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Owner Name or Filing Agent

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Mailing Address

_______________________________________ ________________________________________

Phone Number Fax Number

I hereby request an extension of 30 days to file a Tangible Personal Property Tax Return for the following business:

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Business Name FIN or SS# or TPP Account #

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Actual Physical Location of Tangible Assets or Business Location

Omission of above information may result in the denial of this request!

I understand that this request is made pursuant to Florida Statute 193.063, and must be filed with the Property Appraiser’s office no later than April 1st, 2008 in order to be considered.

A COPY OF THE APPROVED EXTENSION MUST BE INCLUDED AS PART OF THE TANGIBLE PERSONAL PROPERTY TAX RETURN AND MUST BE POSTMARKED BY TUESDAY MAY 1st, 2008 IN ORDER TO AVOID LATE FILING PENALTIES.

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Owner or Filing Agent Signature Date

Fax this completed form to (850) 981-2008

-OR-

Mail to the Property Appraiser’s Office:

Gregory “Greg” Brown CFA

Attn: TPP

6495 Caroline St Ste “K” Milton, FL 32570