Certification Of Owner-Occupied Dwelling - 1999
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1Certification of
Owner-Occupied Dwelling
Being designated as owner-occupied makes a property eligible for a reduced
levy for school general fund purposes. To qualify, you must complete this
form and deliver it to your County Director of Equalization at the County
Courthouse by March 15, 1999. (Postmarked by March 15, 1999, qualifies.)
APPLICANT INFORMATION
(Please type or print)
PROPERTY OWNER NAME
____________________________________________________________________________________________
MAILING ADDRESS
CITY
STATE
ZIP CODE
____________________________________________________________________________________________
I owned the property described below on November 1, 1998
YES
NO
I occupied the property described below on November 1, 1998
YES
NO
This is the only property for which I claim the owner-occupied classification
YES
NO
PROPERTY INFORMATION
STREET ADDRESS of the property I owned and occupied on November 1, 1998
____________________________________________________________________________________________
LEGAL DESCRIPTION of the property I owned and occupied on November 1, 1998
____________________________________________________________________________________________
____________________________________________________________________________________________
PERCENTAGE OF PROPERTY OCCUPIED BY OWNER ____________________________________________
Does the above described property include a registered mobile home?
YES
NO
Single-family, owner-occupied dwelling is defined as: a house, condominium apartment, town
house, residential housing consisting of four or fewer family units, town home, housing cooperative
where membership in the cooperative is strictly limited to stockholder occupants of the building,
manufactured or mobile home as defined in SDCL 32-3-1, or any property, building or structure
occupied by the owner, which is assessed and taxed as a separate unit, including an attached or
unattached garage and the parcel of land on which the structure is situated as recorded in the
records of the director of equalization.
SIGNATURE
I hereby state that the above information is correct to the best of my knowledge. Furthermore, I
acknowledge that this is the only single-family, owner-occupied dwelling for which I am requesting
certification. I further understand that submission of falsified information on this form is perjury and
constitutes a Class 5 felony punishable by five years in jail and/or a $5,000 fine.
SIGNATURE
DATE
This form must be completed and returned to your COUNTY DIRECTOR OF EQUALIZATION by March 15, 1999. If you have any
questions regarding this form call 1-605-773-3139.
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