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In the state of Florida, nonprofit organizations have the opportunity to apply for an ad valorem tax exemption on properties used for specific exempt purposes, thanks to the DR-504 form. Designed meticulously to cater to charitable, religious, scientific, literary organizations, hospitals, nursing homes, and homes for special services, the form embodies a crucial conduit through which these entities can seek relief from property taxes. At its core, the DR-504 form serves as an application as well as a return, requiring organizations to present detailed information about their nonprofit status, the nature and usage of their property, and their financial activities and affiliations. The form, which underwent its latest revision in November 2021, stipulates comprehensive directives for submission, mandating the inclusion of financial statements, federal tax returns, and specific records that elucidate the organization’s financial health and the operational and exempt use of the property. Furthermore, the DR-504 mandates that all claims for exemption must be substantiated with necessary documentation and filed with the county property appraiser by March 1 of the current tax year, underlining the importance of timely and accurate submission in compliance with Florida statutes. This layered process not only confirms the nonprofit organization's eligibility for the exemption but also ensures the proper use of the property in alignment with the organization's mission, thereby contributing to the broader public good.

Document Preview Example

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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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 Overview

Fact Description
Form Name DR-504 Florida Form
Revision Date November 2021
Governing Rule Rule 12D-16.002, Florida Administrative Code (FAC)
Applicable Statutes Sections 196.195, 196.196, and 196.197, Florida Statutes
Purpose Application for ad valorem tax exemption for property used predominantly for charitable, religious, scientific, literary, hospital, nursing home, and homes for special services purposes by non-profit organizations
Application Deadline On or before March 1 of the current tax year
Eligibility Requirement Florida not-for-profit corporations, including those recognized as charitable under section 501(c)(3) of the Internal Revenue Code
Required Attachments Filing confirmation letter from the Florida Department of State, Articles of Incorporation, Bylaws, IRS determination letter for 501(c)(3) organizations, financial statements, federal tax return, and documentation of exempt use of property
Licensing Requirement Valid license issued by the Agency for Health Care Administration for hospitals, nursing homes, homes for special services, and related health care facilities
Submission Filed with the county property appraiser

Instructions on How to Fill Out Dr 504 Florida

When applying for an ad valorem tax exemption in Florida, organizations that operate for charitable, religious, scientific, literary purposes, as well as hospitals, nursing homes, and homes for special services, must complete the DR-504 form. This process entails providing detailed information about your organization and its use of the property in question to determine eligibility for the tax exemption. Careful attention to detail and adherence to deadlines will facilitate a smoother application process.

  1. Start by gathering all necessary documents and information about your organization, including your Articles of Incorporation, Bylaws, IRS determination letter if applicable, financial statements, and federal tax returns.
  2. Ensure all sections of the form are completed, beginning with the general information section which requires the applicant's name, facility name, mailing and physical addresses, business phone number, the county where the property is located, and the parcel identification number or legal description.
  3. Check the box corresponding to your organization's type (Charitable, Religious, Hospital, Nursing Home, Scientific, Literary, Homes for Special Services).
  4. Answer whether the applicant was a Florida not-for-profit corporation on January 1 of the current tax year. Attach required documents based on your response.
  5. Describe how the property is used. Attach additional pages if needed to provide a comprehensive explanation.
  6. Indicate whether any portion of the property is rented or leased and attach copies of all rental and lease contracts in effect during the last calendar year.
  7. If any portion of the property is used for non-exempt purposes, provide a detailed explanation on an additional page.
  8. For hospitals, nursing homes, and homes for special services, indicate whether the applicant was qualified as charitable under section 501(c)(3) of the Internal Revenue Code by the IRS and attach the necessary documents.
  9. Answer questions regarding the validity of licenses issued by the Agency for Health Care Administration and attach copies of these licenses.
  10. Attach all required documents listed under the Attachments section, ensuring your name, address, and indication that the information is in response to this application are included on each attachment.
  11. Complete the signature section with the signature of an authorized representative of the organization, their title, and date.

Once the DR-504 form is filled out in its entirety and all necessary documents are attached, submit the package to the county property appraiser's office by the deadline, March 1 of the current tax year. If further information or documentation is requested by the property appraiser to verify your organization's eligibility for the tax exemption, timely and accurate responses will support your application. For assistance, the best point of contact is the property appraiser's office in the county where your property is located.

Listed Questions and Answers

What is the purpose of the DR-504 Florida form?

The DR-504 form is designed for nonprofit organizations in Florida seeking an ad valorem tax exemption for property that is predominantly used for exempt purposes as outlined in sections 196.195, 196.196, and 196.197, Florida Statutes. These statutes cover charitable, religious, scientific, literary, hospital, nursing home, and homes for special services organizations. Submitting this form, with all the required documentation attached, allows these organizations to apply for tax exemption status for their property if it is used in accordance with the stated purposes.

When is the deadline to file the DR-504 form?

The completed DR-504 form, along with all required attachments, must be submitted to the county property appraiser by March 1st of the current tax year. Filing by this deadline is crucial for nonprofit organizations aiming for the tax exemption for that tax year. Late submissions may disqualify the application for the exemption for the year it was intended, emphasizing the importance of meeting the stated deadline.

What documentation is required to be submitted with the DR-504 form?

When submitting the DR-504 form, organizations must attach a variety of documentation to validate their claim for a tax exemption. This includes a confirmation letter from the Florida Department of State if the applicant is a Florida not-for-profit corporation, copies of the Articles of Incorporation and Bylaws, as amended, and proof of qualification as charitable under section 501(c)(3) of the Internal Revenue Code if applicable. Additionally, copies of all rental and lease contracts, if part of the property is rented or leased, and detailed explanations of any non-exempt use of the property must be provided. Hospitals, nursing homes, and homes for special services are required to attach a copy of their valid license issued by the Agency for Health Care Administration and other specific documents listed in the form.

Where can an organization get help or additional information about filling the DR-504 form?

For assistance or more detailed information about the DR-504 form and the ad valorem tax exemption application process, the best resource is the property appraiser's office in the county where the property is located. Detailed guidance, personalized support, and answers to specific questions can be provided by the local property appraiser's office. Florida's Department of Revenue website also lists contact information for county property appraisers across the state, offering an additional avenue for support and information.

Common mistakes

Filling out the DR-504 Florida Form, which is essential for charitable, religious, scientific, literary organizations, hospitals, nursing homes, and homes for special services to claim an ad valorem tax exemption, often involves navigating a series of complex requirements. Mistakes in this process can lead to delays or denial of the tax exemption. Here are six common mistakes:

  1. Failure to provide all required attachments: This form necessitates various documents, including the confirmation letter from the Florida Department of State for not-for-profit corporations, Articles of Incorporation, Bylaws, IRS determination letters, and current licenses. Neglecting to attach any of these documents can result in processing delays or outright rejection.
  2. Incorrect or incomplete property usage information: The form requires detailed information regarding how the property is used, especially in relation to its exempt purposes. Vague or incomplete descriptions can raise questions about eligibility.
  3. Omission of rental or lease contract details: If any portion of the property is leased or rented out, all relevant contracts must be included. Forgetting to attach these documents, or not providing complete details, could lead to questions about the property's primarily exempt use.
  4. Not thoroughly explaining non-exempt use: If a portion of the property is used for non-exempt purposes, a detailed explanation is required. A lack of detail can lead to misunderstandings regarding the extent of exempt vs. non-exempt use.
  5. Inadequate financial information: Comprehensive financial statements and records are necessary to demonstrate the organization's fiscal health and the financial use of the property, particularly how funds are allocated towards the exempt purpose. Incomplete financial disclosures may result in eligibility issues.
  6. Failure to sign the application: An unsigned application is not valid. An overlooked signature can delay the entire process as the application cannot be processed until it is submitted correctly and completely.

To ensure a smooth application process for the DR-504 Florida Form, applicants should meticulously review their submission for these and any other potential errors. Attention to detail and completeness are critical for securing and maintaining the ad valorem tax exemption crucial for many non-profit organizations' operations.

Documents used along the form

When applying for an ad valorem tax exemption in Florida using the DR-504 form, several additional forms and documents are often submitted to support the application. The DR-504 form is crucial for charitable, religious, scientific, literary organizations, hospitals, nursing homes, and homes for special services seeking property tax exemptions. To complement this application, here is a list of other commonly used documents, each serving its unique purpose in ensuring the property appraiser has a comprehensive understanding of the applicant's eligibility for the exemption.

  1. IRS Determination Letter: This letter from the Internal Revenue Service confirms the organization's tax-exempt status under section 501(c)(3). It is vital for establishing the nonprofit's eligibility for ad valorem tax exemption.
  2. Florida Department of State Filing Confirmation: This document verifies the organization's registration as a Florida not-for-profit corporation, providing legal background on its nonprofit status.
  3. Articles of Incorporation: These are the organization's founding documents, outlining its purpose, structure, and operational protocols, amended as necessary to stay current.
  4. Bylaws: The bylaws serve as an internal manual guiding the organization's operations and governance, detailing rules for meetings, elections, and other significant activities.
  5. Copy of License Issued by the Agency for Health Care Administration: For hospitals, nursing homes, and assisted living facilities, this license demonstrates compliance with state health and safety standards.
  6. Financial Statement: The most recent financial statement gives a snapshot of the organization's financial health, illustrating its income, expenses, assets, and liabilities.
  7. Federal Tax Return: The latest federal tax return provides a detailed breakdown of the organization's financial activities, supporting its nonprofit operational claims.

Together, these documents create a comprehensive packet that supports the DR-504 application, helping the county property appraiser in Florida assess an organization's eligibility for the ad valorem tax exemption. It's essential for organizations to prepare these documents with care to ensure a smooth application process. Representatives from nonprofit organizations seeking exemptions are always encouraged to consult with legal advisors or the property appraiser's office directly to ensure no detail is overlooked.

Similar forms

The DR-504 Florida form is similar to the 501(c)(3) Exemption Application used by the IRS for organizations seeking federal tax exemption due to charitable, religious, or educational operations. Both applications require proof of charitable status, detailed descriptions of the organization's purpose, activities, and management structures. The IRS form mandates organizations to provide information demonstrating compliance with federal regulations for tax exemption, including financial records and narratives of their charitable activities. Similarly, the DR-504 necessitates attachments that showcase the nonprofit's financial condition, usage of property for exempt purposes, and compliance with Florida statutes for property tax exemption.

Another document akin to the DR-504 Florida form is the State Charitable Solicitation Permit application that many states require from nonprofits before they can legally solicit donations within state borders. Both the DR-504 and this permit application often demand thorough descriptions of the organization's activities, financial statements, and proof of nonprofit status, such as a 501(c)(3) determination letter from the IRS. The crucial difference is the focus of the solicitation permit on regulating fundraising activities, whereas the DR-504 concentrates on property use and ensuring it aligns with state guidelines for tax exemption.

Dos and Don'ts

Filling out the DR-504 Florida form, the Ad Valorem Tax Exemption Application and Return, is a critical step for charitable, religious, scientific, literary organizations, hospitals, nursing homes, and homes for special services seeking property tax exemptions. Here are the dos and don’ts to keep in mind during the process:

  • Do ensure you’re filing the form for an organization that operates for one of the designated exempt purposes (charitable, religious, scientific, etc.).
  • Do gather all necessary attachments before beginning the application, including your filing confirmation letter from the Florida Department of State if applicable, the most recent financial statement, and federal tax return.
  • Do read through the entire form before starting to fill it out, to get a sense of what information you will need to provide.
  • Do answer every question accurately and provide detailed explanations where required, especially about how the property is used and about any portions of the property that are rented or leased.
  • Do attach additional pages if the space provided is insufficient for any of your answers, ensuring each attachment is clearly labeled and includes your organization’s name and address.
  • Do verify your organization’s eligibility for tax exemption under section 501(c)(3) of the Internal Revenue Code, if applicable, and include a copy of the determination letter issued by the IRS.
  • Don’t miss the filing deadline; ensure the application is filed with the county property appraiser on or before March 1 of the tax year for which the exemption is sought.
  • Don’t leave sections incomplete or provide vague answers, as this could delay processing or result in denial of your application.
  • Don’t forget to sign and date the form. An unsigned application may be considered invalid.
  • Don’t hesitate to seek guidance if needed. The county property appraiser’s office can offer assistance, and additional resources are available online at FloridaRevenue.com/Property/Pages/LocalOfficials.aspx.

By diligently following these guidelines, organizations can navigate the application process more smoothly, helping to secure the tax exemptions that support their vital services and contributions to the community.

Misconceptions

When dealing with the Dr 504 Florida form, several misconceptions can lead to confusion among nonprofit organizations seeking ad valorem tax exemption. Understanding these misconceptions is crucial for accurately completing and submitting the application.

  • Misconception 1: Any Florida nonprofit can qualify for an exemption.
    Not all nonprofits are automatically eligible for this tax exemption. Organizations must specifically serve charitable, religious, scientific, literary purposes, or operate as hospitals, nursing homes, or homes for special services, as defined by Florida statutes.
  • Misconception 2: Submission after March 1 is acceptable if reasons are valid.
    The form must be filed with the county property appraiser on or before March 1 of the current tax year. Late submissions risk the denial of the exemption for that tax year, as this deadline is strictly enforced.
  • Misconception 3: Approval by the IRS automatically grants state exemption.
    Even if an organization is recognized by the IRS as a 501(c)(3) entity, it must still apply separately for state tax exemptions in Florida and provide specific documents, including the IRS determination letter, to qualify.
  • Misconception 4: The application only requires basic organization information.
    In addition to general information, applicants must provide comprehensive details about the property's use, financial statements, federal tax returns, and any rental or lease agreements to demonstrate the nonprofit use of the property.
  • Misconception 5: Only one copy of the form is needed.
    It's advisable to keep multiple copies of the submitted form and all attachments for the organization's records and potential future needs, such as audits or appeals.
  • Misconception 6: The form covers exemption for all taxes.
    The Dr 504 form applies specifically to ad valorem (property) tax exemptions. Nonprofits may still be responsible for other types of taxes and should consult with a tax professional regarding their obligations.
  • Misconception 7: Once granted, the exemption is permanent.
    An organization must reapply for the exemption if there are significant changes to the property's use, ownership, or the organization's exempt status. Regular audits by the county appraiser can also affect the status of the exemption.

Understanding and addressing these misconceptions can significantly enhance an organization's likelihood of successfully obtaining a property tax exemption in Florida. Proper preparation, attention to detail, and adherence to deadlines are key factors in navigating the process effectively.

Key takeaways

Filling out the DR-504 form is a necessary step for nonprofit organizations in Florida seeking an ad valorem tax exemption for properties used for charitable, religious, scientific, literary purposes, or as hospitals, nursing homes, and homes for special services. Here are ten key takeaways to ensure a smooth application process:

  • The application deadline is March 1 of the current tax year. Missing this deadline may affect your eligibility for the tax exemption.
  • A Florida not-for-profit corporation status on January 1 of the current year is crucial. Applicants must attach confirmation letters, Articles of Incorporation, and Bylaws as applicable.
  • Organizations qualified under section 501(c)(3) of the Internal Revenue Code should provide a copy of the IRS determination letter.
  • Clear and detailed usage of the property must be described, including any portions that are rented or leased. All rental and lease contracts should be attached.
  • If any property is used for non-exempt purposes, a detailed explanation must be provided, possibly requiring additional sheets.
  • Specific requirements are in place for hospitals, nursing homes, and homes for special services, including licensure and 501(c)(3) status.
  • Attachments are mandatory, including the most recent financial statement, federal tax return if filed, and detailed records of financial condition and operation.
  • A comprehensive schedule of payments, contractual arrangements, and charges for services rendered must be included to demonstrate compliance with exempt purposes.
  • The application must include an affirmative statement that neither the property nor proceeds from it will benefit members, directors, or officers personally.
  • Finally, the signature of the applicant, certifying the truth and correctness of all information, is required to complete the application process.

For assistance, reach out to the county property appraiser in the location where the property is situated. Their expertise can be invaluable in navigating the application requirements and ensuring compliance with Florida law.

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