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Okaloosa County BOCC — January 8, 2013 — UpUnder DR-418 01292013 Application — reading text

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ECONOMIC DEVELOPMENT AD VALOREM PROPERTY TAX EXEMPTION DRA18 Chapter 196.1995, Florida Statutes R. 12/89 To be filed with the Board of County Commissioners, tha goveming boards of the municipality, or bath, no later then March 7 ofthe year the exemplian is desired fo iake eflect. 1 (Business name Confidential aft this time Malling address 2 [Please give name and talephone number of owner or persan in charge af ihfs business,| Confidential at this time Name Confidential af this time Telephone number Confidential at this time 3/Exact Location {Legal Description and Street Addrass} of Property for which thls retum Is filed 4 |Oate yau began, er will 06/01/2014 Parcel ID#s Confidential at this time begin, business at (his factity 5|Descrplion of the impravemeats fo real property for which this exemption is requested Date of eommencumant af 95,000 SF facility Confidential at this time construction of empravements 99/15/2013 6 Description of the tangible personal property for which this exemplion Is requested and date when properly was, or ts to ba purchased} © -APPRAISER'S USE ONLY Date of Taxpayers Esilmate of Poe (ee maT ae Glass or Item Age | Purchase} Original Cosi f Cond? | FalrMarketRent § Gond*.t 3 Furniture & Fixtures New [03/20/14 i$ 250,000 5 $ Computers & Software New [04/15/14 |§ 435,000 $ $ Telephone System New |03/11/14 |& 160,000 $ b Chairs & Tabies New [05/15/14 | 425,006 fi S Security Equipment New [04/15/14 [f 20,000 $ $ Signage New [03/11/14 |$ 606,000 § S Additional info confidential at this time New '05/15/14 | 40,000 § $ Additional info confidential at this time New 04/08/14 |$ 810,000 $ Ss Additional info confidential at this time New [04/01/14 1 6,000,000 3 IS Average value of inventory on hand: $300,000 *Conditlan: geod, avg (average), or poor Any additional personat property not listed above for which an exemption ts claimed must be tetymaed an farm . DOR-405 (Tangible Personal Property Tax Retum) and a copy allached to this form. 7 Do yau desire exemption as afy|new business or{_] expansion of an existing busines Q Trade levels (check as many as apply) 8 Describe type or nature of your business Retall [7] Wholesale [7)Manufacturing [| Professional Confidential at this time | [_] Service [/] Gffice [7]Other, specify: Theater & Anis 10 Number of fufl-time emptoyees to be employed in Florida (fan expansion of an existing business: eel 57 106 % ae Al seat % 11 Sales factor for the facility requesting exemption: een onan RNa eR RTF seein =| s 12 For office space owned and used bya j|Date of incorporation Number of fulltime 67 corporation newly domiciled {n Florida — {in Florida employees at this location { hereby request (he adoption of an ardinance granting an exemption from ad valorem taxation on the above properly pursuant lo Section 196.1895, Florida Siatutes. | agree to furnish such olher reasonable tnformatlan as the Board of County Commissioners, the goveming authanty of the municipality, or the Property Appraiser may request In regard ta (he exempilon requested herein. | hareby certify that the Information and vatvation siafed above by me [5 frue, jwhich ha has any knowledge.) correct, and complete to Ihe best of my knowledge and belief. {If prepared by someone other ihagthe taxpayer, his deciaration ts based on all infarmation of Mate 01/08/2018 | Signature, preparer =_—=2 7 _— —_ _ Confidential at this time Praparer's address §9Corifidential at this time . Tile Praparar's telephone auinber a weS pig . a. - mT | — ia *, oe" oe Fo vas Property Appraiser’s Use Only’. ay Cy Pace 5 Z : PES Sy , 1 {Total revenue available to the county or municipality for fie current fiscal year from ad valorem fax sources 5 I! [Revere lost to the county or munielpality for the current fiseal year hy virtue of exempilons previously granted under this section |S Estimate of ihe revenue which would be lost to the county or municipality during the cument fiscal year if (he exemption applied for were granted and the property for which (he exemption fs requested wauid otherwise have been subject to taxation p PH. & IV lEstmate of the taxable value (ost te the county or municipatity ifthe examptton appiled for was granted y TFotol- #3/b, 2 | (see ss - oS improvements to real property & / 4g a, LO Personal property $ 14D OF Eghibi ‘A ie os i ee V ithave detennine¢ that the property fisted above meals the definition, a deinead by Section 196.012(1 4} or (78), Fidiida Statutes, as a new business [ Jexpansion cf anexisting business [“ ]nelther VI |Last year for which exempllon may be agplled pc ” A a 1 t C-EFAZ Application to be filed not later than March 1 Dale Signalfie, Properly Appraiser

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