Active Military Service Property Tax Deferment Application

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Form AMSPTD (2/2017)
ACTIVE MILITARY SERVICE PROPERTY TAX DEFERMENT APPLICATION
P.L. 2015, c. 277 and P.L 2016, c. 63
SUBMIT TO THE MUNICIPAL TAX COLLECTOR
Section I: IDENTIFICATION OF PROPERTY
OWNER’S NAME: ______________________________________________________________________________________________
PROPERTY LOCATION: _________________________________________________________ COUNTY: __________________
MUNICIPALITY: ____________________ BLOCK: ______________
LOT: ____________
QUALIFIER: ___________
TELEPHONE: ___________________________
EMAIL: ____________________________________________
MAILING ADDRESS
: _______________________________________________________________________
(If different than property location)
Section II: DEFERMENT INFORMATION
OWNERSHIP:
I certify that the property for which the deferment is sought is solely owned by the NJ resident serviceperson, or is owned together with
the serviceperson’s spouse/civil union partner.
DEPLOYMENT/MOBILIZATION:
In order to qualify for this deferment, the serviceperson must (currently/have orders to) either: 1) be deployed for active service in a
time of war as a member of the United States Armed Forces or 2) be mobilized for federal active duty as a member of the National Guard or a
Reserve Component of the Armed Forces. Please attach a copy of military orders for deployment or mobilization. After the conclusion of the
deployment or mobilization, the applicant must provide a copy of his or her DD-214 to verify the end date of the deployment or mobilization. If
the deployment or mobilization is extended, a copy of the orders extending the deployment or mobilization must be provided to the tax collector
where the property is located.
START AND END DATES OF DEPLOYMENT/MOBILIZATION: ___/___/______
TO
___/___/_____
PERSONS FILING ON BEHALF OF SERVICEPERSON (IF APPLICABLE):
If the serviceperson-owner is not applying for the deferment in his or her own right, the person applying on his or her behalf must
provide the following information. If filing on behalf of serviceperson, by signing Section III of this form, applicant affirms that he or she has
been authorized by the serviceperson to submit this application on the serviceperson’s behalf and that the serviceperson is aware of the
requirements of this deferment as outlined in the acknowledgment in Section III.
NAME: __________________________
RELATIONSHIP TO SERVICEPERSON: _______________________
ADDRESS: __________________________________________________________________________________________
TELEPHONE: _________________________________
EMAIL: _______________________________________
SECTION III: ACKNOWLEDGMENT & SIGNATURE OF APPLICANT
I acknowledge that this is a deferment of, not an exemption from, the property taxes that will be due while I am/the serviceperson is deployed for
active service in time of war or mobilized. I also acknowledge that all property taxes that accrue while I am /the service person is deployed or
mobilized will become due in full, without interest, during a 90-day “grace period” following the last date of deployment or mobilization. I further
acknowledge that any property tax amount not paid during the 90-day “grace period” following the end date of deployment or mobilization will be
charged interest at the rate it would have accrued since the original property tax due date. I acknowledge that this deferment only applies to property
taxes that will be due during the period of deployment or mobilization, and does not affect prior delinquencies existing at the time of deployment or
mobilization or payments due before the start of the deployment or mobilization. Finally, I acknowledge that this deferral only applies to the property
tax bill, and not to any utility payments made to the municipality.
***PLEASE CHECK THIS BOX TO INDICATE YOUR ACKNOWLDGEMENT***
______________________________________________________
____________________
Signature of Applicant
Date
RESERVED FOR OFFICIAL USE
This request for tax collection deferral is
APPROVED
DISAPPROVED
__________________________________________________________
_____________________
Tax Collector
Date
This form is promulgated by the Director of the Division of Taxation in the Department of the Treasury, as required by law, and may not be altered without approval of the
Director. Reproduction of this form is permitted provided it is the same content and format.

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