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Get Fl Dr-501a 2012

DR-501A R. 11/12 STATEMENT OF GROSS INCOME Rule 12D-16. 002 Florida Administrative Code Effective 11/12 Section 196. 101 4 c Florida Statutes Date Applicants for the Exemption for Totally and Permanently Disabled Persons Section 196. 101 F*S* must complete sign and attach this statement to the exemption application Form DR-501. Applicant name Address of homestead Parcel ID Name of all other persons living at the homestead Gross Income Include the incomes of all persons above. Attach last year s .

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