Form Pt01 - Annexations Affecting Dra For 2009 - Minnesota Department Of Revenue

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Form PT01
Annexations Affecting DRA
For 2009 - Reported at Unique Taxing Area (UTA) Level
This form is used for counties to report annexations where:
1) the effective date is from July 1, 2007 through June 30, 2008 and
2) the annexed portion of the UTA comprises 5% or more of the taxable net tax capacity of the entire unique taxing area before the annexation.
Please notify us if you have no annexations that meet the above conditions.
Name of county
Date
Name of contact person
Title
Phone
(
)
I certify that this form is accurate to the best of my knowledge.
Payable 2008
Effective
Original UTA of Annexed Property
Taxable NTX Before Annexation
Taxable NTC of
Payable 2009 UTA of Annexed Property
Date of
C/T
SD
Sub
of UTA Where Annexed
Annexed Portion
C/T
SD
Sub
Annexation
Code
Code
Code
City/Town Name
Property Originated
of UTA
Code
Code
Code
City/Town Name
(3)
(4)
(5)
(1)
(2)
(6)
(7)
(9)
(10)
(11)
(8)
1
2
3
4
Column Descriptions
(1)
Effective date of the annexation order. Annexations between July 1, 2007 and June 30, 2008 affect DRA certification for taxes payable in 2009.
(2 - 5)
Name of the taxing and codes of the UTA where the annexed property originated. Codes should match those found for this UTA on the 2008 Abstract of Tax Lists.
(6)
Taxable NTC, before the annexation, of the entire UTA where the annexed property originated. Report the payable 2007 taxable NTC. Do not report the total NTC.
(7)
Taxable NTC of the annexed portion of the UTA. Report the payable 2008 taxable NTC. Do not report the total NTC. The value in column seven (7) should be 5% or
more of the value in column six (6).
(8 - 11) Name of the taxing district and codes of the UTA where the annexed proeprty will be located for taxes payable 2009. These codes will match those to be reported
on the 2008 Abstract of Assessment and 2009 Abstract of Tax Lists.
Fax or email this completed form to the Property Tax Division by July 21, 2008.
Email to: jodi.rubbelke@state.mn.us
Fax to: 651-556-3128
(Rev. 07/08)

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