Transcription of MIAMI-DADE COUNTY PROPERTY APPRAISER PEDRO J. …
1 MIAMI-DADE COUNTY PROPERTY APPRAISER PEDRO J. GARCIA PROPERTY APPRAISER Note: The MIAMI-DADE COUNTY Office of the PROPERTY APPRAISER cannot be held responsible for blocking addresses on folios not listed herein. In addition to filing a request with the Office of the PROPERTY APPRAISER , qualifying personnel may want to also consider filing with the Clerk of Courts. PERMANENT ADDRESS BLOCKING Pursuant to section , Florida Statutes, I, _____, attest that I qualify for an exemption from the Public Records Act and am requesting that the following information be removed from public disclosure in accordance with Florida law: NAME: _____ OFFICE OF EMPLOYMENT: _____ POSITION HELD: _____ PHONE NUMBER: _____ EMAIL: _____ PROPERTY I OWN IN MIAMI-DADE COUNTY EITHER ALONE OR JOINTLY (attach additional sheet(s) if necessary): By filing for this exemption, the information protected from public disclosure will be redacted on records from this date forward.
2 I further understand that it is my responsibility to notify the PROPERTY APPRAISER s Office, if my status changes and I no longer qualify for the exemption. SIGNATURE: DATE: Please attach a photo copy of your Employee ID when submitting this form. Title is held in the following name(s): _____ PROPERTY Address:_____ City _____ Folio # _____ (Folio number may be found on tax bill) Please fill out completely and mail to: MIAMI-DADE COUNTY Office of the PROPERTY APPRAISER 111 NW 1st Street, Suite 710 miami , FL 33128-1984 Title is held in the following name(s): _____ PROPERTY Address:_____ City _____ Folio # _____ (Folio number may be found on tax bill) Rev 03/2016
