Form 50-116 - Application For Property Tax Abatement Exemption - 2011 Page 2

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P r o p e r t y T a x

A p p l i c a t i o n f o r P r o p e r t y T a x A b a t e m e n t E x e m p t i o n

Form 50-116

STEP 4: List the Taxing Units that have Agreed to Abate your Taxes and Attach Copies of the Abatement Agreement for Each Unit

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_______________________________________________

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FOR EACH TAXING UNIT IDENTIFIED, ATTACH COPIES OF ABATEMENT AGREEMENTS.

STEP 5: Answer these Questions About the Abatement(s)

Are the terms and duration of each taxing unit’s agreement different or identical?



Different

Identical

If different, please copy this form for each taxing unit and complete Step 5 for each unit. In the area where you listed the taxing units, please circle the tax-

ing unit that you are summarizing.

If identical, please describe the nature of the abatement agreements for this year by completing the following:



___________________________

Lump sum exemption of $



___________________________

Percentage exemption of



Other (Attach a statement describing the method of calculating abatement. Give dollar value to be exempted this year.)



Does the agreement abate taxes on personal property? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes



Are you in compliance with the agreement? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “No,” attach a statement explaining the reason for non-complance.

STEP 6: Read, Sign, and Date

By signing this application, you certify that the information provided in this application is true and correct to the best of your knowledge and belief.

_____________________________________________________________________

__________________________

Authorized Signature

Title

_____________________________________________________________________

Printed Name

RENEWAL of Existing Exemption

____________________

I certify that the information given in the application filed for

is still true and correct to the best of my knowledge and belief.

_____________________________________________________________________

__________________________