PETITION TO THE VALUE ADJUSTMENT BOARD DR-486PORT 
R. 07/16 TRANSFER OF HOMESTEAD ASSESSMENT DIFFERENCE Rule 12D-16.002 REQUEST FOR HEARING F.A.C. Eff. 07/16 This petition does not authorize the consideration or adjustment of Provisional 
the just, assessed, or taxable value of the previous homestead. 
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. 

COMPLETED BY THE 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 for notices 	Email 	
	Phone 	Fax  	
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. 	
	PREVIOUS HOMESTEAD 	NEW HOMESTEAD 	
Parcel ID 			
Physical address 			
County 			
PART 2. Reason for Petition  Check all that apply. 	
I was denied the transfer of the assessment difference from my previous homestead to my new homestead. I disagree with the assessment difference calculated by the property appraiser for transfer to my new homestead. I believe the amount that should be transferred is: $ I filed late with the property appraiser for the transfer of my homestead assessment difference. Late-filed homestead assessment difference petitions must include a copy of the application filed with, and date-stamped by, the property appraiser. 	
My previous homestead is in a different county. I am appealing action of the property appraiser in that county. Enter the time (in minutes) you will 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, provide the time needed for the entire group. There are specific dates my witnesses or I will not be available to attend. 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-486PORT 
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