State of Oklahoma
Tax Year
OTC
Storm Shelter Exemption Application
905
________________________________________ County
Return to County Assessor
Revised 5-2011
Information in this application is confidential under 68 O.S. Section 2835
Name and Address (please print)
Name: _______________________________________________________________________________
Property or 911 Address: ________________________________________________________________
Mailing Address: _______________________________________________________________________
City
State
ZIP Code
Legal Description:
School
District
Use of Property
Residential
Commercial
Other
If Other, please describe: ___________________________________________________________
Shelter Information (Exemption limited to 100 square feet)
Form of Shelter:
Inground
Saferoom
Other
If Other, please describe: ___________________________________________________________
Size of Shelter:
Dimensions: ____________ X _____________
Total Square Feet: _____________
Construction:
Concrete
Steel
Other
If Other, please describe: ___________________________________________________________
Location of Shelter:
Inside Main Structure
Detached
Inside Garage
Other
If Other, please describe: ___________________________________________________________
Date of Construction:
Month: _________________
Year: ____________
Cost of Construction:
$ __________________________________________
Signature:
I hereby certify that all the information contained herein is true and correct to the best of my knowledge:
✍
Applicant:
_________________________________________________ Date: ______________________
Assessor Use Only
Application for Exemption:
Approved
Rejected
Parcel Identification Number: _____________________________________________________________________
Assessor Signature: _________________________________________ Date: ____________________________