Form Efo00023 - Application For Property Tax Deferral - 2008 Page 2
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2Under penalty of perjury, I declare that to the best of my knowledge and belief, this document and all accompanying
documents and statements are true, correct, and complete. I understand a lien will be placed on this property in the
amount of the deferred taxes, plus 6 percent simple interest yearly.
DATED ______________________
______________________________________________________
(applicant signature)
______________________________________________________
(spouse signature)
On this _____ day of _________, in the year of _____, before me _________________________________,
(notary name)
a notary public, personally appeared ______________________________________________, personally
[individual’s (s’) name(s)]
known to me or identified to me to be the person(s) whose name(s) is (are) subscribed to the within instrument,
and acknowledged to me that he (she) (they) executed the same.
_____________________________________________________
Notary Public
Residing at: __________________________________________
My Commission Expires on _____________________________
FOR COUNTY USE ONLY
Date Approved:
Date Denied:
Attachments:
Recorded deed, title, or contract for purchase of this property including legal description.
Property Tax Reduction application.
County assessor statement of current assessed value for the eligible portion of the property.
Verified by Assessor or Deputy Assessor:
_________________________________________________
(Signature)
FOR TAX COMMISSION USE ONLY
1.
Land value (one acre or less) + improvement value (primary residence) –
$
total liens & obligations from the front of this form
2.
Fifty percent land value (one acre or less) + fifty percent improvement
$
value (primary residence)
3.
Maximum amount eligible deferral (enter the smaller of lines 1 or 2)
$
4.
Previous tax deferrals (cumulative deferrals+ interest)
$ (
)
5.
Total value eligible for deferral (line3 – line 4)
$
6.
Tax code area levy
7.
Maximum amount of taxes eligible for deferral (line 5 x line 6)
$
8.
Amount of Property Tax Reduction benefit allowed
$ (
)
9.
Preliminary amount of deferral (line 7 – 8)
$
10. Percentage adjustment ($500,000 cap)
%
11. ACTUAL AMOUNT OF DEFERRAL (line 9 x line 10)
$
Date Approved:
Date Denied:
Lien Recording Date:
Lien Recording Number:
EFO00023
12-18-07
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