Form Dte 104c - Application For 21/2 % Tax Reduction On Owner-Occupied Home
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DTE 105C
Auditor’s no.
Rev. 11/08
Application for 22% Tax Reduction on Owner-Occupied Home
File with the county auditor no later than the fi rst Monday in June.
Please read the back of this form before you complete it. See the instructions
County
for a Late Application on the back of this form.
Parcel number
Application for this year 20
Late application for prior year
Tax district
Name of owner(s) of home
Address of home
Date home acquired
Type of home:
Single family dwelling
Unit within a multi-unit dwelling
Condominium
Is the land surrounding the home more than one acre?
Yes
No
Do you occupy all of the home as your principal place of residence?
Yes
No
If answer is no, give details
If the applicant or the applicant’s spouse owns a second or vacation home, please provide the address and county below.
Address
City
State
ZIP code
County
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.
Signature of applicant
Applicant’s address
Phone number
Date
For County Auditor’s Use Only
Granted
Denied
Tax Year Parcel number
Total Acres
Land
Building(s)
Total
$
$
Taxable value eligible for deductions $
Land
Building
Total
Name on tax duplicate
Date fi led
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