DR-422 Certification of Final Taxable Value
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DR-422
CERTIFICATION OF FINAL TAXABLE VALUE
R. 5/13
Rule 12D-16.002
Florida Administrative Code
Effective 5/13
Provisional
Is VAB still in session?
No
Yes
4
Year :County :
PALM BEACH
2017
Check type :
Principal Authority :
School District County Municipality
4
North Palm Beach
Independent Special District Water Management District
Check type :
Taxing Authority :
Principal Authority MSTU
4
North Palm Beach
Water Management District Basin
Dependent Special District
SECTION I : COMPLETED BY PROPERTY APPRAISER
1.$(1)
Current year gross taxable value from Line 4, Form DR-420
2,123,913,004
2.$(2)
Final current year gross taxable value from Form DR-403 Series
2,122,849,487
3.%(3)
Percentage of change in taxable value (Line 2 divided by Line 1, minus 1, multiplied by 100)
-0.05
5:00 PM
10/13/2017
The taxing authority must complete this form and return it to the property appraiser by
time
date
Property Appraiser Certification I certify the taxable values above are correct to the best of my knowledge.
Signature of Property Appraiser :Date :
SIGN
HERE
Electronically Certified by Property Appraiser10/10/2017 3:05 PM
SECTION II : COMPLETED BY TAXING AUTHORITY
MILLAGE RATE ADOPTED BY RESOLUTION OR ORDINANCE AT FINAL BUDGET HEARING UNDER s. 200.065(2)(d), F.S.
If this portion of the form is not completed in full your taxing authority will be denied TRIM certification and possibly lose its millage
levy privilege for the tax year. If any line is inapplicable, enter N/A or -0-.
Non-Voted Operating Millage Rate (from resolution or ordinance)
per $1,000(4a)
4a.County or municipal principal taxing authority
7.3300
per $1,000 (4b)
4b.Dependent special district
0.0000
per $1,000(4c)
4c.Municipal service taxing unit (MSTU)
0.0000
per $1,000(4d)
4d.Independent Special District
0.0000
per $1,000(4e)
4e.School district Required Local Effort
0.0000
Capital Outlayper $1,000
0.0000
Discretionary Operatingper $1,000
0.0000
Discretionary Capital Improvementper $1,000
0.0000
0.0000
Additional Voted Millageper $1,000
0.0000
4f.Water management district District Levyper $1,000(4f)
0.0000
Basinper $1,000
0.0000
Are you going to adjust adopted millage ?If No, STOP HERE, Sign and Submit.
4
YES NO
Continued on page 2
DR-422
Taxing Authority :
R. 5/13
Page 2
COUNTIES, MUNICIPALITIES, SCHOOLS, and WATER MANAGEMENT DISTRICTS may adjust the non-voted millage rate only if the
percentage on Line 3 is greater than plus or minus 1% . (s. 200.065(6), F.S)
Unadjusted gross ad valorem proceeds
5.$(5)
0
(Line 1 multiplied by Line 4a, 4e, or 4f as applicable , divided by 1,000)
Adjusted millage rate (Only if Line 3 is greater than plus or minus 1%)
per $1000
6.(6)
0.0000
(Line 5 divided by Line 2 multiplied by 1,000)
MSTUs, DEPENDENT SPECIAL DISTRICTS , and INDEPENDENT SPECIAL DISTRICTS may adjust the non-voted millage rate only if
the percentage on Line 3 is greater than plus or minus 3% (s. 200.065(6), F.S.)
Unadjusted gross ad valorem proceeds
7.$(7)
0
(Line 1 multiplied by Line 4b, 4c, or 4d as applicable, divided by 1,000)
Adjusted Millage rate (Only if Line 3 is greater than plus or minus 3%)
8.per $1000(8)
0.0000
(Line 7 divided by Line 2, multiplied by 1,000)
I certify the millages and rates are correct to the best of my knowledge. The millages
comply with the provisions of s. 200.065 and the provisions of either s. 200.071 or s.
Taxing Authority Certification
200.081, F.S.
S
Signature of Chief Administrative Officer :Date :
I
G
Electronically Certified by Taxing Authority10/10/2017 3:25 PM
N
Title :Contact Name and Contact Title :
ANDREW LUKASIK, VILLAGE MANAGERSAMIA JANJUA, FINANCE DIRECTOR
H
Mailing Address :Physical Address :
E
501 US HIGHWAY ONE501 US HIGHWAY ONE
R
E
City, State, Zip :Phone Number :Fax Number :
NORTH PALM BEACH, FLORIDA 3340856184133605618489698
INSTRUCTIONS
SECTION I: Property Appraiser
1. Initiate a separate DR-422 form for each DR-420, Certification of Taxable Value, and DR-420S, Certification of School
Taxable Value, submitted.
2. Complete Section 1 and sign.
3. Send the original to the taxing authority and keep a copy.
SECTION II: Taxing Authority
1. Complete Section II and sign.
2. Return the original to the property appraiser.
3. Keep a copy for your records.
4. Send a copy to the tax collector.
5. Send a copy with the DR-487, Certification of Compliance, to the Department of Revenue at the address below. Send
separately if the DR-487 was previously sent to the Department.
Florida Department of Revenue
Property Tax Oversight - TRIM Section
P. O. Box 3000
Tallahassee, Florida 32315 - 3000
All taxing authorities must complete Line 4, millages adopted by resolution/ordinance at final budget hearing.
Counties, municipalities, schools, and water management districts may complete Line 5 and Line 6 only when Line 3 is greater than plus or
minus 1%. (s. 200.065(6), F.S.)
MSTUs, dependent special districts, and independent special districts may adjust the non-voted millage rate only when Line 3 is greater than
plus or minus 3%. (s. 200.065(6), F.S.)
Adjusted millage rate must comply with statutes. The adjusted millage rate entered on Line 6 or Line 8 cannot exceed the rate allowed by other
provisions of law or the state constitution.
Multi-county and water management districts must complete a separate DR-422 for each county.
All TRIM forms for taxing authorities are available on our website at
http://dor.myflorida.com/dor/property/trim