Form Idr 54-019a - Application For Historic Property Rehabilitation Tax Exemption printable pdf download

Form Idr 54-019a - Application For Historic Property Rehabilitation Tax Exemption

Application for Historic Property

IOWA

Rehabilitation Tax Exemption

Iowa Code Section 427.16

This application must be filed with your city or county assessor by February 1 of assessment year.

It must be postmarked no later than February 1.

Iowa assessors’ addresses can be found at the Iowa State Association of Assessors Web site.

Applicant Contact Information

PLEASE PRINT

Name: ________________________________________________________________

Title: _________________________________________________________________

Phone Number:___________________ eMail: ________________________________

Property Owner Name:______________________________________________________________________________

Address of Property claimed for exemption: ____________________________________________________________

Titleholder or contract buyer: ________________________________________________________________________

Existing property use:

Res

Com

Ind

Additional property tax relief or financial assistance

Allowed:

No _________ Yes ________ (Attach documentation , if yes.)

Completion Date: ____________________________ Cost: __________________

Attach any plans or blueprints. Include documents previously filed and approved by State Historical Office.

The owners of the above property do hereby make application for the Historic Property Rehabilitation Tax Exemption in

accordance with the provisions of Iowa Code section 427.16.

I declare under penalty of perjury that I have reviewed this claim and to the best of my knowledge and belief, it is true,

correct, and complete.

__________________________________________________ (______)_________________ ____________________

Claimant’s Signature

Telephone Number

Date

To Be Completed By The Assessor

Application received: _____________________

Priority assigned:

Dist.__________ Parcel Number:____________________________________________

I hereby certify that the above property is eligible to receive the tax exemption as provided

by Iowa Code section 427.16.

______________________________________________________________ __________________

Assessor

Date

Annual report of exemptions to be sent to County Auditor by July 1 each year.

IDR 54-019a (10/17/14)

Form Idr 54-019a - Application For Historic Property Rehabilitation Tax Exemption