Adams County Application For Homestead And Farmstead Exclusions
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4ADAMS COUNTY
APPLICATION FOR HOMESTEAD AND FARMSTEAD EXCLUSIONS
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Please read the instructions before completing this application. This application must be filed with the Adams County Assessor s Office by March 1 .
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The Adams County Assessor’s Office phone number and mailing address are: (717) 337-9837; Adams County Assessment Office, Courthouse
Room 202, 117 Baltimore Street, Gettysburg, PA 17325.
Basic Information
Property Owner(s) Name and Mailing Address
Parcel Number
Municipality
School District
Property Address
Phone Number
Day:
Evening:
Homestead Information
1.
Do you use this property as your primary residence? ______ Yes ______ No
2.
Do you claim anywhere else as your primary residence? ______ Yes ______ No
3.
Is your residence part of a cooperative where some or all of the property taxes are paid jointly? ______ Yes ______ No
4.
If so, what is your proportionate share of ownership? _______%
5.
Is your property used for something other than your primary residence, such as a business or rental property? ______ Yes ______ No
6.
If so, what percentage of the property is used for business or rental property? _______%
Farmstead Information
(Only applicable to buildings and structures used for ommercial agricultural production.)
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7.
Does this property include at least ten contiguous acres of farm land? ______ Yes ______ No
8.
Are there buildings and structures on the property that are used primarily to:
a.
Produce or store any farm product for purposes of commercial agricultural production? ______ Yes ______ No
b.
House animals raised or maintained on the farm for the purpose of commercial agricultural production? ______ Yes ______ No
c.
Store machinery or equipment used on the farm for the purpose of commercial agricultural production? ______ Yes ______ No
9.
If you answered yes to questions 8 a, b, or c, do any farm buildings or structures already receive property tax abatement under any other law?
______ Yes ______ No
I hereby certify that all the above information is true and correct.
Signature(s) __________________________________________________________ Date ___________________________________________
This application must be signed by owner for whom this property is the primary residence. Any person who knowingly files an application which is
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false to any material matter shall be subject to payment of taxes due, plus interest, plus penalty and shall be subject to prosecution as a misdemeanor
of the third degree and a fine of up to $2,500.
OFFICIAL USE ONLY
Date Filed _________________________________________________________
Homestead Value ___________________________________________________
Reviewed by _______________________________________________________
Farmstead Value ____________________________________________________
Assessment Information:
Date Reviewed _____________________________________________________
Applicable Years ____________________________________________________
Land _____________________________________________________________
Approved __________________________________________________________
Improvements ______________________________________________________
Denied ____________________________________________________________
TOTAL ____________________________________________________________
You must file this form in order to be eligible to receive PROPERTY TAX RELIEF under the PA Taxpayer Relief Act of 2006.
PLEASE FOLD THIS FORM SO THAT THE ADAMS COUNTY ASSESSOR’S OFFICE ADDRESS ON THE REVERSE SIDE IS VISIBLE, TAPE IT
SHUT ON THE LONG SIDE, PLACE A FIRST CLASS STAMP IN THE APPROPRIATE AREA AND MAIL THIS FORM UPON COMPLETION.
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