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