Form Dte 23 - Application For Real Property Tax Exemption And Remission Page 3
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4DTE 23
Rev. 4/05
The Ohio Department of Taxation may set a hearing on this application. If there is a hearing, the applicant must
present a witness who can accurately describe the use of the property in question. A notice of at least 10 days will
be given to the applicant concerning the time and place of any hearing.
I declare under penalty of perjury that I have examined this application and, to the best of my knowledge and belief, it is
true, correct and complete.
Applicant or representative:
Signature
Print name and title
Address
City
State
ZIP
Telephone number
Date
County Auditor’s Finding
Land
Building
Total
Taxable value in year of application
(tax year)
Taxable value in prior year
(tax year)
This application covers property that is (check all that apply):
Currently exempt*
New construction on
Currently on CAUV
previously exempted parcel
Previously exempt
Previously on CAUV
Auditor’s Recommendation:
Grant
Partial grant
Deny
None
Comments:
County auditor (signature)
Date
Forward two copies of the completed application to the Ohio Department of Taxation, Equalization Division, P.O. Box 530,
Columbus, OH 43216-0530.
*If the property or any portion of the property is currently exempt, please indicate the type of exemption, the portion of prop-
erty exempted and the tax years to which the current exemption applies.
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