DR-420 R. 5/12 Rule 12D-16.002 Florida Administrative Code Effective 11/12

Principal Authority

City of Bushnell

SECTION I: COMPLETED BY PROPERTY APPRAISER

  1. Current year taxable value of real property for operating purposes
  2. Current year taxable value of personal property for operating purposes
  3. Current year taxable value of centrally assessed property for operating purposes
  4. Current year gross taxable value for operating purposes (Line 1 plus Line 2 plus Line 3)
  5. Current year net new taxable value (Add new construction, additions, rehabilitative improvements increasing assessed value by at least 100, annexations, and tangible personal property value over 115% of the previous year's value; subtract deletions)
  6. Current year adjusted taxable value (Line 4 minus Line 5)
  7. Prior year FINAL gross taxable value from prior year applicable Form DR-403 series
  8. Does the taxing authority include tax increment financing areas? If yes, enter number of worksheets (DR-420TIF) attached. If none, enter 0.
  9. Does the taxing authority levy a voted debt service millage or a millage voted for 2 years or less under s. 9(b), Article VII, State Constitution? If yes, enter the number of DR-420DEBT, Certification of Voted Debt Millage forms attached. If none, enter 0.

Property Appraiser Certification

I certify the taxable values above are correct to the best of my knowledge:

SIGN | Signature of Property Appraiser:

HERE

Electronically Certified by Property Appraiser

SECTION II: COMPLETED BY TAXING AUTHORITY

If this portion of the form is not completed IN FULL your taxing authority will be denied TRIM certification and possibly lose its millage privilege for the tax levy year. If any line is not applicable, enter -0-.

  1. Prior year operating millage (If prior year millage was adjusted then use adjusted millage from Form DR-422)
  2. Prior year ad valorem proceeds (Line 7 multiplied by Line 10, divided by 1,000)
  3. Amount, if any, paid or applied in prior year as a consequence of an obligation measured by a dedicated increment value (Sum of either Lines 6c or Line 2a for all DR-420TIF forms)
  4. Adjusted prior year ad valorem proceeds (Line 11 minus Line 12)
  5. Dedicated increment value, if any (Sum of either Line 6b or Line 2e for all DR-420TIF forms)
  6. Adjusted current year taxable value (Line 6 minus Line 14)
  7. Taxing Authority
  8. City of Bushnell Operating
  9. Current year rolled-back rate (Line 13 divided by Line 15, multiplied by 1,000)