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The DR 504 Florida form serves as a crucial tool for nonprofit organizations seeking to apply for an ad valorem tax exemption, specifically for properties utilized predominantly for charitable, religious, scientific, literary, or healthcare purposes. This application is designed to assist various entities, including hospitals, nursing homes, and organizations dedicated to special services, in navigating the requirements set forth by Florida statutes. To qualify for this exemption, applicants must provide detailed information regarding their nonprofit status, property usage, and financial operations. The form requires the submission of supporting documents, such as the organization's Articles of Incorporation, federal tax returns, and financial statements, all of which must be filed with the county property appraiser by March 1 of the current tax year. Understanding the nuances of this application process is essential for organizations aiming to alleviate their tax burdens while continuing to serve their communities effectively. By complying with these requirements, nonprofit entities can ensure they are positioned to receive the tax exemptions they need to sustain their operations and fulfill their missions.

Documents used along the form

The Dr 504 Florida form is essential for nonprofit organizations seeking an ad valorem tax exemption. Along with this form, several other documents are often required to support the application. Each document plays a crucial role in demonstrating the organization's eligibility for the exemption and ensuring compliance with state laws. Below is a list of commonly used forms and documents that accompany the Dr 504 form.

  • Articles of Incorporation: This document outlines the organization’s purpose and structure. It is necessary to confirm that the organization is a legitimate nonprofit entity.
  • Bylaws: Bylaws define the internal rules and regulations governing the organization. They help establish how the organization operates and are often required to be submitted with the application.
  • IRS Determination Letter: This letter confirms the organization’s tax-exempt status under section 501(c)(3) of the Internal Revenue Code. It is crucial for proving eligibility for tax exemptions.
  • Financial Statements: Recent financial statements provide insight into the organization’s financial health. They help demonstrate that the property is used for exempt purposes.
  • Federal Tax Return: If applicable, the most recent federal tax return offers additional financial information and is used to verify the organization’s income and expenses.
  • Lease Agreements: If any portion of the property is rented or leased, copies of all relevant contracts must be included. This documentation clarifies how the property is utilized.
  • Licenses: For hospitals and nursing homes, a valid license from the Agency for Health Care Administration is required to ensure compliance with health regulations.
  • Schedule of Payments: This schedule details any payments made to officers or directors. It is necessary to demonstrate that no part of the property benefits individuals for profit.

Each of these documents supports the Dr 504 form by providing necessary evidence of the organization's status and the intended use of the property. Collectively, they help ensure that the application is complete and meets the requirements set forth by Florida law. It is advisable to review all documentation carefully before submission to avoid any delays in the application process.

Similar forms

The DR-501 form is an application for ad valorem tax exemption specifically designed for nonprofit organizations. Similar to the DR-504, it allows organizations to request tax exemptions for property used for charitable purposes. Both forms require detailed information about the organization’s status, property use, and financial records. The DR-501 focuses more on the general eligibility of the organization, while the DR-504 is tailored for specific types of nonprofits, such as hospitals and nursing homes.

The DR-420 form serves as the annual property tax return for various exempt properties, including those owned by charitable organizations. Like the DR-504, it requires information about property use and financial conditions. However, the DR-420 is broader in scope, applying to all exempt properties rather than being limited to specific types of organizations. Both forms emphasize the importance of demonstrating that the property is utilized for exempt purposes.

The DR-1 form is the initial application for nonprofit status in Florida. It is similar to the DR-504 in that it establishes the foundation for an organization’s tax-exempt status. While the DR-504 is focused on property tax exemptions, the DR-1 is concerned with the overall qualification of the organization under state laws. Both documents require the submission of organizational documents and proof of nonprofit status.

The IRS Form 1023 is the application for recognition of exemption under section 501(c)(3) of the Internal Revenue Code. This form is similar to the DR-504 in that it assesses the eligibility of organizations seeking tax-exempt status. Both forms require detailed financial information and a description of the organization's activities. The key difference lies in the jurisdiction; the IRS form is federal, while the DR-504 pertains to state-level property tax exemptions.

The DR-506 form is an application for an ad valorem tax exemption specifically for educational institutions. It shares similarities with the DR-504 by allowing certain organizations to apply for property tax exemptions based on their educational missions. Both forms require evidence of the organization’s purpose and financial documentation. However, the DR-506 is tailored exclusively for educational entities, whereas the DR-504 encompasses a wider range of nonprofit organizations.

Obtain Answers on Dr 504 Florida

  1. What is the purpose of the DR 504 Florida form?

    The DR 504 form is an application used by nonprofit organizations in Florida to apply for an ad valorem tax exemption. This exemption applies to properties that are used predominantly for charitable, religious, scientific, literary, or healthcare purposes, such as hospitals and nursing homes.

  2. Who can apply for the DR 504 tax exemption?

    Nonprofit organizations that qualify under specific categories can apply. These categories include charitable organizations, religious institutions, hospitals, nursing homes, scientific organizations, literary organizations, and homes for special services. Each applicant must be a Florida not-for-profit corporation as of January 1 of the current year.

  3. When is the application due?

    The completed DR 504 application must be filed with the county property appraiser by March 1 of the current tax year. It is essential to meet this deadline to ensure eligibility for the tax exemption.

  4. What documents are required to submit with the application?

    Applicants must include several documents with their application, such as:

    • A copy of the organization’s most recent financial statement.
    • A copy of the most recent federal tax return, if filed.
    • Detailed records showing financial conditions and operations, including salary schedules and contracts.
    • Any relevant licenses issued by the Agency for Health Care Administration, if applicable.
  5. What happens if part of the property is used for non-exempt purposes?

    If any portion of the property is used for non-exempt purposes, the applicant must provide a detailed explanation in the application. This information helps the property appraiser assess the eligibility for the tax exemption.

  6. Can the organization rent or lease any part of the property?

    Yes, organizations can rent or lease portions of their property. However, they must attach copies of all rental and lease contracts that were in effect during the last calendar year to the application.

  7. How can applicants get help with the DR 504 form?

    For assistance, applicants should contact the property appraiser in the county where the property is located. Local governments manage property tax in Florida, and the property appraiser's office is the best resource for guidance on completing the application.

Document Preview

AD VALOREM TAX EXEMPTION APPLICATION

AND RETURN FOR CHARITABLE, RELIGIOUS, SCIENTIFIC, LITERARY ORGANIZATIONS, HOSPITALS, NURSING

HOMES, AND HOMES FOR SPECIAL SERVICES

DR-504

R. 11/21

Rule 12D-16.002

FAC

Eff. 11/21

Page 1 of 3

Sections 196.195, 196.196 and 196.197, Florida Statutes

This application is for use by nonprofit organizations to apply for an ad valorem tax exemption for property used predominantly for an exempt purpose, as provided in sections (ss.) 196.195, 196.196, and 196.197, Florida Statutes (F.S.) (select all that apply):

Charitable Religious

Hospital

Nursing Home

Scientific Literary

Homes for Special Services

This completed application, including all required attachments, must be filed with the county property appraiser on or before March 1 of the current tax year.

General Information (All applicants must complete this section.)

Applicant name

 

Facility name

 

 

 

 

 

 

 

 

 

Mailing address

 

Physical

 

 

 

 

 

address, if

 

 

 

 

 

different

 

 

 

 

 

 

 

 

 

Business phone

 

County where property is located

 

 

 

 

 

 

 

 

Parcel identification number or legal description

 

 

 

 

 

 

 

 

 

 

 

1. On January 1 of the current year, was the applicant a Florida not-for-profit corporation?

Yes

No

If yes, attach a copy of the filing confirmation letter from the Florida Department of State, a copy of the Articles of Incorporation, as amended, and a copy of the Bylaws, as amended. If qualified as charitable under section 501(c)(3) of the Internal Revenue Code, attach a copy of the determination letter issued by the Internal Revenue Service.

If no, attach a copy of the applicant’s Articles of Organization, as amended, and other organizing documents evidencing the organization’s purpose.

2. How is the property used? (Attach additional pages if needed.)

3. Is any portion of the property rented or leased?

Yes

No

If yes, attach a copy of all rental and lease contracts in effect during the last calendar year.

4.Is any portion of the property used for non-exempt purposes as provided in ss. 196.196 and 196.197, F.S.?

Yes No

If yes, provide a detailed explanation. (Attach additional pages if needed.)

For use by property appraisers

Application Number ______________________

 

 

 

DR-504

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Page 2 of 3

Hospitals, Nursing Homes, and Homes for Special Services

1. On January 1 of the current year, was the applicant qualified as charitable under section 501(c)(3) of the

Internal Revenue Code, as determined by the Internal Revenue Service? Yes No

If yes, attach a copy of the determination letter from the Internal Revenue Service, a copy of the Articles of Incorporation, as amended, and a copy of the Bylaws, as amended.

2.On January 1 of the current year, did the organization hold a valid license issued by the Agency for Health Care Administration under

Chapter 395, F.S. – Hospital or Ambulatory Surgical Center

Yes

No

Chapter 400, F.S. – Nursing Home, Home for Special Services and Related

Health Care Facility, or

Yes

No

Part I, Chapter 429, F.S. – Assisted Living Facility?

Yes

No

If yes, attach a copy of the license issued by the Agency for Health Care Administration.

Attachments (All applicants must attach the following information to this application.) On each attachment, include your name, address, and an indication that the information is an attachment to this application.

1.Provide a copy of the organization’s most recent financial statement.

2.Provide a copy of the organization’s most recent federal tax return (if filed).

3.Provide the following fiscal and other records showing in reasonable detail the financial condition, record of operation, and exempt and nonexempt uses of the property, where appropriate, for the immediately preceding fiscal year:

a.A schedule of payments or advances, directly or indirectly, by way of salaries, fees, loans, gifts, bonuses, gratuities, drawing accounts, commissions or other compensation (except reimbursements for reasonable out-of-pocket expenses incurred on behalf of the applicant) to

any officer, director, trustee, member, or stockholder, or

any person, company, or other entity directly or indirectly controlled by the applicant.

b.An explanation for the guarantee of any loan to or obligation of any officer, director, trustee, member, or stockholder of the applicant or any entity directly or indirectly controlled by the applicant.

c.Any contractual arrangement by the applicant or any officer, director, trustee, member, or stockholder of the applicant regarding the

rendition of services;

provision of goods or supplies;

management of the applicant;

construction or renovation of the property;

procurement of the real, personal, or intangible property; and

other similar financial interest in the affairs of the applicant.

d.A schedule of payments or amounts for

salaries for operation;

services received;

supplies and materials;

reserves for repair, replacement, and depreciation of the property;

any mortgage, lien, and other encumbrances; and

other purposes (explain).

e.A schedule of charges for services rendered by the applicant. If the charges for services rendered exceed the value of the services rendered, information on whether the excess is used to pay maintenance and operational expenses furthering its exempt purpose or to provide services to persons unable to pay for the services.

f.An affirmative statement that no part of the property, or no part of the proceeds of the sale, lease, or other disposition of the property, will inure to the benefit of its members, directors, or officers, or to any person or firm operating for a profit or for a nonexempt purpose.

DR-504

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Signature (ALL applicants must complete this section.)

Florida law requires property appraisers to determine whether an organization uses the identified property for exempt purposes before granting an ad valorem tax exemption. Property appraisers will notify you if additional information or documentation is needed to determine eligibility for the exemption requested.

I certify all information on this application, including any attachments, is true, correct, and in effect on January 1 of the tax year.

Signature

Title

Date

Need Help?

 

In Florida, local governments are responsible for administering property tax. The best

 

 

resource for assistance is the property appraiser in the county where the property is

 

 

located. Find websites for county property appraisers at:

FloridaRevenue.com/Property/Pages/LocalOfficials.aspx

Dos and Don'ts

When filling out the DR 504 Florida form, it is essential to follow specific guidelines to ensure the application is processed smoothly. Below is a list of things to do and avoid during this process.

  • Do complete all sections of the application accurately.
  • Do attach all required documents, such as the Articles of Incorporation and financial statements.
  • Do file the application by the deadline of March 1.
  • Do provide clear explanations for any non-exempt property use.
  • Do include your name and address on all attachments.
  • Don't leave any questions unanswered; provide as much detail as necessary.
  • Don't submit incomplete or incorrect documents.
  • Don't forget to sign and date the application.
  • Don't provide misleading information; ensure all statements are truthful.
  • Don't ignore the instructions specific to your organization type, such as hospitals or charitable entities.