OTC
APPLICATION FOR AD VALOREM TAX EXEMPTION
Tax Year
FOR RELIGIOUS ENTITIES
987
Ken Yazel, Tulsa County Assessor
2016
ATTN: Taxpayer Services
500 S. Denver Ave., Suite 215 ● Tulsa, OK 74103
918.596.5105 or 918.596.4981 ●
Revised 11-2015
Please Print or Type
Exemption:
All property used exclusively and directly for fraternal or religious purposes within this
state. Ref. Title 68, O.S. 2887(7)
Name of Religious Organization
:
Name: ____________________________________________ Phone Number: ( ________) _________________
Mailing Address: ______________________________________________________________________________
______________________________________________________________________________
Email Address:
______________________________________________________________________________
Name of Person
Preparing Application: _______________________________
Title: ____________________________________
May provide a copy of IRS Section 501(c)(3) and your filing with Oklahoma Secretary of State.
Identification of Real and Personal Property
:
Owner of Record: ______________________________________________________________________________
Physical Address: ______________________________________________________________________________
______________________________________________________________________________
Legal Description: ______________________________________________________________________________
_____________________________________________________________________________________________
Record of Deed:
Date _________________
Book _________________
Page _________________
Property used as? _____________________________________________________________________________
Does this Religious Organization have personal property?.......................
Yes
No
If yes, attach a list of personal property being claimed for exemption.
Is all personal property on the attached list owned by the organization? ..
Yes
No
If no, please explain: ___________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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