3. Name - Write in the owner(s) name(s) and property address.

4. Exemptions - Please check the appropriate box to indicate the type of exemption
for which you are making an application.

5. Legal Description - Write in legal description of the property (obtained from a
copy of your deed, tax bill, or copied from our website) [ Search Database ]

6. Social Security Number - Write in your Social Security Number
   Co-Applicant/Spouse Social Security Number - Write in Social Security Number. Required.

7. Marital Status - Marital Status (Married, Single, Widow/Widower, Divorced, Separated)
and your relationship to the person in the first column (Self, Spouse, Co-Owner, Sibling, Child,
Parent)

8. Did you have Homestead last year? - Check one. If you had Homestead Exemption in
Florida last year, review the Portability information from Amendment One. You may be
eligible to transfer some or all of your Save Our Homes benefit.

9. Ownership Information Area - Please complete only the (Official) book and page number
from the Clerk of the Court Official Records recording stamp located either across the top of
or in the upper right hand corner of your recorded deed.  If the original recorded deed has not
yet been returned to you, you may print a copy from the web site of the Clerk of the Circuit Court.

10. Proof of residence for all owners occupying the property.* - Each owner making
application for Homestead Exemption must complete this section. Write in each owner(s)
name at the top of the column and complete the area below. 

• Date of Occupancy – date you moved in this property.  
  
• Address of owners not residing on Property – write in the address of each property owner that is NOT filing for the exemption. Owners not residing on the property must only submit their address and social security number.
   * SEE PROOF OF RESIDENCY REQUIREMENTS.

11. All owners making application must sign the form.
Verify all required documentation is attached for each owner filing and mail, email, fax
or bring to our office.

12. Date - - Enter date of application

13. Phone Number - Write in your daytime telephone number, including area code.

If you still have questions regarding the Homestead Application, please call the Exemption
Department at 904-630-2020 or email your question to pacustserv@coj.net .