Application For Owner Occupied Homestead Classification Form - Stearns County Assessor

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Application for Owner Occupied Homestead Classification

For Office Use Only: Parcel #____________________________________ Assessment Year: ____________

Verified by/Date:

Posted by/Date:

Full Yr

Application for Owner Occupied Homestead Classification

Please read the cover sheet of this form before completing. You must own and occupy the property on either January 2 or

December 1, and the application must be returned to your assessor’s office by December 15 to be eligible for homestead classification

for taxes payable in the following year. Failure to fully complete the application may result in a fractional homestead or denial of

the homestead classification on the property described in Section 1.

Making false statements on this application is against the law. Minnesota Statutes, section 609.41 states that anyone giving

false information in order to avoid or reduce their tax obligations is subject to a fine of up to $3,000 and/or up to one year in

This section is to be completed by all applicants. Please provide the following information pertaining to the property you own

and on which you are claiming homestead.

Is this also your mailing address? … Yes … No

Property address

City

State

Zip

County

STEARNS

Parcel ID or legal description of all property on which homestead is being claimed (if you need more space, please attach a separate sheet of paper):

Date owned by applicant

Date occupied by applicant

Is this property adjacent to another property you own that is

currently receiving homestead?

Yes

This section is to be completed by all applicants. Please provide the following information pertaining to your previous

residence.

Previous address

City

State

Zip

County

Date vacated

Was the property classified as homestead?

Yes

This section is to be completed by applicant(s) claiming homestead on the property. Each applicant must print his/her

name and Social Security number below, answer the questions, sign, and date the application. By signing below, I certify that the

information on this form is true and correct to the best of my knowledge. I also certify that I am a Minnesota resident, and I

occupy the property described in Section 1 as my primary place of residence.

Occupant 1

Last name

First name

Middle Initial

Social Security number

Are you listed as an owner on the deed? … Yes … No

married If married, does your spouse occupy the property? … Yes … No

What is your marital status?

single

divorced

legally separated

Signature (Occupant 1)

Date

Daytime phone number

Social Security number

Occupant 2

Last name

First name

Middle Initial

Are you listed as an owner on the deed? … Yes … No

married If married, does your spouse occupy the property? … Yes … No

What is your marital status?

single

divorced

legally separated

Signature (Occupant 2)

Date

Daytime phone number

This section is to be completed by all applicants. Please answer the questions below.

Are all owners who are listed on the deed claiming homestead? … Yes … No If no, please provide the name, address, and

daytime phone number for each owner who does not occupy the property (on a separate sheet of paper).

Was a relative required to be listed on the deed to this property by the terms of the financing agreement? … Yes … No

If yes, are you a first-time home buyer, including previously married persons purchasing a home as a single

individual for the first time? … Yes … No If yes, please complete Addendum to Application for Homestead Classification.

If you need more space to list additional occupant(s), please provide the information requested on a separate sheet of paper and attach it to the application.