Form Ab-25 - Natural Disaster Application

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MONTANA
Clear Form
Form AB-25
Rev 07 11
Natural Disaster Application
Geocode: _____________________
Assessor #: _____________________
County of: _______________________________________ Date fi led: _____________
Owner: ________________________________________________________________
Address: ______________________________________________________________
MT
City: __________________________________ State: ______ ZIP: ________________
Person fi ling this form (If different from above)
Return to:
_____________________________________
Department of Revenue
PO Box 8018
_____________________________________
Helena, MT 59604-8018
Or
_____________________________________
Your Local Department of Revenue Offi ce at:
ce_locations/default.mcpx
Contact Phone Number: _________________
I/We request property tax relief on real or personal property which was partially
or totally destroyed to the extent that it is unsuitable for its previous use due to
natural disaster.
Natural disaster happened on: __________________
Location address: _______________________________________________________
Legal description: _______________________________________________________
______________________________________________________________________
Description of disaster: ___________________________________________________
______________________________________________________________________
______________________________________________________________________
The property was
partially or
totally destroyed by: _______________________
If the property was destroyed after the property taxes were paid for the current year, the
taxpayer is entitled to a refund of the amount of the tax paid prorated for the portion of
the year that the property was unsuitable for use.
Owner Signature: _________________________________ Date: _________________
Department of Revenue Response:
______________________________________________________________________
______________________________________________________________________
Signature: _______________________________________ Date: _________________
Copy to Taxpayer

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