Property Tax Postponement Claim Form - 2007
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2007
PROPERTY TAX POSTPONEMENT CLAIM
A
07-08
1. SOCIAL SECURITY NUMBER
2. FIRST NAME
MID. INITIAL
LAST NAME
For
Controller’s
3. YOUR DATE OF BIRTH
Use Only
19_ _
PLEASE PLACE PREADDRESSED LABEL HERE, IF AVAILABLE
day
year
month
4. IN CARE OF NAME (IF APPLICABLE)
APN
5. MAILING ADDRESS
(NUMBER AND STREET)
County Code
6. (CITY)
(COUNTY)
(STATE)
(ZIP CODE)
Letter Code
7. SOCIAL SECURITY NUMBER OF SPOUSE
DATE OF BIRTH OF SPOUSE OR
NAME OF SPOUSE OR REGISTERED
REGISTERED DOMESTIC PARTNER
DOMESTIC PARTNER
19_ _
Percent No.
day
year
month
8. ADDRESS OF RESIDENTIAL DWELLING
(NUMBER AND STREET)
9. (CITY)
(COUNTY)
(STATE)
(ZIP CODE)
Timely Code
ELIGIBILITY FILING REQUIREMENTS:
Multi Parcel
10. If you will be 62 or older on or before December 31, 2007, check this box.
62 or older
11. If you are under 62 on December 31, 2007, and are BLIND
Income
Blind
OR DISABLED, check the appropriate box.
Proof of disability is required each year.
Disabled
12. If you owe delinquent property taxes, what year did they first become delinquent? ...............
_________________
13. Enter the year you purchased your home. ...............................................................................
_________________
14. a.
What is the approximate value of your home? (See claim form instructions, line 14, a.)
$ _________________
b.
What is the amount owed against your home? (See claim form instructions, line 14, b.)
$ _________________
c.
Do you have a reverse mortgage? (See claim form instructions, line 14, c) ....................
YES
NO
15. Is your property held in a trust? If yes, attach a copy of your entire Trust Agreement if a
copy has not already been provided. (See claim form instructions, line 15.) ..........................
YES
NO
16. On December 31, 2006 and continuously since then, have you and all other recorded owners,
owned and occupied the property for which the taxes are to be postponed? (See claim form
instructions, line 16.) .....................................................................................YES
NO
TRANSFER
List name(s) and relationship(s) of all owners of your property. Anyone listed below who IS NOT a spouse,
registered domestic partner, or direct-line relative must also submit proof of eligibility.
NAME
RELATIONSHIP
SOCIAL SECURITY NUMBER
DATE OF BIRTH
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