Application For Real Estate Tax Exemption Or Deferral And/or Personal Property Tax Relief
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City of Alexandria, Virginia
2007 TAX RELIEF PROGRAM FOR THE ELDERLY OR TOTALLY DISABLED
Application for Real Estate Tax Exemption or Deferral and/or Personal Property Tax Relief
OFFICIAL USE ONLY
Databank #
PP Account #
Received Date
st
nd
rd
1
Request Date
2
Request Date
3
Request Date
Approved
Denied
RE
PP
RE
PP
Completed Date
Initial:
Proration
Deferral
LEVEL:
100%
50%
25%
APPLICANT INFORMATION
NAME (Applicant)
SOCIAL SECURITY #
BIRTH DATE
NAME (Spouse)
SOCIAL SECURITY #
BIRTH DATE
ADDRESS:
CITY/STATE:
ZIP CODE:
VA
Alexandria
HOME PHONE NUMBER:
WORK PHONE NUMBER:
Ext.
I WAS PERMANENTLY AND TOTALLY DISABLED AS OF ___________________________ (Please provide date).
NAME AND PHONE NUMBER OF PERSON TO CONTACT IF FURTHER INFORMATION IS REQUESTED
Tel. No.
Ext.
COMPLETE FOR ALL OTHER OWNERS AND RELATIVES RESIDING IN THE PROPERTY
NAME
RELATIONSHIP
SOCIAL SECURITY #
AGE
REAL ESTATE TAX RELIEF (for your home)
1. Type of relief
Exemption
Deferral
Exemption and Deferral
2. Is the real estate in the applicant’s name?
Yes
No
3. Were you residing at the above address on or before January 1, 2007?
Yes
No
4. Were you 65 years of age on or before November 15, 2007?
Yes
No
PERSONAL PROPERTY TAX RELIEF (for your car) (Income must be less than 20,000)
1. Is the vehicle registered in the applicant’s name?
Yes
No
2. Were you 65 years of age on or before April 16, 2007?
Yes
No
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