DR-462 
                                            APPLICATION FOR REFUND                                                           R.12/11 
                                                                                                                 Rule 12D-16.002 
                                            OF AD VALOREM TAXES                                              Florida Administrative Code 
                                                                                                                     Effective 11/12 
                                                                                                                                   
                                                  Section 197.182 Florida Statutes 
                                                                                                                                   
                                            COMPLETED BY APPLICANT 
Applicant name                                                       County                                  Date            
                                                                     Mailing               
I am applying for a refund of $                                      address 
For the tax year(s)    20      ,   20      ,   20      ,   20       

Describe the reason for the refund. Attach any documents that support your request for a refund. 
           
I declare I have read this application and the facts in it are true. If prepared by someone other than the 
taxpayer, the declaration is based on all information the preparer knows. 
                                                                                                              
                             Signature, applicant                                                 Date 
 
                             Applicant: File this form and supporting documents with your County Tax Collector. 
   
                                            COMPLETED BY TAX COLLECTOR 
     Approved     Parcel ID                                                                       Date received            
     Denied       Page and number                                                                 Check #            
     Submitted to the Department of Revenue (DOR)                    Recommendation:          Order           Deny 
   Explanation:             
                                                                                                                
                             Signature                                                 Title                         Date          
           Tax collector instructions for submitting to DOR, if $2,500 or above or otherwise required 
   Complete DR-462 and send with:                                    For taxes paid in error:  
   1. A copy of the paid tax receipt for each tax year               1. Copy of certified letter to taxpayer (45 day notice)  
    requested                                                        2. Copy of certified mail, return receipt requested  
   2. Certificate of correction to the tax roll signed and dated     3. Tax notice receipt  
    by the property appraiser                                        4. Other supporting documents 
   3. Other supporting documents  
   4. Copy of homestead application or renewal, if required 

   Mail:   Property Tax Oversight Program                            Email:     PTORefunds@floridarevenue.com    
           Refund Section 
                                                                     Efax:      850-617-6107 
           P.O. Box 3000 
           Tallahassee, FL 32315-3000 
 
                                                   COMPLETED BY DOR 
Subject matter index code                                              RP        TPP              Date approved               
     Ordered       Denied                                            Reviews 
                                                                                                                                  
 ______________________________________________ 
                             Signature, DOR