American LegalNet, Inc. www.FormsWorkFlow.com DR - 430 N. 11 /1 2 Rule 12D - 16.002 Florida Administrative Code Effective 11 /12 CHANGE OF OWNERSHIP OR CONTROL NON-HOMESTEAD PROPERTY Sections 193.1554, 193.1555, and 193.1556, Florida Statutes For non-homestead real property when a deed or other instrument has not been recorded with the clerk of court for a change of ownership or control, the owner must complete this form and send it to the property appraiser of the county where the property is located. County Date New Owner Individual or legal entity Owner name Address Contact name P h one Type of ownership, if not an individual Corporation Limited liability company Limited partnership General partnership or joint venture Unincorporated REIT Other, specify, State of formation Previous Owner Individual or entity transferring ownership or transferring control or ownership of the legal entity cumulatively exceeding 50% Individual or legal entity name Descript ion of Property Parcel ID Date of sale or change of ownership (Cumulative ownership or control exceeded 50%) Physical address Legal description Type of property This notice covers multiple parcels. I have attached Form DR - 430M T otal number of pages, i ncluding this one This notification is provided by the owner of the property an authorized agent of the owner the previous owner an authorized agent of the previous owner I declare I have read this document and the facts in it are true. Signature Print name Date Title, if not an individual See instructions on page 2. DR - 430 N. 11 /1 2 Page 2 INSTRUCTIONS Change of Ownership or Control, Non-homestead Property Who should complete this form? An owner of non-homestead property that has changed ownership or control after January 1 when the property was last assessed at just value must notify the property appraiser of the change unless a deed or other document of the change was recorded with the clerk of the court. A change of ownership or control means: A sale or foreclosure,A transfer of legal title or beneficial title in equity to any person, orA cumulative transfer of control, or of ownership of more than 50%, of the legal entity that ownedthe property when it was last assessed at just value.Send the completed form to the property appraiser in the county where the parcel is located. If one owner completes and sends a Form DR-430 to the property appraiser, another owner is not required to send an additional Form DR-430. You do not need to complete Form DR-430 if: A deed or other instrument documenting a change of ownership of the property has beenrecorded with the county clerk of court.The transfer corrects an error.The transfer is between legal and equitable title.The transfer is between husband and wife, including a transfer to a surviving spouse or ondissolution of marriage, and the property is non-homestead, residential property under section193.1554(1), F.S. This does not apply to non-residential property.For a publicly traded company, the transfer occurred through the buying and selling of shares ona public exchange. This does not apply to a merger or acquisition by another company. American LegalNet, Inc. www.FormsWorkFlow.com What if I have more than one parcel that has changed ownership or control? You can submit Form DR-430M as an attachment to this form to report multiple parcels. Be sure to identify each page with the name of the owner and date from page one of Form DR-430. Send a copy of the completed forms to the property appraiser of each county where you have listed a parcel. Form DR-430M is posted on the Department of Revenue's website at http://.Reference: Rule 12D-8.00659, Florida Administrative Code Interest and Penalties Owners who receive an assessment to which they are not entitled are subject to: Any taxes avoided plus 15% interest each year, andA penalty of 50% of the taxes avoided.The property appraiser is required to record a tax lien on any property owned by a person or entity that was granted, but not entitled to, the property assessment limitation under s.193.1554 or s.193.1555, F.S. Contact information and mailing addresses for all Florida property appraisers are on Revenue's web site http://.