Form Ab-30r - Real Property Tax Exemption Application
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2Geocode _____________________________________________
Clear Form
Assessment Code ______________________________________
Real Property Tax Exemption Application
15-6-201, MCA
This form is to be used for all mobile home applications in addition to real property. The form must be submitted by March 1
of the current tax year, or within 30 days of receiving an assessment notice, in order to be considered for that tax year.
Any person, fi rm, corporation, partnership, association, or other group seeking to qualify property as tax exempt, must apply to the
Department of Revenue. Once completed, the form should be submitted to the Local Department of Revenue Offi ce. To fi nd the mailing
and telephone information of your local county offi ce, go to revenue.mt.gov/abouttheagency/default.mcpx. Look under Contact Us > 56
Local Offi ces. See instructions on reverse side to complete this form.
Applicant Section.
Please complete this form to the fi rst signature line only and return to Local Department of Revenue Offi ce.
Applicant Name _________________________________________________________________________ Date ________________
Mailing Address __________________________________________________________________Phone ______________________
County in Which Property is Located _____________________________________________________________________________
City ______________________________________________ State ________________________Zip _________________________
Property Address _____________________________________________________________________________________________
Real Property Legal Description _________________________________________________________________________________
___________________________________________________________________________________________________________
Type of Property Exemption Claimed (Check one or more.)
Religious
Developmentally Disabled
Government (Describe)
_________________________
Charitable
Veteran’s Clubhouse
Tribal Government – See
Instructions
_________________________
Educational
Low-Income Housing
(15-6-221)
Other – See Instructions
_________________________
Non-Profi t Healthcare
Required Supporting Documents (Photocopies are acceptable.)
● Articles of Incorporation (if incorporated)
● Education – Copy of attendance policy and proof of a
defi nable curriculum with systematic instruction
● Constitution and By-Laws (if not incorporated)
● Healthcare Facility – License from the Department of Health
● Federal Internal Revenue Service Tax Exempt Status Letter
(i.e., a copy of 501(c)3 letter; if unavailable, please explain
● Cemetery – Proof of a Permanent Care & Improvement Fund
why.) ____________________________________________
● Tribal Religious – Copy of Tribal Resolution that sets
________________________________________________
aside the land and designates it as sacred land to be used
exclusively for religious purposes
● Deed, Contract for Deed or Notice of Purchaser’s Interest,
which evidences ownership (for real property only)
● Tribal Cemetery – Copy of Tribal Resolution that sets aside
the land and designates it as a cemetery, and Proof of a
● Title of mobile home, or letter of explanation if title is not
Permanent Care & Improvement Fund
applicable, which evidences ownership
● Tribal Park or Recreational Facility – Copy of Tribal
● A letter explaining how the organization is specifi cally using
Resolution designating the property as a park or a
the real property (i.e. offi ces for organization, housing for low
recreational facility that is open to the general public
income, church, parsonage, etc.)
● Tribal Education – Copy of attendance policy and proof of a
● Clergy residence – Proof occupant is a member of the
defi nable curriculum with systematic instruction
Clergy. (i.e. Certifi cate of Ordination, License, etc.)
● A photograph of the property (omit if furniture and fi xtures)
Signature __________________________________________ Title ________________________________ Date ________________
Local Department of Revenue Section.
Complete and send to P.O. Box 8018, Helena MT 59604-8018.
Date application received in local DOR offi ce _______________________________________________________________________
Did applicant own the property on the assessment date of current tax year? If not, what date was ownership assumed?
___________________________________________________________________________________________________________
Comments __________________________________________________________________________________________________
How much total land is in this legal description (total acres, if not city lots)? _______________________________________________
Is all land necessary for operation of property? (If not how much of the property is necessary?) ________________________________
___________________________________________________________________________________________________________
Does the property legal description and actual location coincide? _______________________________________________________
What is the property used for? (church, veterans clubhouse, school, etc.) _________________________________________________
___________________________________________________________________________________________________________
Is any part of the improvement rented to another? ___________________________________________________________________
Will this property receive an Assessment Notice for the current tax year? _________________________________________________
Did the appraiser conduct a physical inspection of the property? ________________________________________________________
An estimate of the appraised value for the exemption is _______________________________________________________________
Is the property located entirely within the exterior boundaries of the reservation of the tribe that owns the property? ________________
Is the property used exclusively by the tribe for essential government services? (Essential government services are tribal government
administration, fi re, police, public health, education, recreation, sewer, water, pollution control, public transit, and public parks and
recreational facilities.) _________________________________________________________________________________________
Is the property operated for gain or profi t? _________________________________________________________________________
Is the property held under contract to operate, lease, or sell by any person or entity other than the applicant? ____________________
Is the property used or possessed by any person or entity other than the tribe? ____________________________________________
Is the property held by a tribal corporation? ________________________________________________________________________
Signature __________________________________________ Title ________________________________ Date ________________
Property Assessment Division – Helena Central Section.
Date Received _________________________________________ Application Number Assigned _____________________________
Signature __________________________________________ Title ________________________________ Date ________________
AB-30R (Rev 04 12)
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