Property Tax Relief Application For 2001 - City Of Pittsburgh printable pdf download

Property Tax Relief Application For 2001 - City Of Pittsburgh

CITY OF PITTSBURGH

PROPERTY TAX RELIEF APPLICATION FOR 2001

(412) 255-2617

This is a two-sided form. Complete the front and back sides.

Print the following information:

Property Owner Name:

Street Address:

City

State

Zip Code

Property tax Account Number as it appears on your tax bill:

Date of purchase ________________________

Is the property used as your principal residence?

Yes ( ) No ( )

How many years have you occupied the property? ________________

If not owned and occupied for at least 10 years, was the property purchased with the

assistance of Federal, State or Local Government grants and/or reduced financing programs?

Yes ( )

No ( )

(FHA, VA financing is excluded)

If not owned and occupied for at least 10 years, what property did you own and occupy as your

principal residence prior to purchasing your current residence?

Address______________________________________

Date of Purchase________________

Ward or Municipality____________________________

Block & Lot_____________________

I certify that I am: (check one)

A Claimant, age 50 or older as of January 1, 2001

( )

A Claimant under 50 with spouse age 50 or older

who resides in the same household

( )

Permanently disabled and age 18 or older (you must

provide proof of disability.)

( )

Date of Birth

(Attach Proof)

Spouse’ s Date of Birth

(Attach Proof)

C:\WINNT\senior tax relief application year 2001 revised.doc

Property Tax Relief Application For 2001 - City Of Pittsburgh