DR-501RVSH 
                                 CERTIFICATE FOR TRANSFER OF 
                                                                                                                           R. 11/21 
                        HOMESTEAD ASSESSMENT DIFFERENCE                                                      Rule 12D-16.002, F.A.C. 
                                                                                                                      Effective 11/21  
                                          Section 193.155, Florida Statutes 
                                          Transfer between Counties 

The property appraiser in the county of the previous homestead should send this form to the requesting county by 
April 1 or two weeks after receiving Form DR-501T, Transfer of Homestead Assessment Difference, whichever is later. 

TO:   PROPERTY APPRAISER’S OFFICE                             FROM:   PROPERTY APPRAISER’S OFFICE 
      REQUESTING TRANSFER (NEW HOMESTEAD)                                    PREVIOUS HOMESTEAD 
County  Select County                                         County         Select County
Name                                                          Name 
Address                                                       Address 

Phone                   Fax                                   Phone                                      Fax 
Email                                                         Email 

PART 1.  PREVIOUS HOMESTEAD 
Applicant name                                                Parcel ID 
Address                                                       Did the applicant receive a homestead 
                                                                                                                       yes                no 
                                                              exemption in either of the last 3 years? 
                                                              If yes, the most recent year an exemption was received was 20 
Was or will the property be reassessed at just value?   yes    no       Date of reassessment, January 1, 20 
If yes, complete either PART 2 or PART 3. 

PART 2.   SOLE OWNER, JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP, OR TENANCY BY 
ENTIRETIES 
Number of homesteaders of record.       
Enter homesteaders of record. Include the applicant. If ownership is not equal, enter ownership percentage. 
Name                                                          %  Name                                                                    % 
Name                                                         %  Name                                                                     % 
Values below are from the tax roll of 20     .           Enter only the value for the homestead portion. 
   Homestead just value Homestead assessed value              Is the assessment of this property currently 
                                                                                                                       yes                no 
                                                              under appeal with the VAB or in circuit court? 

PART 3.          TENANT IN COMMON 
   Values below are from the tax roll of 20     .           Enter only the values for the applicant’s interest in the homestead portion. 
   Homestead just value Homestead assessed value              Is the assessment of this property currently 
                                                                                                                       yes                no 
                                                              under appeal with the VAB or in circuit court? 

SIGNATURE OF PROPERTY APPRAISER OF THE PREVIOUS HOMESTEAD 

                                                              Select County
         Signature, property appraiser or deputy                             County                      DOR county # Date 
                                                       Add pages, if needed.