Tax Exemption Claim for New Construction (Tax Abatement)

2. Parcel Number

4. I hereby make application for a tax exemption for the

   I hereby make application for a tax exemption for the

5. years

   (year span)

6. on the property

   on the property

8. described below. (Exclusive of the land on which it is situated or any special assessments.) I certify that the request is in compliance with state statute and certify the following in support of my request.

   described below. (Exclusive of the land on which it is situated or any special assessments.) I certify that the request is in compliance with state statute and certify the following in support of my request.

10. Owner of Property

12. Address of Property for Which Exemption is Claimed:

14. City

15. State

16. Zip Code

18. Legal Description

20. Type of Property

    1. Single Family
    2. Condominium
    3. Twin Home

    1. Townhouse
    2. Mobile Home

21. Purchase Price of Property

    Includes house, lot and special assessment balance

23. Date of Occupancy by First Owner
    Date of Occupancy by First Owner

    (if known)

25. Building Permit Number

26. Building Permit Date
    Building Permit Date

28. Person Making Application

    1. Builder
    2. First Owner After Builder

    Only the first owner of a townhouse or condominium may apply for the exemption.

30. I hereby certify that there are no delinquent taxes or special assessments on the above described property and that the above information is correct to the best of my knowledge.

    I hereby certify that there are no delinquent taxes or special assessments on the above described property and that the above information is correct to the best of my knowledge.

32. Applicant's Signature*

33. Date
    Date

35. To receive an email copy of this form, you must provide your email address below.

    To receive an email copy of this form, you must provide your email address below.

37. Approval

    1. Approved
    2. Disapproved

38. Date
    Date

40. Assessor

42. Remarks

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field