Okaloosa County BOCC — February 11, 2013 — Exhibit E - PA DR-418 — reading text

ECONOMIC DEVELOPMENT AD VALOREM PROPERTY TAX EXEMPTION DR-418 Chapter 196.1995, Florida Statutes R. 12/99 To be filed with the Board of County Commissioners, the governing boards of the municipality, or both, no later than March 1 of the year the exemption is desired to take effect. 1|Business name Confidential at this time Mailing address ; ‘ = Confidential at this time 2 |Please give name and telephone number of owner or person in charge of this business. Confidential at this time Telephone number Confidential at this time 3}Exact Location (Legal Description and Street Address) of Property for which this return is filed 4 |Date you began, or will 08/01/13 Fort Walton Beach, FL begin, business at this facility 5 |Description of the improvements to real property for which this exemption is requested Date of commencement of Modernization and renovation of the building to Class A office space. construction of improvements 04/30/13 6 Description of the tangible personal property for which this exemption is requested and date when property was, or is to be purchased] _ APPRAISER'S USE ONLY - “NOTE: This is partial ist. Refer to spreadgheet | Date of Taxpayer's Estimate of Prana ior i Class or Item e Age | Purchase| Original Cost Cond* | Fair Market Rent fit 0 {06/15/13 |$ 130,200} good |$ Se RN 0 06/15/13 |$ 40,062} good |$ $ . aes 0 |06/15/13 |$ 18,935] good |$ $ _ Za RS a 0 |06/15/13 |$ 7,684} good |$ $ We 0 06/15/13 |$ 1,230} good |$ $ ed@” 0 {06/15/13 |$ "1,175 good |$ $ cw 0 |06/15/13 |$ 7,938] good |$ - uv a 0 {06/15/13 |$ 2,168} good |$ twee 0 |06/15/13 |$ 3,296] good |$ i$ | Average value of inventory on hand: Confidential at this time *Condition: good, avg (average). or poor Any additional personal property not listed above for which an exemption is claimed must be returned on form DR-405 (Tangible Personal Property Tax Return) and a copy attached to this form. 7 Do you desire exemption as a [ | new business or [v] expansion of an existing business 9 Trade levels (check as many as apply) 8 Describe type or nature of your business [_] Retail []Wholesale [“]Manufacturing [7] Professional Technology - TalkingParents.com is an online SaaS (Software as a Service) P Service [_] Office [ ]Other, specify: 10 Number of full-time employees to be employed in Florida lf an expansion of an existing business: cee 30 100% hens Tari eoeaiee 100 % 11 Sales factor for the facility requesting exemption: in Florida , = ; eateans (niseaerornn 5000-00 a ell =o 12 For office space owned and used bya {Date of incorporation 3/26/2001 Number of full-time 20 corporation newly domiciled in Florida _|in Florida employees at this location | hereby request the adoption of an ordinance granting an exemption from ad valorem taxation on the above property pursuant to Section 196.1995, Florida Statutes. | agree to furnish such other reasonable information as the Board of County Commissioners, the governing authority of the municipality, or the Property Appraiser may request in regard to the exemption requested herein. | hereby certify that the information and valuation stated above by me is true, correct, and complete to the best of my knowledge and belief. (if prepared by someone other than the taxpayer, his declaration is based on all information of which he has any knowledge.) Date 03/01/2013 ° Signature, preparer Confidential at this time Preparer's address Signature, taxpayer _ Title COO : Preparer's telephone number eis eile’ 3 ~* Property Appraiser’s Use Only = ok ee | Total revenue available to the aaa or ruaticipaly for the current fiscal year from ad valorem tax sources $6,359 ll {Revenue lost to the county or municipality for the current fiscal year by virtue of exemptions previously granted under this section |$0 HHI Estimate of the revenue which would be lost to the county or municipality during the current fiscal year if the exemption applied for were granted and the property for which the exemption is requested would otherwise have been subject to taxation on IV {Estimate of the taxable value lost to the county or municipality if the exemption applied for was granted Improvements to real property $ 9,540 Personal property $ 9,360 V_ |! have determined that the property listed above meets the definition, as defined by Section 196.012(15) or (16), Florida Statutes, as a [_]new business _[/ expansion of an existing business [__]neither VI |Last year for which exemption may be applied | 2]0]2|3| ~ Ln < 4/3/2013 2g Date Signature, Property Appraiser =§$-"™~ Application to be filed not later than March 1