Form Av-6 - Request For Voluntary Disqualification From Present-Use Value Classification
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1
2Form AV-6
(Rev. 10-08)
Request for Voluntary Disqualification from
Present-Use Value Classification
Owner’s Name ____________________________________ Phone # (_____)____________
Fax #
(_____)____________
(Please Print)
Use this form to:
1. Request voluntary disqualification from present-use value classification, and
2. Cause the deferred taxes for the current year and the three preceding years to be due and
payable as a result of the voluntary disqualification.
The deferred taxes for the three tax years preceding disqualification become due and payable
when the property is disqualified from present-use value classification. (G.S. 105-277.4(c))
Voluntary disqualification should not be requested if you wish to pay any or all of the
deferred taxes and still retain your present-use value classification. File Form AV-3, not
this form, if you wish to voluntarily pay some or all of your taxes and retain present-use
value classification.
Important! Please Read! -- Once this form has been signed and filed with the tax
assessor, the request cannot be rescinded or reversed. The filing of the form results in
disqualification. The deferred taxes become due and payable as of the date of disqualification.
The date of disqualification is the date that this form is filed with the tax assessor.
There is no statutory provision for releasing or refunding a tax imposed due to voluntary
disqualification, even if voluntary disqualification was requested in error by the owner.
PLEASE CONSIDER YOUR REQUEST CAREFULLY.
List the parcel(s) for which voluntary disqualification from present-use value classification is requested.
Total
Full or Partial
If partial disqualification, describe and state
Parcel ID
Acres in
the number of acres to be disqualified.
Disqualification
Attach plat and/or documentation.
Parcel
(circle one)
Full
Partial
Full
Partial
Full
Partial
Full
Partial
Full
Partial
Comments: __________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
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