Application For Homestead Exemption For Cooperative Housing Shareholders - 2007
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1
2APPLICATION FOR HOMESTEAD EXEMPTION FOR COOPERATIVE HOUSING SHAREHOLDERS
Title 36 MRSA Sections 681-689
DO NOT FILE THIS RETURN WITH THE MUNICIPAL ASSESSOR
INSTRUCTIONS: Completed forms must be filed with your local cooperative housing corporation. Your cooperative housing
st
corporation must file for the Homestead Exemption with the municipal assessor no later than April 1
. This form will be
st
included with the cooperative housing corporation’s Homestead Exemption application which must be filed by April 1
. Forms
st
filed after April 1
of any year will be applied to the subsequent year tax assessment. See reverse for additional instructions.
SECTION 1: CHECK
ALL THAT APPLY
YES
NO
A. I am a legal resident of the State of Maine
B. I have been a homeowner or shareholder in Maine for at least the past 12 mos.
(1) If you were a cooperative housing shareholder or homeowner within the past 12 months in another
municipality, state the former municipality where located: ___________________________________
C. I declare this address as my permanent place of residence and the only property for
which I claim a homestead exemption.
nd
(Summer camps, vacation homes and 2
residences do not qualify)
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
SECTION 2:
1. Name of Cooperative Housing Corporation: ___________________________________________________
Name of Shareholder(s): _________________________________
_______________________________
2. Physical address of Homestead property (i.e. 9 Fore St., Unit 3): ___________________________________
City/Town: ____________________________________ Telephone #: _____________________________
3. Mailing Address, if different from above: ______________________________________________________
City/Town: __________________________________ State: _________________ Zip: _______________
SECTION 3: CLAIM OF RESIDENCY IN THE MUNICIPALITY IS BASED ON ONE OR MORE OF THE
I
FOLLOWING:
/we
her
YES
NO
N/A
eby
I am a registered voter in the municipality.
dec
lar
I pay Motor Vehicle Excise Tax in the municipality.
e,
The place of legal residence on my resident fishing
aw
and/or hunting license is the same as the above
are
homestead address.
of
The address on my driver’s license is the same as
pe
the above address.
nalt
ies
(If you answer “No” to any question, please explain on a separate sheet. N/A means Not Applicable)
for
perjury that the answers to the above are to the best of my/our knowledge and belief, true, correct and complete.
Any person who knowingly files false information for the purpose of obtaining a homestead exemption is guilty of a
criminal offense.
Signature of Cooperative Housing Shareholder(s) ______________________________________________
Date: _____________________
______________________________________________
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