Form Idr 57-122a - Application For Industrial Property Tax Exemption

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Application for Industrial
IOWA
Property Tax Exemption
Iowa Code Chapter 427B
This application must be filed with your city or county assessor by February 1 of the year in which the property claimed for
exemption is first assessed for taxation. It must be postmarked no later than February 1. Iowa assessors’ addresses can be found at
the Iowa State Association of Assessors website.
Applicant Contact Information
PLEASE PRINT
Name:_________________________________________________________________
Title:__________________________________________________________________
Phone Number:___________________ eMail: _________________________________
(Read instructions on page 2 carefully.)
IMPORTANT: A single application may be filed upon completion of an entire project requiring more than one year to
construct or complete, providing prior approval has been granted by the city council or county board of supervisors. Any
property owner who is dissatisfied with their assessment may file a protest with the Board of Review between April 2 and
April 30, both dates inclusive, of the year of the assessment.
Property Owner Name:
________________________________________________________________________
Address of Property
Claimed for Exemption:
________________________________________________________________________________
_________________________________________________________________________
Property is assessed and used or intended to be used as:
Industrial Manufacturing
Distribution Center
Research - Service Facility
Cattle Facility
Public Warehouse
1. Describe in detail the new construction for which an exemption is claimed. SEE INSTRUCTIONS.
2. Is this exemption being claimed for reconstruction of existing buildings and structures?
Yes
No
If yes is indicated, you must receive prior approval from your city council or board of supervisors. A statement
verifying the granting of such approval must be submitted with this application to your assessor. If prior approval
has been granted, describe in detail the reconstruction.
I hereby swear that the information presented on this application and all attached supporting documents are true, correct
and complete.
________________________________
_____________________________
____________
Signature of Applicant
Title
Date
FOR ASSESSOR USE ONLY
Parcel Number: ______________________________________
I have examined this application for industrial property tax exemption and hereby certify $___________________ of the
_____________________ final assessed value qualifies for property tax exemption.
_____________________________________________ ____________________________________
Assessor Signature
Date
IDR 57-122a (11/16/15)

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