Form Av-3 - Voluntary Payment Of Deferred Taxes Without Requesting Disqualification

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Form AV-3
(Rev. 10-08)
Voluntary Payment of Deferred Taxes
Without Requesting Disqualification
Owner’s Name ____________________________________ Phone # (_____)____________
Fax #
(_____)____________
(Please Print)
Use this form to:
Voluntarily pay any or all of the deferred taxes without requesting
disqualification from present-use value classification.
G.S. 105-277.1D allows a property owner receiving present-use value to voluntarily pay any or all of
the deferred taxes without affecting the eligibility of the property for present-use value classification.
The payments are immediately applied to the existing deferred taxes and are not held for
application to additional deferred taxes resulting from any future removal from the program.
If you wish to be removed from present-use value classification, file Form AV-6 instead of this form.
List the properties for which the deferred taxes will be paid.
Tax Years
Parcel ID
Total Acres in Parcel
ACKNOWLEDGEMENT
I (we), the undersigned, hereby acknowledge the following:
1. I (we) are voluntarily paying deferred taxes. I (we) are not requesting disqualification.
2. Payment of the deferred taxes does not result in disqualification.
3. The payments will be immediately applied to the existing deferred taxes and will not be held
for application to additional deferred taxes resulting from any future removal from the program.
Signatures—All owners must sign this form.
An attorney licensed to practice law in North
Carolina who is representing the current owner may sign for the owner. All tenants of a tenancy in common
must sign this form. If husband and wife own the property as tenants by the entirety, either the husband or the
wife may sign, but both are recommended to sign. All general partners of a partnership must sign. An officer of
a corporation may sign for the corporation. An officer of an LLC may sign for the LLC. A trustee may sign for
the trust.
Name __________________________________ Signature _________________________________ Date ___/___/_____
(Owner or Owner’s Attorney—Please Print)
(Owner or Owner’s Attorney)
Name __________________________________ Signature _________________________________ Date ___/___/_____
(Owner or Owner’s Attorney—Please Print)
(Owner or Owner’s Attorney)
Name __________________________________ Signature _________________________________ Date ___/___/_____
(Owner or Owner’s Attorney—Please Print)
(Owner or Owner’s Attorney)
Contact Person for Owner’s Attorney: ____________________________Phone______________ Fax______________
Assessor’s Use Only: Date Filed_____________________
[ ] Mail
[ ] Hand-Delivered

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