Form Av-3 - Payment Of Deferred Taxes For Current Year Only

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Form AV-3
(Rev. 8-07)
Payment of Deferred Taxes for Current Year Only
Owner’s Name ____________________________________ Phone # (_____)____________
Fax #
(_____)____________
(Please Print)
Use this form to:
Pay the deferred taxes for the current year only. (i.e. deferred taxes for the fiscal
year that opens in the calendar year in which Form AV-3 is filed)
G.S. 105-277.4(c) allows a property owner receiving present-use value to pay the current year’s
deferred taxes (but not prior year’s deferred taxes) for that property without affecting the eligibility of
the property for present-use value. Payment must be for the full amount of the current year’s deferred
taxes for the requested parcel since the statute does not allow for a partial payment.
A request to pay prior year’s deferred taxes will require voluntary disqualification from present-use
value classification. Please file Form AV-6, if needed.
List the properties for which the current year’s full amount of deferred taxes will be paid.
Current Tax Year
Parcel ID
Total Acres in Parcel
ACKNOWLEDGEMENT
I (we), the undersigned, hereby acknowledge the following:
1. Payment is only for the current year’s deferred taxes. No partial payments allowed.
2. Payment of the current year’s deferred taxes only does not result in disqualification.
3. Payment of prior year’s deferred taxes requires disqualification from present-use value.
Signatures—All owners must sign this form.
An attorney licensed to practice law in North
Carolina who is representing the current owner may sign for the owner. All tenants of a tenancy in common
must sign this form. If husband and wife own the property as tenants by the entirety, either the husband or the
wife may sign, but both are recommended to sign. All general partners of a partnership must sign. An officer of
a corporation may sign for the corporation. An officer of an LLC may sign for the LLC. A trustee may sign for
the trust.
Name __
________________________________ Signature _________________________________ Date ___/___/_____
(Owner or Owner’s Attorney—Please Print)
(Owner or Owner’s Attorney)
Name __
________________________________ Signature _________________________________ Date ___/___/_____
(Owner or Owner’s Attorney—Please Print)
(Owner or Owner’s Attorney)
Name __
________________________________ Signature _________________________________ Date ___/___/_____
(Owner or Owner’s Attorney—Please Print)
(Owner or Owner’s Attorney)
Contact Person for Owner’s Attorney: ____________________________Phone______________ Fax______________
Assessor’s Use Only: Date Filed_____________________
[ ] Mail
[ ] Hand-Delivered

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