ASSESSMENT CODE:
Clear Form
Tax Year 2013
Property Tax Assistance Application (PTAP)
15-6-134, MCA
________________________County
Name _________________________________________________________________________________
Mailing Address _________________________________________________________________________
City, State and Zip _______________________________________________________________________
Phone Number(s) _______________________________________________________________________
Part I. General Information
To simplify the application process this year, we have streamlined the form and eliminated the sections where you
had to calculate your total household income for the preceding year. For tax year 2013, the local Department of
Revenue office will calculate your total household income based on the income documentation that you submit with
this application.
Please return your signed and completed application with income documentation included to your local Department
of Revenue office by April 15, 2013. If we do not receive your application by April 15, 2013, you may not be eligible
for property tax relief.
If your application is approved, the property tax relief you receive will apply to the first $100,000 of the taxable
market value of your residential property, which may include land up to five acres. Once we have processed your
completed application, we will send you a letter telling you whether your application has been granted or denied,
and describing your appeal rights.
Part II. Qualifying Criteria
I/we own or currently are under contract for deed to purchase a home or mobile/manufactured home that may
include land up to five acres. (Please choose one.)
q
q
q
Home
Mobile and Land
Mobile/Manufactured Home Only
Every property owner who occupied the property as his/her primary residence for at least seven months during 2012
must sign on page 2 of this form, provide your social security number(s), and check the appropriate box indicating
income documents are provided or that you are filing an income tax extension.
● If you file an income tax return, include a copy of your Montana income tax return including federal schedules C,
D, E and F and Forms 4797 and 8829, if they were included in your tax filing.
● If you do not file an income tax return, include a copy of documentation that verifies your income, such as a
social security statement, W-2 form, 1099’s etc.
If you qualify for an income tax filing extension, please place an X in the appropriate box in part III on page 2.
Return the signed application to your local Department of Revenue office by April 15, 2013.
● If you are filing an extension, you will need to provide a copy of your Montana income tax return including
federal schedules C, D, E and F and Forms 4797 and 8829, if they were included in your tax filing, to the local
Department of Revenue office, no later than October 25, 2013.
Total household income for this property tax relief program means the income as reported on your 2012 tax return
or returns, excluding losses, depletion, and depreciation and before any federal or state adjustments to income.
If you are single and your total household income is greater than $20,809, you do not qualify for this property tax
relief program. Households with more than one owner occupant and a total household income greater than $27,745
cannot qualify for this property tax relief program.
PPB-8
Rev. 10 12