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,o i�STa�K- SCANNED BY St. Lucie County Request for R List parcel numbers you wish to combine. 1335 802 0048 1335 802 Detailed Instructions 00.49 0009. M� x❑ I am the owner of record, legal agent or have power of attorney for the owner of record. Written proofis required for agents and those with power of attorney x❑ Real Estate taxes are current. © Parcels are contiguous and in the same jurisdiction. © Title (ownership) is the same for each parcel. © Verified with the St. Lucie County Planning and Development Services or other Jurisdictional Agency as to what adverse effects, if any, this combination may have on the property. 0 All mortgage lenders (if applicable) have been notified of this change. Combining mortgaged property with an -mortgaged property may create an escrow shortage resulting in a higher mortgage payment and could create significant issues In the case of foreclosure. © I understand combining parcels may increase taxes by affecting existing capped values and/or exemptions. © I decline Coi tiguous Homestead i as explained and -presented as an alternative to a combination. OwnerSignatur Date: ( 12712---,'LC Printed Name: Phone: F'rc�nceych t Deputy Signature:Date: Printed Name: phone: 772-4G2-1000 I wcb%itc: w'ww.pasle.org %7Z 370 33,6 2300 Virginia Avenue, Room 107, Fort Pierce, FL. 34982 aa( �s+ d i, fG,c �lz-- -iG5 A z s IMPORTANT NOTICE A parcel split/combination by the Property Appraiser is for taxation Purposes only nd does not imply legality of new land description created by owner's request, the legality for such parcel to be conveyed via land title, nor the suitability for such parcel to be developed. Contact the appropriate land development, zoning, and/or planning department of your jurisdiction for questions concerning property development. Pursuant to Florida Statute 197.192 the Property Appraiser's office shall not split or combine parcels until all taxes due or delinquent have been paid to the Tax Collector. ❑HOMESTEAD PROPERTY: The land split of a homestead property will result in the removal of the Save Our Homes 3% assessment cap limitation from the newly created (split -out) parcel. The new (split -out) parcel will be assessed at market value, generally resulting in an increase in taxable value. If at a future date the property owner desires to re -combine the property, the new (split -out) parcel will be combined back with the homestead parcel at its current market value. The Save Out Homes cap will not be restored to its former level. When combining any parcel with a homestead parcel, the full market value of the non -homestead parcel will be added to the assessed value of the homestead parcel for the current tax roll. In subsequent tax years, the Save Our Homes assessment cap shall protect that value. NON -HOMESTEAD PROPERTY: The land split or combination of non -homestead property will result in the X removal of the 10% assessment cap limitation and the assessment of the parcel(s) at full market value. Per Florida Statute 193.1554(7) and 193.1555(7) ❑Parcel Contiguous to Homestead Property. Vacant property contiguous/adjacent to homestead property is eligible to receive the Save Our Homes assessment cap limitation, provided that the contiguous parcel is used in conjunction with homestead property. The contiguous parcel will retain its unique parcel identification number and legal description. Per Florida Statute 196.031 (1)(a) By signing below, whether by the owner or the owner's representative, acknowledges they have read, understand, aforementioned. Owner - ) Signature/ Date: 1127102, Print Name:~ G` / Phone: �rancesc,ht . Representative: TO BE COMPLETED BY REAL ESTATE DEPT 772.460.3315 This split/combination will be effective for the 20_ tax year. Deputy Signature: Date: Deputy Print Name: C Phone:_ <k,66 I �1�7 pllmw; 77?-462-1000 1 ..C6,U,: watiV.paslc.org 77Z 310 3356 2300 Virginia Avenue. Room 107. Fort fierce. FI. 34982