Form Ab-74 - Gray Water System Application For Tax Abatement

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CLEAR FORM
Geocode ___________________________
Assessment Code ___________________
Gray Water System Application for Tax Abatement
15-24-3202, MCA and 15-24-3203, MCA
Application must be submitted by April 15 of the current tax year, or within one year of completion of
construction. Any person, firm, corporation, partnership, association, or other group seeking to qualify property for tax
abatement for a gray water system, must apply to the Department of Revenue. Please return the completed form to your
local Department of Revenue Office. You can find contact information for your local Department of Revenue office by
visiting revenue.mt.gov or by calling toll free (866) 859-2254 (in Helena, 444-6900).
Applicant Name _____________________________________________ Date __________________________________
Mailing Address _____________________________________________ Phone _________________________________
City ____________________________________________ State __________ Zip _____________________________
County in which Property is Located ____________________________________________________________________
Property Legal Description (Attach additional pages if more room is needed.) ____________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
I submit the following information in support of this application:
▶
Date the new construction started ________________________________________
▶
Date the new construction will be or was completed __________________________
▶
If the new construction is for a multiple dwelling project, does the project provide occupancy for 25 or more
residents? Yes _____ No _____
▶
Total cost incurred for gray water system, including materials, labor, shipping and installation _____________
▶
Certification from the local board of health pursuant to 50-2-116 and meets the requirements pursuant to
75-5-327, MCA. (Please attach copies.)
Signature ________________________________________________________ Date ___________________________
For Department of Revenue Use Only:
Date application received in the Department of Revenue Office _______________________________________________
This application is for a _____ residential or _____ multi-dwelling property.
How much total land is required for this structure? (Cannot be more than five acres.) ______________________________
Date the new construction started ______________________________________________________________________
Date the new construction will be or was completed ________________________________________________________
Was required proof provided? _________________________________________________________________________
Was application received on or before April 15 or within one year of construction completion? _______________________
Did the appraiser do a physical inspection of the property? __________________________________________________
Is property _____ granted or _____ denied property tax abatement?
The first year the property qualifies for tax abatement is _____________________________________________________
Signature _____________________________________ Title ________________________ Date __________________
AB-74

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