Application For Property Tax Exemption Page 2

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Application for Property Tax Exemption
Chapter 84.36 RCW
Additional Parcels (must be contiguous or part of the same campus/site)
Address: (if different than the property address shown on front of this form) 
City
County
State
Zip
I am applying for exemption of:  (mark all that apply)
     Personal Property Account #:
        Owned          Leased
         
 
Personal Property
(equipment & furnishings)
           Real Property (land & buildings)
        Owned          Leased
     Real Property Parcel #: 
           Leasehold Excise Tax
On what date did your organization         purchase or              lease the property?
On what date did your organization begin using this property to conduct the exempt activity?  
Does this property include a         parsonage               convent              caretaker residence?
        Yes
        No
Was this property exempted for the previous owner or lessee?
       Unknown
        Yes
        No
Does your organization allow other individuals or organization to rent/use the property?
        Yes
        No
Are any building under construction or remodel (currently or planned)?
        Yes
        No
Address: (if different than the property address shown on front of this form) 
City
County
State
Zip
I am applying for exemption of:  (mark all that apply)
     Personal Property Account #:
         
 
        Owned          Leased
Personal Property
(equipment & furnishings)
           Real Property (land & buildings)
        Owned          Leased
     Real Property Parcel #: 
           Leasehold Excise Tax
On what date did your organization          purchase or            lease the property? 
On what date did your organization begin using this property to conduct the exempt activity?  
Does this property include a         parsonage               convent              caretaker residence?
        Yes
        No
Was this property exempted for the previous owner or lessee?
        Yes
        No
       Unknown
Does your organization allow other individuals or organization to rent/use the property?
        Yes
        No
Are any building under construction or remodel (currently or planned)?
        Yes
        No
Address: (if different than the property address shown on front of this form) 
City
County
State
Zip
I am applying for exemption of:  
     Personal Property Account #:
        Owned          Leased
         
 
Personal Property
(equipment & furnishings)
           Real Property (land & buildings)
        Owned          Leased
     Real Property Parcel #: 
           Leasehold Excise Tax
On what date did your organization         purchase or            lease the property? 
On what date did your organization begin using this property to conduct the exempt activity? 
Does this property include a         parsonage               convent              caretaker residence?
        Yes
        No
Was this property exempted for the previous owner or lessee?
        Yes
        No
       Unknown
Does your organization allow other individuals or organization to rent/use the property?
        Yes
        No
Are any building under construction or remodel (currently or planned)?
        Yes
        No
Address: (if different than the property address shown on front of this form) 
City
County
State
Zip
I am applying for exemption of:  (mark all that apply)
     Personal Property Account #:
        Owned          Leased
         
 
Personal Property
(equipment & furnishings)
           Real Property (land & buildings)
        Owned          Leased
     Real Property Parcel #: 
           Leasehold Excise Tax
On what date did your organization          purchase or            lease the property? 
On what date did your organization begin using this property to conduct the exempt activity?  
Does this property include a         parsonage               convent              caretaker residence?
        Yes
        No
Was this property exempted for the previous owner or lessee?
        Yes
        No
       Unknown
Does your organization allow other individuals or organization to rent/use the property?
        Yes
        No
Are any building under construction or remodel (currently or planned)?
        Yes
        No
Make additional copies of this page as needed to apply for additional parcels
Print This Form
REV 63 0001
Property Tax Division      PO Box 47471 Olympia WA 98504‐7471       (360) 534‐1400           

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