Application for Owner-Occupancy Tax Reduction

2. Are You Filing this Application on Behalf of Another Individual*

   1. Yes
   2. No
4. Name of Submitter*
6. Year of Application*
   Year occupancy of house began by owner.
8. County*
10. Parcel Number
    (If Known)
12. Tax District
    (If Known)
14. Name of owner(s) of home*
16. Address of Home*
18. Phone Number of Applicant(s)*
20. Date home acquired
22. Type of Home*
    -- Select One --Single family dwellingUnit within a multi-unit dwellingCondominium
24. Is the land surrounding the home more than one acre?*
    -- Select One --YesNo
26. Do you occupy all of the home as your principal place of residence?*
    -- Select One --YesNo (if no give details below)
28. Give details if no above
30. If the applicant or the applicant's spouse owns a second or vacation home, please provide the address and county below.
32. I declare under penalty of perjury that I have examined this application and, to the best of my knowledge and belief, it is true, correct and complete*

    1. Agree
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field