury, I declare that I am the owner's authorized agent for purposes of filing this petition and of becoming
an agent for service of process under s. 194.011(3)(h), Florida Statutes, and that I have read this petition and the facts stated
in it are true.
Signature, agent Print name Date