Form Dte 23 - Application For Real Property Tax Exemption And Remission
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DTE 23
County name
Rev. 4/05
Application for
Real Property Tax Exemption and Remission
Offi ce Use Only
County application number
DTE application number
Date received by county auditor
Date received by DTE
General Instructions
Submit three copies of this application to the auditor’s offi ce in the county where the property is located. (Make a copy for
•
your records.) Applications should not be fi led until the year following acquisition of the property. The fi nal deadline for fi l-
ing with the county auditor is Dec. 31 of the year for which exemption is sought. If you need assistance in completing this
form, contact your county auditor.
• Both the County Auditor’s Finding (page 3) and the Treasurer’s Certifi cate (page 4) of this application must be completed.
Ask your county auditor for the procedure to follow to obtain the Treasurer’s Certifi cate. When presented with this applica-
tion, the county treasurer should promptly complete the certifi cate and return the application to you so it may be fi led with
the county auditor. The county treasurer should make certain the treasurer’s certifi cate is complete and accurately refl ects
the payment status of taxes, special assessments penalties, and interest, by tax year. Obtain a copy of the property re-
cord card from the county auditor and enclose it with this application. It is the applicant’s responsibility to make sure the
information supplied by the county auditor and county treasurer is complete and accurate.
• Answer all questions on the form. If you need more room for any question, use additional sheets of paper to explain details.
Please indicate which question each additional sheet is answering. This application must be signed by the property owner
or the property owner’s representative.
Please Type or Print Clearly
Application is hereby made to have the following property removed from the tax list and duplicate and placed on the tax-
exempt list for the current tax year, and to have the taxes and penalties thereon remitted for these preceding tax years:
Applicant Name:
Name
Notices concerning
this application
Name (if different from applicant)
should be sent to:
Address
City
State
ZIP
Telephone number
a)
1. Parcel number(s).
(If more than four,
b)
continue on an attached
sheet. All parcels
c)
must be in the same
d)
school district.
2. School district where located
3. Total size of parcel(s)
Less than ONE acre
One acre or MORE Number of acres
4. Street address or
location of property
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