Form 54-010 - Application For Property Tax Exemption printable pdf download

Form 54-010 - Application For Property Tax Exemption

Application for Property Tax Exemption

IOWA

for Recreational Lakes, Forest Covers, Rivers and Streams, River and Stream Banks, and Open Prairies

Iowa Code Section 427.1 (22)

This application must be filed or mailed to your local conservation district by February 1 of each year.

It must be postmarked no later than February 1.

Iowa conservation district addresses can be found at the Conservation Districts of Iowa Web site.

Applicant Contact Information

PLEASE PRINT

Name: ________________________________________________________

Phone Number:___________________ eMail: ________________________

County ________________

_____ Number of Acres

I ______________________ swear or affirm that I am the owner of the following legally described property:

_______________________________________________________________________________________

and that this property will not be used for economic gain during the assessment year. This property is at least

two acres in area and is used to provide soil erosion control or wildlife habitat.

I request that the described property be exempt from taxation as _____________________________________

(list type of property)

I have attached or previously filed:

an aerial photo of the property

if property is a gully area susceptible to severe erosion -

an erosion control plan, approved by the soil conservation district commissioners

An exemption is allowed for river or stream or river and stream banks only if the land is located at least 33 feet

from the ordinary high water mark of the river and stream or river and stream banks.

____________________________

_________________

__________________________________

Applicant’s Signature

Date

Address

I hereby certify that the property described above is eligible to receive the exemption claimed.

Signed: ______________________________________________

Chairman, __________________________ County Soil Conservation District

This application must be filed with your local soil conservation district by February 1 of each year.

This open prairies property has been inspected and certified as having adequate ground cover consisting of

native species and that all primary and secondary noxious weeds present are being controlled to prevent the

spread of seeds by either wind or water.

Chairman, __________________________ County Board of Supervisors

54-010 (03/08/12)

Form 54-010 - Application For Property Tax Exemption