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The DR 504 Florida form serves as a vital tool for nonprofit organizations seeking an ad valorem tax exemption for properties used predominantly for charitable, religious, scientific, literary, or healthcare purposes. This application is specifically designed for various types of organizations, including hospitals, nursing homes, and homes for special services. To qualify, organizations must demonstrate that their property is utilized primarily for exempt activities as outlined in Florida Statutes. The form requires detailed information about the organization, including its status as a Florida not-for-profit corporation, financial records, and the specific use of the property in question. Applicants must also provide documentation such as Articles of Incorporation and IRS determination letters, where applicable. The deadline for submission is March 1 of the current tax year, making timely and accurate completion essential. Understanding the requirements and ensuring all necessary attachments are included can greatly enhance the chances of receiving the exemption. For organizations navigating this process, local property appraisers can offer guidance and assistance.

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AD VALOREM TAX EXEMPTION APPLICATION

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

HOMES, AND HOMES FOR SPECIAL SERVICES

DR-504

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Rule 12D-16.002

FAC

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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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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

Form Specifications

Fact Name Fact Description
Purpose The DR-504 form is used by nonprofit organizations to apply for an ad valorem tax exemption for property used for exempt purposes.
Governing Laws This form is governed by sections 196.195, 196.196, and 196.197 of the Florida Statutes.
Eligibility Eligible organizations include charitable, religious, scientific, literary organizations, hospitals, nursing homes, and homes for special services.
Filing Deadline The completed application must be filed with the county property appraiser by March 1 of the current tax year.
Not-for-Profit Status Applicants must confirm their status as a Florida not-for-profit corporation as of January 1 of the current year.
IRS Determination If applicable, applicants must attach a copy of the IRS determination letter confirming their 501(c)(3) status.
Property Use Applicants must describe how the property is used and indicate if any portion is rented or leased.
Non-Exempt Use Any non-exempt use of the property must be explained in detail, with additional pages attached if necessary.
Attachments Required Applicants must include recent financial statements, federal tax returns, and various financial records with their application.
Signature Requirement All applicants must sign the form, certifying that the information provided is true and correct as of January 1 of the tax year.

Dr 504 Florida: Usage Guidelines

Filling out the DR-504 form is an essential step for nonprofit organizations seeking an ad valorem tax exemption in Florida. This process involves providing detailed information about the organization and the property in question. Make sure to gather all necessary documents before starting, as this will streamline the process and ensure accuracy.

  1. Gather Required Information: Collect all necessary documents, including your organization's Articles of Incorporation, Bylaws, financial statements, and any IRS determination letters.
  2. Complete General Information Section: Fill in the applicant name, facility name, mailing address, physical address (if different), business phone, county where the property is located, and parcel identification number or legal description.
  3. Determine Nonprofit Status: Answer whether the applicant was a Florida not-for-profit corporation on January 1 of the current year. If yes, attach the required documents; if no, provide the Articles of Organization and other relevant documents.
  4. Describe Property Use: Explain how the property is used. If necessary, attach additional pages to provide detailed information.
  5. Rental or Lease Information: Indicate if any portion of the property is rented or leased. If yes, attach copies of all rental and lease contracts from the last calendar year.
  6. Non-Exempt Use: Answer whether any part of the property is used for non-exempt purposes. If yes, provide a detailed explanation and attach additional pages if needed.
  7. Complete Specific Sections for Hospitals and Nursing Homes: If applicable, answer questions regarding 501(c)(3) status and licensing from the Agency for Health Care Administration. Attach necessary documents.
  8. Attach Required Documents: Include the most recent financial statement, federal tax return (if filed), and other financial records as outlined in the form.
  9. Sign and Date the Application: Ensure that the signature, title, and date are filled out, certifying the accuracy of the information provided.

After submitting the completed form and all required attachments to the county property appraiser by the March 1 deadline, the property appraiser will review your application. They may contact you for additional information or documentation to assess your eligibility for the tax exemption. Stay in touch with the property appraiser's office for any updates or requests during this process.

Your Questions, Answered

What is 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 used predominantly for charitable, religious, scientific, literary, hospital, nursing home, or homes for special services purposes, as defined by Florida law.

Who can use the DR 504 form?

Nonprofit organizations that meet specific criteria can use this form. Eligible organizations include those classified as charitable, religious, scientific, literary, hospitals, nursing homes, and homes for special services. Each applicant must demonstrate that their property is primarily used for exempt purposes.

When is the deadline to submit the DR 504 form?

The completed application must be filed with the county property appraiser by March 1 of the current tax year. Timely submission is crucial to ensure consideration for the tax exemption.

What documents must accompany the DR 504 form?

Applicants must attach several documents, including a financial statement, the most recent federal tax return (if filed), and records that detail the financial condition and operations of the organization. Additional documentation may be required based on the specific use of the property.

Is it necessary to provide proof of nonprofit status?

Yes, applicants must provide proof of their nonprofit status. This includes a copy of the filing confirmation letter from the Florida Department of State, Articles of Incorporation, and, if applicable, a determination letter from the IRS confirming 501(c)(3) status.

What happens if part of the property is rented or leased?

If any portion of the property is rented or leased, the applicant must attach copies of all rental and lease contracts that were in effect during the last calendar year. This information is essential for determining the eligibility for the tax exemption.

Can the property be used for non-exempt purposes?

If any part of the property is used for non-exempt purposes, the applicant must provide a detailed explanation in the application. This transparency is vital for the property appraiser's assessment of eligibility.

What if the organization operates multiple properties?

Organizations operating multiple properties must submit a separate DR 504 form for each property. Each application should clearly demonstrate how the specific property meets the criteria for tax exemption.

How will I know if my application is approved?

The property appraiser will notify applicants regarding the status of their application. If additional information is needed, the appraiser will reach out to request the necessary documentation to determine eligibility.

Where can I get help with the DR 504 form?

For assistance, applicants should contact the property appraiser in the county where the property is located. Local resources can provide guidance and answer any specific questions related to the application process.

Common mistakes

  1. Incomplete Information: Failing to fill out all sections of the form can lead to delays or denials. Ensure every required field is completed.

  2. Missing Attachments: Not including necessary documents, such as financial statements or IRS determination letters, can result in an incomplete application.

  3. Incorrect Entity Status: Misrepresenting the organization's status as a Florida not-for-profit corporation can jeopardize the application. Verify the status before submission.

  4. Failure to Explain Property Use: Not providing a detailed explanation of how the property is used can lead to confusion. Clearly outline the property's purpose and activities.

  5. Ignoring Rental Agreements: If any part of the property is rented or leased, failing to attach all relevant contracts can result in disqualification.

  6. Omitting Non-Exempt Use Details: If any part of the property is used for non-exempt purposes, a detailed explanation is required. Do not overlook this requirement.

  7. Neglecting Signature Requirements: All applicants must sign the application. An unsigned form will not be accepted.

  8. Incorrect Filing Deadline: Submitting the application after the March 1 deadline will result in automatic denial. Keep track of important dates.

  9. Insufficient Documentation for Financials: Not providing detailed financial records can raise red flags. Ensure all financial information is clear and thorough.

Documents used along the form

The DR-504 Florida form is essential for nonprofit organizations seeking an ad valorem tax exemption. However, several other forms and documents complement this application, providing necessary information and supporting evidence. Below is a list of these documents, each with a brief description.

  • Articles of Incorporation: This document outlines the organization's purpose and structure. It must be filed with the Florida Department of State to establish the nonprofit status.
  • Bylaws: Bylaws govern the internal operations of the organization. They detail how the organization will be run, including the roles of directors and officers.
  • IRS Determination Letter: This letter confirms the organization’s tax-exempt status under section 501(c)(3) of the Internal Revenue Code, verifying eligibility for the exemption.
  • Financial Statements: Recent financial statements provide insight into the organization’s financial health and operational activities, crucial for evaluating tax exemption eligibility.
  • Rental and Lease Contracts: If any part of the property is rented or leased, these contracts must be submitted to clarify how the property is utilized and ensure compliance with exemption criteria.
  • Licenses from Regulatory Agencies: For hospitals and nursing homes, valid licenses from the Agency for Health Care Administration are required to demonstrate compliance with state regulations.

Gathering these documents is vital for a successful application process. Each piece of information contributes to demonstrating that the organization meets the requirements for an ad valorem tax exemption in Florida.

Similar forms

  • Form 501(c)(3) Application: This document is similar to the DR-504 form as it is used by nonprofit organizations to apply for federal tax-exempt status. Both forms require detailed information about the organization’s purpose and operations.
  • Form DR-501: This is the Florida application for ad valorem tax exemption for certain types of properties. Like the DR-504, it requires information about the organization and its use of the property.
  • Form DR-420: This form is used for requesting a property tax exemption for government entities. It shares similarities with the DR-504 in that both require documentation of the property’s use and the organization’s status.
  • Form 990: Nonprofits file this annual information return with the IRS. Similar to the DR-504, it provides insight into the organization’s financial activities and operations, which is crucial for tax exemption eligibility.
  • Form DR-486: This is an application for exemption for educational institutions. Like the DR-504, it focuses on the property’s use and the organization’s compliance with state statutes.
  • Form DR-504A: This form is a continuation of the DR-504 for additional information. It serves the same purpose of applying for ad valorem tax exemption and requires similar documentation.
  • Form 1023: This is the application for recognition of exemption under section 501(c)(3) of the Internal Revenue Code. It parallels the DR-504 in its focus on the organization’s charitable purpose and operational details.
  • Form DR-1: This is the application for a business tax receipt. It is similar to the DR-504 in that it requires basic information about the organization and its activities, although it focuses more on business operations.
  • Form DR-503: This form is for requesting exemptions for certain types of property, such as those used for housing. It shares the same goal of determining tax-exempt status based on property use.

Dos and Don'ts

When filling out the DR 504 Florida form, it is essential to follow specific guidelines to ensure a smooth application process. Here are ten things to do and avoid:

  • Do complete all sections of the application accurately.
  • Do attach all required documents, such as financial statements and tax returns.
  • Do file the application before the March 1 deadline.
  • Do ensure that the organization qualifies as a Florida not-for-profit corporation.
  • Do provide detailed explanations for any non-exempt property use.
  • Don't leave any sections blank; incomplete applications may be rejected.
  • Don't submit documents without including your name and address on each attachment.
  • Don't ignore the requirement for a copy of the determination letter from the IRS if applicable.
  • Don't forget to sign and date the application before submission.
  • Don't assume that additional information will not be requested; be prepared to provide further documentation if needed.

Misconceptions

Understanding the DR 504 Florida form is crucial for nonprofit organizations seeking tax exemptions. However, several misconceptions can lead to confusion. Here are ten common misunderstandings about this form:

  1. Only religious organizations can use the form. Many people believe that the DR 504 is exclusive to religious groups. In fact, it applies to a variety of nonprofit organizations, including charitable, scientific, and literary entities.
  2. The form must be submitted at any time during the year. Some think they can file the form whenever they want. However, it must be submitted by March 1 of the current tax year to be considered.
  3. All properties owned by a nonprofit are automatically exempt. There is a misconception that simply owning property as a nonprofit guarantees tax exemption. The property must be used predominantly for exempt purposes to qualify.
  4. Attachments are optional. Many assume that they can skip the required attachments. In reality, the form mandates specific documents, such as financial statements and tax returns, to support the application.
  5. Only Florida not-for-profit corporations can apply. While Florida not-for-profits are eligible, organizations with other legal structures can also apply, provided they meet the criteria outlined in the form.
  6. Property used for any purpose can qualify for exemption. Some believe any use of the property will suffice. The law specifies that the property must be used predominantly for exempt purposes.
  7. Filing the application guarantees an exemption. A common myth is that submitting the DR 504 ensures tax exemption. The property appraiser will review the application and determine eligibility based on the provided information.
  8. Only the property owner needs to sign the application. It is often thought that only the property owner’s signature is necessary. However, all applicants must certify the information provided on the form.
  9. Once exempt, the organization never needs to reapply. Some organizations believe that they can maintain their exemption indefinitely without reapplying. In reality, they may need to submit updated information or reapply depending on changes in status or property use.
  10. Help is not available for completing the form. Many think they must navigate the application process alone. However, assistance is readily available through local property appraisers and their resources.

By addressing these misconceptions, nonprofit organizations can better navigate the DR 504 application process and increase their chances of securing the tax exemptions they seek.

Key takeaways

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

  • The DR-504 form is used by nonprofit organizations to apply for an ad valorem tax exemption for property used primarily for exempt purposes, such as charitable or religious activities.
  • All applications must be submitted to the county property appraiser by March 1 of the current tax year. Late submissions may not be considered.
  • Attachments are crucial. Include required documents such as the organization's financial statements, tax returns, and any relevant contracts or agreements.
  • Clearly describe how the property is used. If any part of the property is rented or used for non-exempt purposes, provide detailed explanations and supporting documentation.
  • Ensure all information is accurate and complete. Inaccuracies may lead to delays or denial of the exemption request.