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STATE OF FLORIDA
LEE COUNTY PROPERTY APPRAISER
KENNETH M. WILKINSON, C.F.A.
Mailing Address:
P.O. Box 1546
Fort Myers, Florida 33902-1546
Telephone: (239) 533-6100
Outside 239 Area Code: 1-866-673-2868
Physical
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How to fill out leepa form

How to fill out leepa:
01
Start by gathering all the necessary information and documents required for filling out the leepa form.
02
Make sure to read and understand the instructions provided with the leepa form.
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Begin by filling out the personal information section, including your name, address, contact information, and other relevant details.
04
Proceed to the employment information section, where you need to provide details such as your current employer, job title, and duration of employment.
05
If applicable, fill out the financial information section, which may include details about your income, assets, and liabilities.
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Next, provide information about your dependents, if any, including their names, ages, and relationship to you.
07
If required, fill out the medical information section, providing details about any medical conditions or disabilities.
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Review the completed leepa form for accuracy and make any necessary corrections.
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Sign and date the form to certify that the information provided is true and accurate.
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Keep a copy of the filled-out leepa form for your records and submit the original form to the appropriate recipient or authority.
Who needs leepa:
01
Employees who are taking leave under the Leepa (Leave of Absence for Parents Act) in order to care for their newborn or newly adopted child.
02
Employers who are required to comply with the regulations outlined in the Leepa to support their employees in taking family leave.
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Human resources departments and payroll administrators who need to process and document employees' leepa requests and ensure compliance with the law.
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What is leepa?
LEPPA stands for Local Earned Income Tax Residency Certification Form.
Who is required to file leepa?
All individuals who have earned income and live and/or work in a municipality that levies a local earned income tax are required to file LEPPA.
How to fill out leepa?
LEPPA can be filled out online on the official website of each municipality or can be submitted in person or by mail to the local tax office.
What is the purpose of leepa?
The purpose of LEPPA is to certify an individual's residency status for local earned income tax purposes.
What information must be reported on leepa?
Information such as name, address, Social Security number, employer information, and residency status must be reported on LEPPA.
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