Senior Citizen Or Disabled Veteran Property Tax Exemption Applicaton - 2016
ADVERTISEMENT
1
2SENIOR CITIZEN or DISABLED VETERAN
PROPERTY TAX EXEMPTION APPLICATON
AS 29.45.030 (e) (i)
Each Year You Must UPDATE—SIGN—and RETURN this Application
along with the Supplemental PFD Information, by MARCH 31ST, 2016
Municipality: HAINES BOROUGH
Tax Year: 2016
Name of Applicant/Property Owner:
Birthdate of Applicant: Birthdate of Spouse:
Name of Spouse:
Type of Dwelling:
House _____
Mobile Home_____
Mailing Address:
PHONE#:
Provide location and/or address of property:
_______________________________________
Property Acct.#
Please check one of the following:
____ I am applying as a Senior Citizen, age 65 or older
____ I am applying as a Disabled Veteran.
____ I am applying as a widow/widower, age 60-64, of a previously qualified applicant
NEW APPLICANTS MUST PROVIDE VERIFICATION of AGE
(i.e. Birth Certificate, Baptismal Certificate, Passport)
Is this your permanent place of abode?
Is any portion of this property used for
Yes______ No ______
Commercial purposes?
No ______
Yes____ Total Sq. Ft. Living Space______
Is your home on land you own?
Total Sq. Ft. Commercial ______
Yes_____ No_____
% Calculated by Assessor _____
If Yes, what % of ownership________%
If No, owner's name________________
ANSWER the following and COMPLETE the Supplemental Information attached: (circle answer)
1) Were you ELIGIBLE for the ALASKA PERMANENT FUND DIVIDEND in 2015:
YES
NO
2) Will you be ELIGIBLE for the ALASKA PERMANENT FUND DIVIDEND in 2016: YES
NO
Certification: I hereby certify the answers given on this application are true and correct to the best of my knowledge.
I understand that a willful misstatement is punishable by a fine or imprisonment under AS 11.56.210.
DATE: ______________ SIGNATURE of APPLICANT:
_______________________________
__________________________________________________________
{Office use below:
Return to: Haines Borough
{
Property Account # ____________________
P.O. Box 1209
{
Total Value:__________________________
Haines, AK. 99827
{
($150,000 exempt) ___ -150,000_________
{
TAXABLE VALUE ____________________
If you have questions, please call (907)766-2231
{
Assessor’s Notes: __________________________________________
{
(More information attached)
Eligible for AK Perm. Fund Dividend: Yes ______ No _____
{
Denied ____ Approved ____ Date_________ Assessor’s Initials _____
__________________________________________________________
Revised 06-25-15
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial