Form Idr 54-028 - Application For Homestead Tax Credit printable pdf download

To the Assessor’s Office of __________________________________ County/City

IOWA

Application for Homestead Tax Credit

Iowa Code Chapter 425

This application must be filed with your city or county assessor by July 1 of the year for which the credit is first

claimed. Upon the filing and allowance of the claim, the claim is allowed on that homestead for successive years

without further filing as long as the person qualifies for the homestead credit. Iowa assessors’ addresses can be found

at the Iowa State Association of Assessors website.

Applicant Contact Information

PLEASE PRINT

Name: _______________________________________________________________

Phone Number:(____)_____________ eMail:________________________________

Owner’s Name: __________________________________________________________________________

Property Address of Homestead: ____________________________________________________________

Mailing address (if different than above):

Legal Description (optional): ________________________________________________________________

I became the owner of the homestead on: _____________________________________________________

by deed

by contract

by inheritance

other

Evidence of ownership on file in Book/Page or Instrument No. ___________________________ .

I began to occupy this homestead on ______________________________ and will occupy the dwelling house, in

good faith, on July 1 and for at least six months during that calendar year, or I am confined in a nursing home, ex-

tended-care facility, or hospital and the homestead is maintained and not leased or rented, or I am on active duty in

the military.

I declare residency in Iowa for purposes of income taxation and that no other application for homestead credit has

been filed on other property.

Signed: ________________________________________ Date: __________________

I certify that a smoke detector or smoke detectors meeting the requirements of Iowa Code section 100.18 and

661 Iowa Administrative Code chapter 210

has been installed OR

will be installed within thirty days of the filing of this application.

Signed: ________________________________________ Date: __________________

Written notification must be given to the assessor upon conveyance of this property

or its discontinued use as your homestead.

Assessor or Authorized Representative

allowed

________________________ I recommend that the application be

Parcel Number:

disallowed

Signed: ________________________________________ Date: __________________

Board of Supervisors

allowed

disallowed

Date:

IDR 54-028 (07/30/15)

Signed:

Form Idr 54-028 - Application For Homestead Tax Credit

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