Form Pt-64 - Property Tax Statement Of Exemption For Property Used For Pollution Control Page 2

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Property Tax Statement of Exemption
Instructions
Questions?
A description of the business of
the applicant and an explanation of
In accord with Minnesota Statutes
If you need help completing this appli-
how the property is utilized.
section 272.02, an applicant requesting
cation, call (651) 556-6091.
exemption of all or a portion of any real
TTY: Call 711 for Minnesota Relay.
Name of equipment or device as
property or equipment or device, or
shown on the application form.
Email
part thereof, operated primarily for the
sa.property@state.mn.us
Date of the Property Tax Exemp-
control or abatement or air, water, or
tion Application for Property Used
Address
land pollution must first file the Form
for Pollution Control.
Minnesota Revenue
PT-63, Property Tax Exemption Applica-
Mail Station 3340
tion for Property Used for Pollution Con-
Date of the Order Exempting Prop-
St. Paul, MN 55156-3340
trol. Once this application is approved
erty Used For Pollution Control Or
the commissioner will issue an order
Housing Pollution Control Devices.
Forms
exempting the property.
Forms and other tax information are
Use of Information
available on our website at
In accord with Minnesota Statutes
You are not required by law to pro-
enue.state.mn.us.
section 272.025, subdivision 1(b), a
vide this information. However if you
taxpayer claiming exemption from
We’ll provide this information in other
want to claim exemption for pollution
taxation for personal property used for
formats upon request to persons with
control equipment or devices you must
pollution control must file a Statement
disabilities.
provide all of the requested informa-
of Exemption with the commissioner
tion.
of revenue on or before February 15
of each year for which the taxpayer
Failure to timely file the Statement of
claims an exemption. This form is the
Exemption will result in the commis-
Statement of Exemption Form (Form
sioner rescinding the order granting
PT-64).
exemption.
The following information must be
All information provided on this form
provided:
is public.
Name and address of the owner of
File Electronically
the property as shown on the ap-
plication form.
You may submit this completed applica-
tion electronically at sa.property@state.
Location, legal description, and
mn.us. Be sure to include all supporting
parcel ID of the land on which the
materials.
property is located as shown on the
application form.

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