Form 24740 - Application For Property Tax Exemption

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Application for Property Tax Exemption

This application must be ﬁ led with the assessor every year by February 1 of the year for which the exemption is claimed.

Property Number:

Legal Description

Property Owner:

Property Address:

Date property was acquired: _________________

Market value of property claimed exempt: $____________________

Exemption Claimed Pursuant to One of the Following Sections of the North Dakota Century Code:

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1. N.D.C.C. § 57-02-08(9), property used exclusively for public worship or property belonging to a religious organization and used

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for religious purposes:

Church

Parsonage

Other (attach explanation)

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2. N.D.C.C. § 57-02-08(8), property owned by an institution of public charity and used for the charitable purposes for which it was

❒

(1)

organized:

Public Hospital

Nursing Home

Other (attach explanation)

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3. N.D.C.C. § 57-02-08(11), property owned by nonproﬁ t lodges, clubs, etc. and used for their meetings and ceremonies:

a. If licensed to sell alcoholic beverages, describe each area of the building where these beverages are sold or consumed.

________________________________________________________________________________________________________

b. If food is sold, describe each area of the building where the food is sold or consumed.

________________________________________________________________________________________________________

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4. N.D.C.C. § 57-02-08(20), buildings owned and occupied as a homestead by one of the following:

❒

(2)(4)(5)(6)

a. Paraplegic Disabled Veteran or Veteran awarded specially adapted housing or unremarried surviving spouse

❒

(2)

b. Permanently and Totally Disabled Person Conﬁ ned to a Wheelchair or unremarried surviving spouse

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(2)

5. N.D.C.C. § 57-02-08(22), buildings owned by a blind person and/or spouse and occupied as a home by the blind person.

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6. N.D.C.C. § 57-02-08(26), buildings owned and occupied as a homestead by a paraplegic disabled person or unremarried surviving

(2)(3)

spouse.

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7. N.D.C.C. § 57-02-08(31), group homes owned by nonproﬁ t corporations.

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8. N.D.C.C. § 57-55-10, mobile home is exempt or the provisions of N.D.C.C. ch. 57-55 apply.

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9. N.D.C.C. § ________________

Subsection ______________

For what purpose(s) was the property used during the 12-month period prior to the year for which this exemption is claimed? (Note: Be

speciﬁ c. If there were several types of use, indicate such usages by square foot areas of the building and ﬂ oor location. If additional space is

needed, attach another sheet.)

__________________________________________________________________________________________________________________

Is any income derived from the use of any portion of this property by other individuals or groups, whether considered as rent or reimbursement

❒

for expenses or services rendered?

Yes

If Yes, give details.

__________________________________________________________________________________________________________________

(1)

Provide a current copy of organizational documents supporting claim (e.g., articles of incorporation and by-laws, etc.) if claiming exemption for ﬁ rst time or upon request.

(2)

Provide an afﬁ davit or physician’s certiﬁ cate if claiming exemption for ﬁ rst time.

(3)

Provide an annual statement that previous year’s income did not exceed the amount provided in N.D.C.C. § 57-02-08.1.

(4)

Provide a copy of the DD Form 214 showing veteran’s honorable discharge from active military service if claiming exemption for ﬁ rst time.

(5)

Provide evidence from the Department of Veterans Affairs showing award of specially adapted housing if claiming exemption for this status for ﬁ rst time.

(6)

A person shall furnish to the assessor or other assessment ofﬁ cials when requested to do so any information that is believed will support the claim for exemption for a

subsequent year.

I (We) make application for real property tax exemption for the year ________ on the property described above and, in compliance with North

Dakota Century Code § 57-02-14.1, certify the information is accurate to the best of my (our) knowledge and belief.

Note: N.D.C.C. § 12.1-11-02 provides that making a false statement in a governmental matter is punishable as a Class A misdemeanor.

______________________________________________________

Applicant

Date

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Application is: Approved

Disapproved

______________________________________________________

Assessor or Director of Tax Equalization