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�- <br /> i <br /> i ; <br /> I <br /> - <br /> � Mi�Ce Wells Ori in I 2015 A lication forAd Valorem Tax Exem tion <br /> Pasco Countv Propertv Appraiser htt ://appraiser.pascogov.com PAS-PA501 <br /> 14236 6th St,Ste 101, Dade City,Florida 33523-3411 Da e City(352)521-4433 R-12/12 <br /> p�ORiDP Land O'Lakes 813 929-2780 New Port Riche 727 8 7-8151 Homestead A lication T e INIT <br /> ( ) Y( ) PP YP <br /> Parcel Identification Number Cards HX card Use Mo HWDV Pct fV N=New,C=Change,A=Additional LG <br /> 34 25 21 0100 00000 0280 001 001 01 01 <br /> Permanent FL residency requlred as of Jan 1 <br /> Name and Address S Marital Status: S, M, W, R, D, U Use codes: A, C, O, B, or T <br /> OAKLEY RONALD E& N Are you receiving any residency A Homestead Exemption up to$50,000 <br /> OAKLEY ASHLEY V required exempti ns anywhere $500 Widow's exemption � <br /> 37609 LAUREL HAMMOCK DR N Rec'd Homestea within last 2 yrs? $500 Widower`s exemption <br /> ZEPHYRHILLS FL 33541 If"YES"where: _$500 (Disability) Regular <br /> Physical Address _$5000 (Disability) Service <br /> 37609 LAUREL HAMMOCK DR _$5000 Surviving Spouse <br /> $500 Blind persons exemption <br /> Notes If"NO", your last ye rs address The following require documentation <br /> &0-3-8,8.1,10.3 8423 FORT KING RD <br /> T/C 50% INT EACH ZEPHYRHILLS FL 33541 _Total& Permanent disability <br /> PASCO PARENTS OWNS exemption, Quadriplegics <br /> Ownership Informati n _Service connected total and <br />' Legal Description Perce o 100% permanent disability exemption <br /> nt f Ownershi Disabled veterans confined to <br /> OAK RUN SUBDIVISION PHASE 1 Deed date <br /> �wheelchair <br /> PB 37 PGS 128-129 Deed notary date <br /> LOT 28 Deed recording dat _Total and permanent disability, <br /> OR 8878 PG 1001 Type of deed <br /> limited income <br /> OR Book and Pa e <br /> _Surviving Spouse first respo <br /> nder <br /> 9 <br /> NOTE:Disclosure of your Social Security number is mandatory.It is require by section 196.011 (1),Florida Statutes.The Social Security number <br /> will be used to verify taxpayer identity information,homestead exemption in rmation submitted to property appraisers and intangible tax information <br /> submitted to the Department of Revenue. Applicant last name first MI Co-applicant last name first MI Other applicant last name first MI <br /> Proof of residence for all owners OAKLEY ASHLEY V <br /> Social Security No.and H,W,or O code _ _ <br /> Give address for each owner not <br /> residing on above referenced property <br /> Phone number 813 312-3095 <br /> Date you became a permanent resident <br /> of the State of Florida 10/22/1992 <br /> Date of occupancy 07/09/2014 <br /> Florida Drivers license number 0240018928820 <br /> Issue date on drivers license 11/26/2007 <br /> Date of Birth 10/22/1992 <br /> Florida vehicle tag number <br /> Florida voter registration number PASCO <br /> Date of registration • <br /> Immigration number-or-Alien Card NA <br /> Issue date <br /> Declaration of domicile(OR and PG) NA <br /> Date of registration <br /> Previous Location <br /> Current Employer SAMS CLUB <br /> Address listed on your last IRS return 8423 FORT KING RD <br /> ZEPHYRHILLS FL 3354 <br /> OWNS <br /> Location and number for out of state or <br /> foreign country drivers NONE <br /> Location and number for-out of state or NONE � <br /> cn�ov.n.•,vv,►�,,,otiv.�o�en��«��F;.,., <br />