Form Dte 105a - Homestead Exemption Application For Senior Citizens, Disabled Persons And Surviving Spouses

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DTE 105A
Rev. 11/13
Homestead Exemption Application for Senior Citizens,
Disabled Persons and Surviving Spouses
File with the county auditor after the fi rst Monday in January and on or before the fi rst Monday in June.
Please read the instructions on the back of this form before you complete it. Disabled applicants must complete form DTE 105E,
Certifi cate of Disability for the Homestead Exemption, and attach it or a separate certifi cation of disability status from an eligible state or
federal agency to this application. See Late Application in the instructions on page 3 of this form.
Current application
Late application for prior year
Application of person who received homestead reduction for 2013 or for 2014 for manufactured or mobile homes. Form DTE 105G
must accompany this application.
Application of person who received the homestead reduction for 2006 that is greater than the reduction calculated under the current law.
Form DTE 105G must accompany this application.
Type of application:
Senior citizen (must be at least age 65 by Dec. 31st of the year for which the exemption is sought)
Disabled person (must be permanently and totally disabled on Jan. 1 of the year for which exemption is sought)
Surviving spouse (must have been at least 59 years old on the date of the spouse’s death and must meet all other homestead exemp-
tion requirements)
Type of home:
Single family dwelling
Unit in a multi-unit dwelling
Condominium
Unit in a housing cooperative
Manufactured or mobile home
Land under a manufactured or mobile home
Applicant’s name
Applicant’s date of birth
SSN
Name of spouse
Spouse’s date of birth
SSN
Home address
County in which home is located
Taxing district and parcel or registration number
from tax bill or available from county auditor
FOR COUNTY AUDITOR’S USE ONLY:
Taxing district and parcel or registration number
First year for homestead exemption
Auditor’s application number
Granted
Denied
Date fi led
Name on tax duplicate
Taxable value of homestead: Taxable land
Taxable bldg.
Taxable total
Tax commissioner income verifi cation (year)
Income
Meets or is below threshold
Exceeds threshold
No information returned
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