VOLUNTARY CANCELLATION OF HOMESTEAD EXEMPTION by qvs59240

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									                                    Broward County Property Appraiser’s Office
                                        115 S. Andrews Avenue, Room 111
                                          Fort Lauderdale, Florida 33301
                                         954.357.6830 Fax: 954.357.8474
                                                  www.bcpa.net



  VOLUNTARY CANCELLATION OF HOMESTEAD EXEMPTION


Date: _____________________________


This is to certify that I no longer qualify for HOMESTEAD EXEMPTION for the year
_____________________ on the following property address:
________________________________________________________________________
________________________________________________________________________
Parcel ID #: _____________________________________________________________


Date Moved:____________________________________________________
New Address: ___________________________________________________________
              ___________________________________________________________


Names of Remaining Individuals at Property:
________________________________________________________________________

     I hereby request that this application for Homestead Exemption be cancelled.


Print Name: _____________________         Print Name:__________________________

Signature: ______________________         Signature: ___________________________

Phone: _________________________          Phone: _____________________________

Date: __________________________           Date: _______________________________

								
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