Pollution Control Exemption Claim - Nevada Department Of Taxation

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STATE OF NEVADA
DEPARTMENT OF TAXATION
DIVISION OF ASSESSMENT STANDARDS
MINING SECTION
POLLUTION CONTROL EXEMPTION CLAIM
THIS MUST BE RETURNED NO LATER THAN JUNE 15, 20__
Mailing address:
«OWNER»
«CAREOF»
«ADDRESS»
«CITY»
«NAME»
«COUNTY»
All claims for tax exemptions on real and personal property must be filed pursuant to NRS 361.077 and 361.15
The types of property upon which tax exemption is claimed under this act consists of the following:
LAWS OR
REGULATIONS
REQUIRING
DESCRIPTION OF POLLUTION CONTROL INSTALLATION INSTALLATION LOCATION &
ASSET PRIMARY PURPOSE PERMIT # ASSET DATE COST DESCRIPTION
I certify that the above claim for property tax exemption is made in good faith and is to the best of my knowledge
and belief true, correct and complete and that the use of said property included in the above exemption claim is for
the primary purpose of complying with laws for the prevention, control or reduction of air and water pollution. The
property included in the above exemption claim is not used as: (1) an air conditioner, (2) a septic tank, or (3) a
sewage facility used to move sewage to collection facilities. Each property included in the above exemption claim
had a value of at least $1,000 when constructed, installed or first used; and the use of each property or facility
included in the above exemption claim does not produce a net profit to its owner or operator from the recovery and
sale; or use of a tangible product or byproduct nor does such use result in a net reduction of operating costs. Further,
I hereby authorize and empower Nevada taxing authorities and their deputies to personally inspect the facilities,
examine supporting documents or otherwise verify the above exemption claim(s).
________________________________, 20__
_________________________________________________________
Signature of Taxpayer or Authorized Representative

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