Application For Property Tax Reduction - Idaho County Assessor - 2007
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1APPLICATION FOR PROPERTY TAX REDUCTION FOR 2007
ALL OF THE FOLLOWING QUESTIONS MUST BE COMPLETED. ATTACH SUPPORTING DOCUMENTS.
County
Code Area
Parcel Number
Section A.
1. Ownership Information (Name, address and ZIP code)
Section B.
Eligibility Status
As of January 1, 2007, I was (check all that apply)
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65 or older
Blind
Former P.O.W.
Fatherless or Motherless Minor
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Widow(er): Spouse Name___________________ Date of Death________________
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Veteran 10-30% Service-connected disability
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Veteran 40-100% Service-connected disability
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Veteran Nonservice-connected disability with pension
Entity recognizing the disability:
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Soc. Sec. Adm.
Fed. Civil Svc.
R/R Retirement
2. Social Security Number (Claimant)
Social Security Number (Spouse)
Section C.
Income
Household Income and Qualified Expenses
January 1 - December 31, 2006
3. Birth Date (Claimant)
Birth Date (Spouse)
Subsection 1
1. Federal adjusted gross income.......................... $ ______________________
4. As of January 1, 2007, you were:
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Extension filed
Yes
No
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Single
Married
Widow(er)/Not remarried
Subsection 2
5. Physical address of the property if different than ownership information.
Include all income from all sources not included in Section 1
(taxable and nontaxable)
2. Social Security income/SSI (Claimant) .............. $ ______________________
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6. Are you a new applicant?
Yes
No
3. Social Security income/SSI (Spouse) ................ $ ______________________
7. Have you filed a claim on a different primary residence between January 1,
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2007 and now?
Yes
No
4. Capital gains ...................................................... $ ______________________
Where? ________________________________________________________
5. Wages, workers’ compensation, and/or
8. Did you occupy your home as your primary residence before April 15, 2007?
unemployment .................................................. $ ______________________
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Yes
No
6. Pensions, retirements, annuities, and/or IRAs
$ ______________________
9. Did you or your spouse stay in a care facility in 2006?
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7. VA pension or compensation ............................ $ ______________________
Yes
No
8. Interest and dividends........................................ $ ______________________
10. Did you receive rental income for all or any part of this property in 2006?
If yes, please attach a copy of your rental agreement.
9. Railroad retirement ............................................ $ ______________________
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Yes
No
10. Other income
11. If you used any part of this property for business or commercial use in 2006, list
(Received from ________________________) $ ______________________
the percent used for business or commercial use (See
11. Subtotal (add lines 1 through 10) ...................... $ ______________________
instructions.) _____________%.
12. Did you sell real estate, stocks, or other capital assets in 2006?
12. Principal of annuity (Attach contract.) ................ $ (_____________________)
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Yes
No
13. Total of nonreimbursed, paid medical expenses
13. This year, you or your spouse will file: (Check all that apply.)
and medical insurance premiums ...................... $ (_____________________)
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Federal Income Tax Return (Attach a copy of this return.) (If your tax
14. Total of paid or prepaid funeral expenses
information is incomplete, please contact your county assessor for instruc-
$ (_____________________)
(Attach receipt - maximum allowable amount: $5,000.)
tions on completing this form.)
15. Subtotal of deductions (Add lines 12, 13, and 14) $ ______________________
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State income tax return (List state, if other than Idaho:______________.)
16. Total net income (Subtract line 15 from line 11) $ ______________________
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Idaho grocery credit form
Under penalty of perjury, I certify that to the best of my knowledge
FOR COUNTY USE ONLY
the information I have provided here is true, correct, and complete.
Check all that apply:
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Single family
Sole owner
I grant permission to any government agency and contractor to con-
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Multi dwelling ___________%
Community property
firm my status and to reveal to the Idaho State Tax Commission the
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Multi use _______________%
Partial ownership ____________%
total monetary payments made to me or my spouse during 2006.
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Trust or life estate
Overall claimant percentage of ownership/use ______________________%
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(Check one)
Yes
No
I _____________________________________, certify that Property Tax
County Assessor or Deputy Assessor
Reduction benefits are only applied to the claimant’s eligible portion of the net taxable
value.
Claimant(s) (Please print.)
Date
The following section should be completed if the claimant is receiving benefits on any
prorated taxable value:
1. Land taxable value (one acre or less)
$ ______________________
2. Improvement(s) full value (one residence)
$ ______________________
3. Homestead exemption
$ (___________________)
4. Net taxable
$ ______________________
Signature(s) and Relationship
Telephone Number
Tax reduction not to exceed:
Date
Approved and verified by Assessor or
Disapproved and verified by Assessor
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Deputy Assessor:
Yes
No
or Deputy Assessor:
Yes
No
RETURN TO YOUR COUNTY ASSESSOR BY
APRIL 16, 2007
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