Form Otc 988 - Application For Ad Valorem Tax Exemption For Charitable And Non Profit Entities - Tulsa County - 2016 Page 2
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2Application for Ad Valorem Tax Exemption for Charitable and Non Profit Entities
Form 988 • Page 2
Real Property Owner Affidavit
:
I, ______________________________________ being duly sworn, upon oath, under penalty of perjury do hereby depose and
say that I am (Title) __________________________________ , of ___________________________________ organization; that
as such I am acquainted with the books, accounts, and affairs of said organization and know the foreging statements to be true,
correct and complete, and that all information requested herein has been fully and correctly given
(68 O.S. § 2945 provides penalties for false oaths).
Signature: _______________________________________________________________________
Subscribed and sworn to before me this ___________ day of ___________________ , _________ .
My commission expires: ______________________ , _______________ .
Notary Seal
____________________________________________________________________ , Notary Public
Personal Property Usage
:
(Answered by Charitable Organization)
1. Does the Internal Revenue Service recognize this organization as a tax-exempt? .........................
Yes
No
If Yes, attach a copy of letter from the Internal Revenue Service.
2.
Is the organization chartered under the laws of the State of Oklahoma as a nonprofit organization?
Yes
No
If Yes, attach a copy of the articles of incorporation and bylaws.
3. Does organization register annually with the Oklahoma Secretary of State’s Office? .....................
Yes
No
If Yes, attach a copy of registration.
4. Does the entity applying for the exemption operate without profit or private advantage
to its owners and the officials in charge? .........................................................................................
Yes
No
5. Do the patrons of the facility applying for the exemption receive the same services and
treatment irrespective of their ability to pay? ...................................................................................
Yes
No
6. Are the same charges made to all patrons regardless of ability to pay? .........................................
Yes
No
7. Property used exclusively as? ................................................
Charitable
Nonprofit
8. What provisions, if any, have been made to dispose of surplus assets of the organization?
_________________________________________________________________________________________
_________________________________________________________________________________________
9. Describe the exact usage of the personal property being claimed exempt:
_________________________________________________________________________________________
_________________________________________________________________________________________
10. Explain exact usage of all income from the personal property being claimed exempt:
_________________________________________________________________________________________
_________________________________________________________________________________________
Personal Property Owner Affidavit
:
I, ______________________________________ being duly sworn, upon oath, under penalty of perjury do hereby depose and
say that I am (Title) __________________________________ , of ___________________________________ organization; that
as such I am acquainted with the books, accounts, and affairs of said organization and know the foreging statements to be true,
correct and complete, and that all information requested herein has been fully and correctly given
(68 O.S. § 2945 provides penalties for false oaths).
Signature: _______________________________________________________________________
Subscribed and sworn to before me this ___________ day of ___________________ , _________ .
My commission expires: ______________________ , _______________ .
Notary Seal
____________________________________________________________________ , Notary Public
Assessor Use Only
School
Application for Exemption:
Approved
Disapproved
District
Assessor/ Deputy: ___________________________________________ Date: ________________
Account Number: ___________________________________________
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