Form Otc 988 - Application For Ad Valorem Tax Exemption For Charitable And Non Profit Entities - Tulsa County - 2016
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1
2APPLICATION FOR AD VALOREM TAX EXEMPTION
OTC
Tax Year
FOR CHARITABLE AND NON PROFIT ENTITIES
Ken Yazel, Tulsa County Assessor
988
2018
ATTN: Taxpayer Services
500 S. Denver Ave., Suite 215 ● Tulsa, OK 74103
918.596.5105 ●
Revised 8-2017
Exemption
:
All property of any charitable institution organized or chartered under the laws of this state as a
nonprofit or charitable institution, provided the net income from such property is used exclusively within this state for
charitable purposes and no part of such income inures to the benefit of any private stockholder, including property which
is not leased or rented to any other than a governmental body, a charitable institution or a member of the general public
who is authorized to be a tenant in property owned by a charitable institution under Section 501 (c) (3) of the Internal Rev-
enue Code, or property used exclusively and directly for charitable purposes. Complete text, Ref. Title 68 O.S. 2887(8)(9).
Attach a copy of all Documents which support this application for exemption.
(Example: articles of incorporation, bylaws, resolutions, income-expense statements, rent rolls, deeds, contracts, leases, etc.)
Must provide a copy of IRS Section 501(c)(3) and your filing with Oklahoma Secretary of State.
Please Print or Type
Real Property Ownership
:
Owner of Record: _______________________________________________________________________________
Physical Address: _______________________________________________________________________________
Contact Name: ______________________________________
Title: ____________________________________
Contact Phone Number: ____________________
Email Address: _______________________________________
Mailing Address: ________________________________________________________________________________
Legal Description: _______________________________________________________________________________
Record of Deed: Date: ________________
Document Number: ____________ (or) Book/Page: ______________
Charitable Use: _________________________________________________________________________________
Is this application for a partial exemption? ................................................
Yes
No
If yes, estimate the following:
Exemption Sq. Ft. _________________ Percent of Total Sq. Ft. _______________
Name of Charitable Organization
:
Name: ________________________________________________________________________________________
Contact Name: _________________________________________________________________________________
Contact Phone Number: ____________________
Email Address: _______________________________________
Mailing Address: ________________________________________________________________________________
Does this Charitable Organization have personal property? .....................
Yes
No
(If Yes, attach a list of personal property being claimed for exemption.)
Is all property on the attached list owned by the organization? .................
Yes
No
(If No, explain: _________________________________________________________________________________
______________________________________________________________________________________________
Real Property Usage
:
(Answered by Real Property Owner)
1. Describe the exact usage of the real property being claimed exempt:
_________________________________________________________________________________________
_________________________________________________________________________________________
2. Explain exact usage of all income from the real property being claimed exempt:
_________________________________________________________________________________________
_________________________________________________________________________________________
3.
Does the entity applying for the exemption operate without profit or private advantage to its owners and the
officials in charge?
_________________________________________________________________________________________
_________________________________________________________________________________________
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