Real Property Listing Form - Henderson County

HENDERSON COUNTY, NORTH CAROLINA

REAL PROPERTY LISTING FORM

Office of the Henderson County Assessor

Real Property Listing

TAX YEAR 2016

200 North Grove Street Suite 121

For information regarding this form, please call (828) 697-4667

Hendersonville, NC 28792-5027

Or visit our website at

>>>>>>>>>>>>> Please read carefully...you may be required to list. <<<<<<<<<<<<<<

Parcel Number:

Property Description:

Acreage:

Physical Address:

*IMPORTANT: You do not need to complete or return this

form if no changes were made to your property in 2015.*

N.C.G.S. 105-309(c)(4) requires that buildings and other improvements having a value in excess of $100.00 that have been acquired, begun, erected,

damaged or destroyed since January 1, 2015 shall be described and listed by the January 1, 2016 owner regardless of who made the changes in the

prior year.

DESCRIBE ANY NEW BUILDINGS BEGUN, COMPLETED OR ACQUIRED IN 2015

NEW HOUSE____________

DOUBLE WIDE MOBILE HOME__________(year)

SINGLE WIDE MOBILE HOME__________(year)

COMMERCIAL / INDUSTRIAL /MULTI-FAMILY________________ OTHER__________________________________________________

PERCENT COMPLETE ON JANUARY 1, 2016______________%

BUILDING COSTS AS OF JANUARY 1, 2016 $_________________

DESCRIPTION OF CHANGES AND/OR REMODELING

% COMPLETE 01/01/2016

TOTAL COST

ADDED FULL BATH(S)

HOW MANY ____________

_____________________%

$______________

_____________________%

$______________

ADDED 1/2 BATH(S)

HOW MANY ____________

_____________________%

$______________

ADDED SCREENED PORCH/DECK

SIZE_____X_____

ADDED SUN ROOM HEATED______

SIZE_____X_____

_____________________%

$______________

_____________________%

$______________

ADDED ROOMS

TYPE _________SIZE_____X_____

_____________________%

$______________

ADDED OUTBUILDING

TYPE _________SIZE_____X_____

ADDED GARAGE/CARPORT TYPE _________SIZE_____X_____

_____________________%

$______________

_____________________%

$______________

ADDED IN-GROUND POOL

TYPE _________SIZE_____X_____

ADDED/CHANGED HEAT/AC TYPE _________SIZE_____X_____

_____________________%

$______________

_____________________%

$______________

FINISHED BASEMENT

% FINISHED _______SIZE_____ SQ FT

_____________________%

$______________

FINISHED GARAGE TO LIVING AREA

SIZE_____X_____

ADDED MOBILE HOME SITE(S) HOW MANY_______TOTAL_____

_____________________%

$______________

_____________________%

$______________

OTHER _______________________________________________

DESCRIBE ANY HOUSE OR BUILDING DESTROYED, DEMOLISHED OR REMOVED FROM REAL PROPERTY IN 2015

IF RENTAL PROPERTY PLEASE PROVIDE THE MONTHLY RENT

$ ______________

Attach additional information if needed

PLEASE NOTE: Having Obtained a Building Permit does not exclude the property owner from filing this listing form with the

Assessor’s Office (N.C.G.S. 105-303(b)(2)). Failure to do so when improvements have been made will result in Discovery and applicable

penalties will be applied (N.C.G.S. 105-312).

Personal property, such as untagged motor vehicles and motorcycles, watercraft,

airplanes, campers, travel trailers, mobile homes, etc, must be listed on a separate personal property listing form.

***Must return by February 1, 2016 (USPS postmark date) if changes were made to avoid a 10% late listing penalty***

Under penalties prescribed by law, I hereby affirm that to the best of my knowledge and belief this listing including any accompanying statements, inventories,

schedules and other information, is true and complete. (If this affirmation is signed by an individual other than the taxpayer, he affirms that he is familiar with

the extent and true value of all the taxpayer’s property subject to taxation in this county and that his affirmation is based on all of the information of which he

has any knowledge.) Any individual who willfully makes and subscribes an abstract listing required by this Subchapter which he does not believe to be true and

correct as to every material matter shall be guilty of a Class 2 misdemeanor.

_____________________________

____________________

_________________________________

Signature

Date

Employer

_____________________________

____________________

_________________________________

Home or Cell Phone Number

Business Phone