Get Dr 504 Florida Form

Get Dr 504 Florida Form

The DR 504 Florida form is an application used by nonprofit organizations to seek an ad valorem tax exemption for properties primarily utilized for charitable, religious, scientific, or literary purposes, among others. This form ensures that eligible organizations can receive financial relief, enabling them to focus more on their missions rather than tax burdens. To begin the process, please fill out the form by clicking the button below.

Structure

The DR 504 Florida form serves as a critical tool for nonprofit organizations seeking to secure an ad valorem tax exemption for properties utilized predominantly for charitable, religious, scientific, literary, or healthcare-related purposes. This application is specifically designed for a range of entities, including hospitals, nursing homes, and homes for special services, and is governed by Florida statutes that outline eligibility requirements. To initiate the process, applicants must provide comprehensive information about their organization, including its legal status as a Florida not-for-profit corporation and its specific use of the property in question. The application requires a detailed account of any rental agreements and the nature of property usage, ensuring that all activities align with the exempt purposes defined by law. Additionally, organizations must submit various supporting documents, such as financial statements and tax returns, to substantiate their claims. The submission deadline for this form is March 1 of the current tax year, and it is essential for applicants to understand that property appraisers will review the information provided to determine eligibility. As local governments administer property tax exemptions, the DR 504 form is a vital instrument for nonprofits aiming to alleviate their tax burdens while continuing to serve their communities effectively.

Dr 504 Florida 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

Eff. 11/21

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

Eff. 11/21

Page 3 of 3

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

Document Data

Fact Name Details
Purpose The DR-504 form is used by nonprofit organizations to apply for an ad valorem tax exemption for property used primarily for exempt purposes.
Governing Laws This form is governed by sections 196.195, 196.196, and 196.197 of the Florida Statutes.
Filing Deadline Organizations must submit the completed application by March 1 of the current tax year.
Eligibility Criteria Applicants must be Florida not-for-profit corporations and may need to provide documentation confirming their status.
Required Attachments Along with the application, organizations must attach financial statements, tax returns, and other relevant documents.
License Verification For hospitals and nursing homes, a valid license from the Agency for Health Care Administration is required as of January 1 of the current year.

How to Use Dr 504 Florida

Filling out the DR 504 Florida form requires careful attention to detail. Ensure you have all necessary documents and information ready before you begin. The following steps will guide you through the process of completing the application for an ad valorem tax exemption.

  1. Begin by entering the applicant name and facility name in the designated fields.
  2. Provide the mailing address and, if different, the physical address.
  3. Fill in the business phone number and the county where the property is located.
  4. Include the parcel identification number or legal description of the property.
  5. Indicate whether the applicant was a Florida not-for-profit corporation on January 1 of the current year by selecting Yes or No.
  6. If "Yes," attach the required documents: a copy of the filing confirmation letter, Articles of Incorporation, and Bylaws.
  7. If "No," attach the Articles of Organization and other organizing documents.
  8. Describe how the property is used. Attach additional pages if necessary.
  9. Answer whether any portion of the property is rented or leased by selecting Yes or No.
  10. If "Yes," attach copies of all rental and lease contracts from the last calendar year.
  11. State whether any part of the property is used for non-exempt purposes by selecting Yes or No.
  12. If "Yes," provide a detailed explanation and attach additional pages if needed.
  13. For hospitals, nursing homes, and homes for special services, answer if the applicant was qualified as charitable under section 501(c)(3) by selecting Yes or No.
  14. If "Yes," attach the determination letter from the IRS, Articles of Incorporation, and Bylaws.
  15. Indicate if the organization held a valid license from the Agency for Health Care Administration by selecting Yes or No for each relevant chapter.
  16. Attach a copy of the license if applicable.
  17. Provide the required attachments, including the organization’s most recent financial statement and federal tax return.
  18. Include fiscal records detailing financial condition and property use as specified in the form.
  19. Sign and date the application, certifying that all information is true and correct.

After completing the form, submit it along with all required attachments to the county property appraiser by the deadline of March 1. Be sure to keep copies for your records. If you have questions, reach out to your local property appraiser for assistance.

Key Facts about Dr 504 Florida

What is the purpose of the DR 504 Florida form?

The DR 504 Florida form is an application used by nonprofit organizations to request an ad valorem tax exemption. This exemption is specifically for properties that are predominantly used for charitable, religious, scientific, literary, or health-related purposes, such as hospitals and nursing homes. By completing this form, organizations can potentially reduce their property tax burden, allowing them to allocate more resources toward their mission and services.

Who is eligible to apply for the ad valorem tax exemption using the DR 504 form?

Eligibility for the ad valorem tax exemption is primarily limited to nonprofit organizations that operate under specific categories. These include charitable organizations, religious institutions, hospitals, nursing homes, and homes for special services. To qualify, the applicant must be a Florida not-for-profit corporation and demonstrate that the property is used predominantly for exempt purposes. This includes providing necessary documentation, such as proof of 501(c)(3) status if applicable.

What documents must be submitted along with the DR 504 application?

When submitting the DR 504 application, several key documents must accompany it. These include the organization’s most recent financial statement, the latest federal tax return (if filed), and detailed records outlining the financial condition and operation of the property. Additional documentation may include rental agreements, organizational bylaws, and proof of any relevant licenses, particularly for healthcare facilities. Each attachment should clearly indicate that it is part of the DR 504 application.

What is the deadline for submitting the DR 504 form?

The completed DR 504 form, along with all required attachments, must be filed with the county property appraiser by March 1 of the current tax year. Meeting this deadline is crucial, as late submissions may result in the denial of the exemption request. Organizations should plan ahead to ensure that all necessary information is gathered and submitted on time.

What should I do if I need assistance with the DR 504 application?

If you need help with the DR 504 application, the best resource is the property appraiser in the county where your property is located. They can provide guidance on the application process, eligibility requirements, and any documentation you may need. For convenience, you can find contact information for county property appraisers at FloridaRevenue.com/Property/Pages/LocalOfficials.aspx.

Common mistakes

Filling out the DR-504 Florida form can be a straightforward process, but many applicants make common mistakes that can delay their application or even result in denial. One frequent error is failing to provide all the required attachments. The form clearly states that applicants must include documentation such as the organization's most recent financial statement and federal tax return. Omitting these documents can lead to complications, as property appraisers need this information to assess eligibility for the tax exemption.

Another mistake often made involves the incomplete or incorrect information in the general information section. Applicants must ensure that they provide accurate details about the organization, including the correct name, address, and parcel identification number. Inaccuracies in this section can create confusion and may require additional follow-up, which can slow down the processing time.

Additionally, some applicants do not adequately explain how the property is used. The form asks for a detailed description of the property's use, and many people overlook this requirement or provide vague responses. Providing a clear and thorough explanation is crucial, as it helps the property appraiser determine whether the property is used for exempt purposes.

Lastly, applicants sometimes fail to answer all questions on the form. Each question is important and contributes to the overall assessment of the application. Leaving questions blank or marking them incorrectly can lead to misunderstandings and may result in a denial of the exemption. It is essential to read each question carefully and provide complete answers to ensure a smooth application process.

Documents used along the form

The DR-504 Florida form is essential for nonprofit organizations seeking an ad valorem tax exemption. However, several other documents often accompany this application to ensure a comprehensive review. Each of these documents serves a specific purpose, providing necessary information to the county property appraiser.

  • Articles of Incorporation: This document outlines the formation of the nonprofit organization, including its purpose and structure. It is crucial for establishing the organization's legitimacy and compliance with state laws.
  • Bylaws: Bylaws govern the internal management of the organization. They detail the rules and procedures for operations, including how meetings are conducted and how decisions are made.
  • IRS Determination Letter: This letter confirms the organization's tax-exempt status under section 501(c)(3) of the Internal Revenue Code. It is vital for demonstrating that the organization qualifies for the ad valorem tax exemption.
  • Financial Statements: Recent financial statements provide insight into the organization’s financial health. They help appraisers assess the organization's operations and ensure compliance with financial regulations.
  • Federal Tax Return: If applicable, the most recent federal tax return offers additional financial information. It helps verify the organization’s income and expenses, further supporting the application.
  • Rental and Lease Contracts: If any part of the property is rented or leased, these contracts must be included. They clarify the terms of use and any income generated from the property, which is relevant to the exemption assessment.

In summary, these accompanying documents enhance the DR-504 application by providing a clearer picture of the nonprofit's operations and compliance. Ensuring that all required documents are submitted can streamline the process and improve the chances of obtaining the desired tax exemption.

Similar forms

The DR 504 Florida form is specifically designed for nonprofit organizations to apply for an ad valorem tax exemption. There are several other documents that serve similar purposes in terms of tax exemption applications and nonprofit status verification. Here’s a look at six of these documents:

  • IRS Form 1023: This form is used by organizations seeking federal tax-exempt status under section 501(c)(3) of the Internal Revenue Code. Like the DR 504, it requires detailed information about the organization’s structure, purpose, and activities to determine eligibility for tax exemption.
  • IRS Form 990: This annual information return provides the IRS with information about a nonprofit’s financial activities. Similar to the DR 504, it ensures transparency and accountability, helping to confirm that the organization is operating in accordance with its tax-exempt purposes.
  • Florida Form DR-1: This is the application for a Florida sales tax exemption. Nonprofits use this form to apply for an exemption from sales tax on purchases. Much like the DR 504, it requires documentation proving the organization’s nonprofit status and intended use of the property or services.
  • Florida Form 850: This is a claim for exemption from ad valorem tax for certain nonprofit organizations. It parallels the DR 504 in that it seeks to establish the organization’s eligibility for property tax exemptions based on its nonprofit activities.
  • State Charitable Registration Form: Many states require nonprofits to register before soliciting donations. This form collects information about the organization’s mission and activities, similar to the DR 504, which also assesses the organization’s purpose to determine eligibility for tax exemptions.
  • Form 990-EZ: This is a shorter version of the Form 990, used by smaller nonprofits. It serves a similar function in reporting financial information and ensuring compliance with tax-exempt regulations, much like the financial disclosures required in the DR 504.

Each of these documents plays a crucial role in ensuring that nonprofit organizations operate transparently and within the guidelines set by tax authorities. Understanding their similarities can help organizations navigate the complex landscape of tax exemptions and compliance.

Dos and Don'ts

When filling out the DR-504 Florida form for an ad valorem tax exemption, it is crucial to follow certain guidelines to ensure the application is completed correctly. Here is a list of things to do and avoid:

  • Do carefully read the instructions provided with the form to understand the requirements.
  • Do ensure that all necessary attachments are included with your application.
  • Do verify that the organization qualifies as a Florida not-for-profit corporation before applying.
  • Do provide accurate and complete information about the property’s use.
  • Do submit the application by the deadline of March 1 of the current tax year.
  • Don't forget to include the organization’s most recent financial statement.
  • Don't leave any sections of the application blank; all questions must be answered.
  • Don't assume that the property appraiser will contact you for missing information; it is your responsibility to provide everything needed.
  • Don't submit the application without verifying that all attachments are clearly labeled.
  • Don't ignore the importance of obtaining the necessary licenses if applicable, as this can affect your eligibility.

By adhering to these guidelines, applicants can improve their chances of successfully obtaining the tax exemption for their nonprofit organization.

Misconceptions

Understanding the Dr 504 Florida form can be challenging, leading to several misconceptions. Here are eight common misunderstandings about this important document:

  • Misconception 1: The form is only for charitable organizations.
  • In reality, the Dr 504 form is applicable not only to charitable organizations but also to religious, scientific, literary organizations, hospitals, nursing homes, and homes for special services.

  • Misconception 2: Filing the form is optional.
  • This is incorrect. Nonprofit organizations must file the Dr 504 form to apply for an ad valorem tax exemption. Failure to submit the application by the March 1 deadline can result in losing the exemption for that tax year.

  • Misconception 3: Any property owned by a nonprofit automatically qualifies for exemption.
  • Not all properties owned by nonprofits qualify for an exemption. The property must be used predominantly for an exempt purpose, as outlined in the relevant Florida statutes.

  • Misconception 4: Only the organization’s financial statements are required.
  • While financial statements are necessary, the application also requires various attachments, including federal tax returns and detailed records of property use, to establish eligibility.

  • Misconception 5: The application process is straightforward and does not require detailed documentation.
  • The process can be complex and requires thorough documentation. Applicants must provide detailed explanations of property use and any non-exempt activities, along with supporting documents.

  • Misconception 6: There is no need to provide proof of nonprofit status.
  • Applicants must demonstrate their nonprofit status by submitting relevant documents, such as the Articles of Incorporation and IRS determination letters, if applicable.

  • Misconception 7: Submitting the application guarantees an exemption.
  • Submitting the Dr 504 form does not guarantee that an exemption will be granted. Property appraisers will review the application and may request additional information to determine eligibility.

  • Misconception 8: The application can be submitted at any time during the year.
  • This is false. The completed application must be filed with the county property appraiser on or before March 1 of the current tax year to be considered.

By clarifying these misconceptions, organizations can better navigate the complexities of the Dr 504 Florida form and ensure they meet the necessary requirements for tax exemption.

Key takeaways

Key Takeaways for Filling Out the DR-504 Florida Form:

  • The DR-504 form is used by nonprofit organizations to apply for an ad valorem tax exemption in Florida.
  • Complete all sections of the form, including general information about the applicant and the property.
  • Submit the application, along with all required attachments, by March 1 of the current tax year.
  • Provide proof of nonprofit status, such as Articles of Incorporation and IRS determination letters, if applicable.
  • Detail how the property is used and disclose any rental or lease agreements in effect.
  • Attach the organization’s most recent financial statement and federal tax return, if filed.
  • Include a statement affirming that no part of the property will benefit any individual or entity operating for profit.
  • Contact the local county property appraiser for assistance and guidance on the application process.