Homepage Official Dr 504 Florida Template
Overview

The DR-504 form serves as a crucial document for nonprofit organizations within Florida seeking ad valorem tax exemptions on properties utilized predominantly for charitable, religious, scientific, literary, or similar exempt purposes. This form guides organizations through the application process to qualify for exemptions as delineated under Florida Statutes sections 196.195, 196.196, and 196.197. To be considered, entities must submit a comprehensive application to the county property appraiser by March 1 of the current tax year, inclusive of various attachments such as the confirmation letter from the Florida Department of State, Articles of Incorporation, bylaws, and detailed explanations of the property's usage. Additionally, for organizations like hospitals, nursing homes, and homes for special services, further documentation, including IRS determination letters and valid licenses from the Agency for Health Care Administration, is required. The DR-504 form also emphasizes the significance of providing financial statements, federal tax returns, and detailed schedules that showcase the organization's operational and financial footprint, ensuring a transparent evaluation of the exempt and nonexempt uses of the property. By meticulously completing and submitting this form, eligible organizations can navigate the path toward securing valuable ad valorem tax exemptions, thereby reinforcing their commitment to serving the community through their exempt activities.

Example - Dr 504 Florida Form

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

File Specifications

Fact Description
Purpose This form is used by nonprofit organizations to apply for an ad valorem tax exemption for properties used predominantly for charitable, religious, scientific, literary purposes, or as hospitals, nursing homes, and homes for special services.
Governing Laws Sections 196.195, 196.196, and 196.197, Florida Statutes (F.S.)
Application Deadline The application, including all required attachments, must be filed with the county property appraiser on or before March 1 of the current tax year.
Not-for-Profit Status Applicants must indicate if they were a Florida not-for-profit corporation on January 1 of the current year, providing the applicable documentation.
Use of Property The form inquires about the property's use and if any portion is rented or leased, requiring a detailed explanation and relevant contracts.
501(c)(3) Qualification For hospitals, nursing homes, and homes for special services, it must be indicated whether the applicant was qualified as charitable under section 501(c)(3) of the Internal Revenue Code on January 1 of the current year, including a determination letter from the IRS.
Licensing Applicants must state if they hold a valid license issued by the Agency for Health Care Administration under specific Florida Statutes.
Required Attachments All applicants must attach their most recent financial statement, federal tax return (if filed), and detailed schedules and records showing the financial condition and use of the property.
Signature and Certification The form requires the signature of the applicant certifying that all information provided, including attachments, is true, correct, and current as of January 1 of the tax year.

Instructions on Filling in Dr 504 Florida

Filling out the DR-504 form is essential for nonprofit organizations in Florida seeking ad valorem tax exemption for properties used predominantly for exempt purposes. This comprehensive guide aims to streamline the application process, ensuring that organizations can submit their applications accurately and efficiently. It's important to gather all necessary documents before initiating the application process to ensure a smooth, uninterrupted flow through each step.

  1. Start by entering the general information pertaining to your organization, including the applicant name, facility name, mailing address, and if applicable, a different physical address.
  2. Provide your business phone number and select the county where the property is located.
  3. Enter the parcel identification number or the legal description of the property.
  4. Indicate whether the applicant was a Florida not-for-profit corporation on January 1 of the current tax year. If yes, attach the required documentation listed, including the filing confirmation letter and copies of the Articles of Incorporation and Bylaws. If no, provide the alternate required documents that evidence the organization’s purpose.
  5. Describe how the property is used. Attach additional pages if necessary to provide a comprehensive explanation.
  6. Answer whether any portion of the property is rented or leased. If yes, attach all relevant rental and lease contracts from the last calendar year.
  7. Indicate if any part of the property is used for non-exempt purposes. Provide a detailed explanation and attach additional documentation if needed.
  8. For hospitals, nursing homes, and homes for special services, specify if the applicant was recognized as charitable under section 501(c)(3) on January 1 of the current year, attaching the determination letter from the IRS and additional required documentation.
  9. Detail the licensing status of the organization with the Agency for Health Care Administration, including the type of facility and attach a copy of the license if applicable.
  10. Under attachments, ensure all requested documents are attached, including the organization’s most recent financial statement, federal tax return (if filed), and detailed records for the preceding fiscal year that demonstrate the financial condition and operational record of the property.
  11. Finally, complete the signature section at the end of the form. The authorized representative must sign, title, and date the application, attesting to the accuracy of the information provided.

Upon completion, the application and all related attachments must be filed with the county property appraiser's office before March 1 of the current tax year. It is advisable for applicants to contact their local county property appraiser early in the process to clarify any questions and confirm any additional requirements specific to their county. This proactive approach can help facilitate a smoother application process and increase the likelihood of the exemption being granted.

Understanding Dr 504 Florida

What is the DR-504 Florida form?

The DR-504 Florida form is an application used by nonprofit organizations to apply for an ad valorem tax exemption on properties used predominantly for charitable, religious, scientific, literary purposes, or as hospitals, nursing homes, and homes for special services. It is essential for entities seeking exemption from property tax as provided under sections 196.195, 196.196, and 196.197 of the Florida Statutes.

Who needs to file the DR-504 Florida form?

Nonprofit organizations operating in the state of Florida that use property predominantly for purposes deemed exempt under Florida law need to file the DR-504 form. These organizations include charitable groups, religious institutions, scientific organizations, literary organizations, hospitals, nursing homes, and homes for special services.

What is the deadline for filing the DR-504 form?

The DR-504 form, along with all necessary attachments, must be submitted to the county property appraiser by March 1 of the current tax year. Filing after this deadline could result in the denial of the tax exemption for that year.

What documents are required to be attached with the DR-504 form?

Organizations must attach several documents with their DR-504 form submission, including the Florida Department of State filing confirmation letter for not-for-profit corporations, a copy of the organization’s Articles of Incorporation and Bylaws as amended, the IRS determination letter if the organization is qualified under section 501(c)(3), any relevant license issued by the Agency for Health Care Administration, the organization’s most recent financial statement, the most recent federal tax return, and various schedules detailing financial operations and use of the property.

How do I know if my organization is eligible for the ad valorem tax exemption?

Eligibility for the ad valorem tax exemption depends on the organization's not-for-profit status, its purpose, and the use of the property in question. To qualify, the organization must operate predominantly for charitable, religious, scientific, literary purposes, or as a hospital, nursing home, or home for special services. Additionally, the property must be used in a manner that aligns with these exempt purposes as detailed in sections 196.195, 196.196, and 196.197, F.S.

Can a portion of the property be used for non-exempt purposes?

Yes, a portion of the property can be used for non-exempt purposes. However, organizations must provide a detailed explanation of how parts of the property are utilized for these purposes when filing the DR-504 form. Renting or leasing out part of the property does not automatically disqualify you from receiving the exemption but does require thorough documentation and explanation.

What happens if I file the DR-504 form late?

Filing the DR-504 form after the March 1 deadline can lead to the denial of the tax exemption for that year. It is critical to prepare and submit all required documents well in advance of the deadline to ensure your organization maintains its exemption status.

Where can I find help for filing the DR-504 form?

For assistance with filling out and submitting the DR-504 form, the best resource is the property appraiser’s office in the county where the property is located. Each county’s property appraiser can provide guidance specific to your situation and help ensure all necessary documentation is correctly submitted. You can find a list of county property appraisers’ websites at FloridaRevenue.com/Property/Pages/LocalOfficials.aspx.

Common mistakes

When filling out the DR-504 Florida form, an application for an ad valorem tax exemption for organizations like charitable, religious, scientific, literary organizations, as well as hospitals, nursing homes, and homes for special services, there are several common mistakes that can lead to delays, confusion, or even the denial of the exemption. Here are six of the most typical errors:

  1. Missing Deadlines: The application must be submitted to the county property appraiser by March 1 of the current tax year. Overlooking this deadline can mean missing out on the exemption for that year.
  2. Incomplete Sections: Every section of the form needs to be completed. Leaving a section blank or partially filled can raise questions about the organization's eligibility and delay the processing of the application.
  3. Failure to Attach Required Documentation: The application requires multiple attachments, including the filing confirmation letter from the Florida Department of State (for not-for-profit corporations), Articles of Incorporation, Bylaws, IRS determination letter if applicable, and financial statements. Missing any of these can stall the review process.
  4. Not Addressing Non-exempt Use of Property: If any portion of the property is used for non-exempt purposes, a detailed explanation must be provided. Failure to disclose and explain such use can result in denial of the exemption.
  5. Inaccurate or Incomplete Financial Information: The financial documentation must clearly show how the property is used in support of the organization’s exempt purpose. This includes providing a detailed schedule of payments, financial statements, and a thorough explanation of nonexempt financial activities. Inaccurate or vague information can lead to skepticism and further inquiry.
  6. Forgetting to Sign the Application: As simple as it sounds, forgetting to sign the application can delay processing. The signature certifies that all provided information is true, correct, and in effect as of January 1 of the tax year.

To ensure a smooth application process, it is crucial for organizations to thoroughly review all requirements listed on the DR-504 form, provide clear and detailed answers, and attach all requested documentation. Paying close attention to these details can help avoid the common pitfalls and expedite the exemption process.

Documents used along the form

The completion of the DR-504 form is a critical step for nonprofit organizations in Florida seeking ad valorem tax exemption. This document facilitates the exemption process for properties used predominantly for charitable, religious, hospital, nursing home, scientific, literary, or homes for special services purposes. To ensure a smooth application process and to bolster the case for exemption, several other documents and forms are often required alongside the DR-504 form. Understanding these additional requirements is vital for organizations aiming to comply with Florida statutes fully and leverage their tax-exempt status effectively.

  • IRS Determination Letter: This letter is crucial as it confirms the nonprofit organization's tax-exempt status under section 501(c)(3) of the Internal Revenue Code. It provides evidence that the organization is recognized federally as a charitable entity, which is a prerequisite for many state-level exemptions, including the ad valorem tax exemption in Florida.
  • Articles of Incorporation and Bylaws: These foundational documents outline the purpose, structure, and governance of the organization. They must be attached to the DR-504 form to demonstrate that the nonprofit's operations and objectives align with the criteria set forth for tax exemption eligibility under Florida law.
  • License issued by the Agency for Health Care Administration: For hospitals, nursing homes, homes for special services, and related healthcare facilities, a valid license from the Agency for Health Care Administration (AHCA) confirms the facility meets the specific state standards for operation. This documentation is indispensable for organizations in the healthcare sector applying for tax exemption.
  • Most Recent Financial Statement: This document provides a snapshot of the organization's financial health and activities. It is essential for the property appraiser to assess the nonprofit's operational integrity and the use of its assets in support of its exempt purposes.
  • Most Recent Federal Tax Return: If filed, the organization's latest tax return offers further insight into its finances, including sources of income, expenses, and adherence to federal tax regulations. This transparency supports the application by evidencing the nonprofit's ongoing compliance with tax-exempt status requirements.
  • Rental and Lease Contracts: For properties that are partially rented or leased, copies of these agreements must be attached to the DR-504 form. This information helps evaluate whether the use of the property aligns with exempt purposes, which is a condition for maintaining the ad valorem tax exemption.

Together with the DR-504 form, these documents form a comprehensive packet that enables property appraisers to evaluate an organization's eligibility for tax exemption meticulously. By providing detailed and accurate information across these various forms and records, nonprofits can facilitate a smoother review process, minimize delays, and ensure they meet all legal requirements for obtaining and retaining their ad valorem tax exemption in Florida.

Similar forms

  • The 501(c)(3) Determination Letter from the Internal Revenue Service (IRS) is similar to the DR-504 form because it's another document used by nonprofit organizations. It certifies their status as tax-exempt under section 501(c)(3) of the Internal Revenue Code, which is required for the DR-504 eligibility.

  • Articles of Incorporation are documents filed with the state by an organization to legally establish its corporation. These are similar to the DR-504 because both documents are necessary for a nonprofit to achieve and maintain tax-exempt status.

  • Bylaws of a Nonprofit Organization detail the internal governance structure and operational guidelines of a nonprofit. These are akin to the DR-504 form in that they help demonstrate the nonprofit’s adherence to regulations required for tax exemption.

  • Annual Financial Statements summarize an organization's financial activity over the year. Similar to the DR-504 form, these documents are required to ensure compliance with financial reporting and tax exemption regulations.

  • The Real Estate Tax Exemption Application in other states is functionally similar to the DR-504, as it's used by organizations to apply for property tax exemptions on real estate used for exempt purposes.

  • State Nonprofit Registration Forms are required by some states for nonprofits to operate legally. These forms share purposes with the DR-504, in that they are critical for maintaining legal and tax-exempt status within a state.

  • Lease or Rental Agreements that nonprofits must submit with the DR-504 if they rent out part of their property, highlighting how organizations use their property and ensuring it aligns with exempt purposes.

  • The Property Use Statement is a documentation that nonprofits might be required to submit in other jurisdictions to demonstrate how each piece of property is used, closely paralleling the DR-504's use of detailing property use for tax exemption purposes.

  • Conflict of Interest Policy Statements and accompanying disclosures ensure that decisions within the nonprofit are made in the organization's best interest, akin to the schedules and explanations of financial interest requested in the DR-504.

  • Application for License to Operate as filed with regulatory agencies (such as the Agency for Health Care Administration for hospitals or nursing homes in Florida) shares similarities with the DR-504, in that both establish the eligibility and compliance of the facility for certain operations and benefits.

Dos and Don'ts

When completing the DR-504 Florida form for obtaining ad valorem tax exemptions for charitable, religious, scientific, literacy organizations, hospitals, nursing homes, and homes for special services, certain practices are encouraged to ensure a smooth application process, as well as practices to avoid. Below are key dos and don'ts to consider.

What You Should Do:

  • Ensure accuracy and completeness: Fill out each section of the form meticulously, ensuring that all information provided is accurate and complete. Missing or incorrect details can lead to unnecessary delays or rejection of the application.
  • Attach required documents: Attach all mandatory documents, such as the filing confirmation letter from the Florida Department of State, Articles of Incorporation, and IRS determination letter, if applicable. This documentation substantiates your organization's eligibility for the exemption.
  • Detail the use of property: Provide a thorough explanation of how the property is used, focusing on showcasing its predominant use for exempt purposes as outlined in the form's instructions.
  • Sign and date: Ensure that the authorized person signs and dates the form. An unsigned application is incomplete and will not be processed.

What You Shouldn't Do:

  • Miss the deadline: Avoid submitting the application after the March 1 deadline. Late submissions may not be considered for the tax year in which you are applying.
  • Overlook rental or lease agreements: If any portion of the property is rented or leased, do not fail to attach copies of all rental and lease agreements. Neglecting to provide these can impact the assessment of your property’s use and eligibility.
  • Ignore non-exempt uses: Failing to disclose non-exempt uses of the property can be detrimental. If a portion of the property is used for non-exempt purposes, provide a detailed explanation, as required.
  • Submit incomplete documentation: Do not submit the form without all required attachments. Incomplete applications can delay processing times and affect your organization's exemption status.

Following these guidelines will help ensure that your organization's DR-504 application is processed efficiently, bolstering your chances of securing an ad valorem tax exemption for the property in question.

Misconceptions

Understanding the DR-504 form in Florida, which applies to the ad valorem tax exemption for charitable, religious, scientific, literary organizations, hospitals, nursing homes, and homes for special services, means navigating through a range of misconceptions. Correcting these misunderstandings is key to ensuring that eligible organizations can take full advantage of the tax exemptions available to them.

  • Misconception #1: Any nonprofit can qualify. Not all nonprofits are eligible for the DR-504 exemption. The organizations must specifically serve charitable, religious, scientific, literary purposes, or operate as hospitals, nursing homes, or homes for special services and meet the criteria established by Florida law.
  • Misconception #2: Submitting the form guarantees exemption. Filing the DR-504 form does not automatically result in tax exemption. The county property appraiser must review and determine if the organization's use of the property meets the statutory requirements for exemption.
  • Misconception #3: There's no deadline to apply. Organizations must submit their application, including all required attachments, by March 1 of the current tax year to be considered for exemption. Late submissions can disqualify an organization for that tax year.
  • Misconception #4: Only the application form is needed. Simply submitting the DR-504 form is not enough. Organizations must attach required documents, such as confirmation letters, Articles of Incorporation, bylaws, financial statements, and specific licenses for certain facility types.
  • Misconception #5: All nonprofit activities are covered. If any portion of the property is used for non-exempt purposes, this could affect the exemption. Organizations must clearly differentiate and document exempt and nonexempt uses of their property.
  • Misconception #6: Rental income disqualifies the organization. Renting or leasing parts of the property does not automatically disqualify an organization from exemption. However, the income from such activities should support the organization's exempt purposes.
  • Misconception #7: The exemption applies to all property types. The DR-504 exemption is specifically for ad valorem taxes and may not apply to all types or uses of property. Each property's eligibility is determined based on its specific use by the organization in question.

Understanding these misconceptions is crucial for organizations to successfully navigate the complexities of Florida's ad valorem tax exemption process. Thorough preparation, attention to detail, and strict adherence to deadlines are key steps in the application process to ensure that eligible organizations receive the tax exemptions they are entitled to.

Key takeaways

Filling out the DR-504 form is essential for nonprofit organizations in Florida seeking ad valorem tax exemptions for their property. Here are nine key takeaways to guide you through the process:

  • Nonprofit organizations aiming for property tax exemptions must use the DR-504 form for property predominantly used for charitable, religious, scientific, literary purposes, or as hospitals, nursing homes, and homes for special services.
  • The completed application, along with all necessary attachments, must be submitted to the county property appraiser by March 1 of the tax year in which the exemption is sought.
  • Organizations need to prove their not-for-profit status by including documents such as the filing confirmation letter from the Florida Department of State, Articles of Incorporation, Bylaws, and, if applicable, the determination letter from the Internal Revenue Service for 501(c)(3) qualification.
  • Provide detailed information on how the property is utilized, highlighting its use for exempt purposes as outlined in sections 196.195, 196.196, and 196.197, Florida Statutes.
  • If any portion of the property is rented or leased, attach copies of all relevant rental and lease contracts from the last calendar year to your application.
  • Disclose if any portion of the property is used for non-exempt purposes and provide a detailed explanation regarding such use.
  • Include necessary attachments with every application, such as the organization’s most recent financial statement, federal tax return (if filed), and detailed fiscal records showcasing the financial condition, operations, and use of the property.
  • Ensure all parts of the application are filled out comprehensively and sign the certification at the end of the form to attest to the accuracy and truthfulness of the information provided.
  • Reach out to the local county property appraiser's office for assistance or clarification regarding the application process. The Florida Department of Revenue's website can guide you to local officials.

Remember, securing an ad valorem tax exemption can significantly aid your nonprofit organization by reducing operational costs. Thoroughly completing the DR-504 form and providing all required documentation is critical for a successful application.

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