Application For Homestead Exemption Template
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1
2Application for Homestead Exemption
Title 36 MRSA, §§ 681-689
4 Section 13
4
3
Check all that apply
Yes
No
c
c
A. I am a Legal Resident of the State of Maine.
c
c
B. I have owned homestead property in Maine for at least the past 12 months.
(1) If you owned a homestead in another municipality within the past
12 months, state the municipality where located: _______________________________________
C. I declare this homestead is my permanent place of residence and the only
c
c
property for which I have claimed a homestead exemption.
nd
(summer camps, vacation homes and 2
residences do not apply)
IF YOU HAVE NOT ANSWERED YES TO ALL QUESTIONS, STOP HERE
You must meet all three of these requirements to qualify for a homestead
Exemption under the terms of the homestead exemption statute.
4 Section 23
4
3
1. Names of all Property Owners (names on your tax bill): _________________________________
_____________________________________________________________________________________
2. Physical location of Homestead Property (i.e., 14 Maple St.): _____________________________
_____________________________________________________________________________________
3. Mailing Address, if different from above: _____________________________________________
City/Town ____________________________________________ State ______ Zip ______________
4 Section 33
4
3
CLAIM OF RESIDENCY IN THE MUNICIPALITY, IN LINE 2 ABOVE, IS BASED
ON ONE OR MORE OF THE FOLLOWING:
Yes
No
N/A
=
I am a registered voter in the municipality.
c
c
c
=
I pay Motor Vehicle Excise Tax in the municipality.
c
c
c
=
The place of legal residence on my resident fishing and/or
hunting license is the same as the above homestead address.
c
c
c
=
The address on my drivers license is the same as the above
address.
c
c
c
(If you answer No to any questions, please explain on a separate sheet. N/A means Not Applicable.)
I (we) hereby declare, aware of penalties for perjury, that the answers to the above are, to the
best of my (our) knowledge and belief, true, correct and complete. A person who knowingly
files false information for the purpose of obtaining a homestead exemption is guilty of a
criminal offense.
Signature of Homestead Owner(s) _______________________________________ Date __________
_______________________________________ Date __________
COMPLETED FORM MUST BE FILED WITH YOUR LOCAL ASSESSOR BY APRIL 1
ST
.
Note: Forms filed after April 1 of any year will apply to the subsequent year tax assessment
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