Homestead Exemption Application

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HOMESTEAD EXEMPTION APPLICATION
YEAR: __________________ DATE: _____________________________STAFF INITIALS:
ASSESSMENT NUMBER:
NAME:
LAST
FIRST
MIDDLE INITIAL
PREVIOUS OWNER:
PHYSICAL ADDRESS:
MAILING ADDRESS:
LEGAL DESCRIPTION:
APPROXIMATE YEAR HOME BUILT ____________PURCHASE PRICE: $
IF IMPROVEMENTS ACQUIRED SEPARATELY, VALUE OF IMPROVEMENTS: $
Date:
DESCRIPTION OF IMPROVEMENTS
TYPE
STYLE
EXTERIOR WALLS
FOUNDATION
Single-family
Number Stories
Hardboard/Stucco
Piers
Multiple-family
Split Level
Siding/Shingle
Slab
Townhouse
1 Story
Masonry Veneer
Others
Mobile Home
1½ Story
Face Brick/Stone
APPROXIMATE LIVING AREA SQUARE FOOTAGE: _____________________ (does not include porches, garages, etc.)
APPROXIMATE TOTAL SQUARE FOOTAGE: _________________________________ (includes porches, garages, etc.)
LIVING AREA
AMENITIES
No. Bedrooms
Utility Room
Dock
No. Bathrooms
Fireplace
Boathouse
Den/Bonus Rm.
Pool
GARAGE -
1
2
3
Circle One
Living Room
Deck
CARPORT -
1
2
3
Circle One
Dining Room
Patio
Outdoor Kitchen
Covered Patio
Guest House
Sq Ft
I hereby confirm that I currently own and occupy the property described herein and that I am not claiming any other property as my
homestead for purposes of this exemption. If I do currently have a homestead exemption elsewhere in Louisiana, I will notify the Assessor of
the parish or district where such property is located within 60 days of my intent to cancel my claim for such homestead exemption. (LSA-
R.S.: 47:1703.1)
___________________________________
DATE: ____/____/____
TAXPAYER’S SIGNATURE
TELEPHONE: (H):
(W):
(C):
E-MAIL
FOR ASSESSOR’S USE ONLY
*******************************************************************************************************
PREVIOUS OWNER:
PREVIOUS ASSESSMENT NUMBER IF FROM BULKASSESSMENT:____________________________
RECORDING DATE: _______/________/________ INSTRUMENT NO:
C/O Done
Transferred Early
Previous H/S Removed
RPT Done
Covington (985) 809-8180
|
Slidell (985) 646-1990
|
Fax (985) 809-8190

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