Form Pt 38 - Assessment Freeze For The Elderly And Disabled (Sdcl 10-6a) Page 2

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PT 38 – ASSESSMENT FREEZE FOR THE ELDERLY & DISABLED (SDCL 10-6A)
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TO BE COMPLETED BY DIRECTOR OF EQUALIZATION
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Applicant’s Name
Parcel number of property for which assessment freeze is to apply: ____________________________
Is the above described property a single family dwelling, condominium, apartment or manufactured home?
______________________
Is the current full and true value less than $172,401.17_________
Base year ________ assessment to be frozen $________________
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TO BE COMPLETED BY COUNTY TREASURER
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I hereby certify this applicant meets all requirements for an assessment freeze as provided in SDCL 10-6A.
The base year for assessment freeze is_________.
_______________________________________________
________________________
Treasurer's Signature
date
PT 38 (12/11)
Original to County Treasurer
First copy to Director of Equalization
Second copy to Applicant

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