Form Pa-42 - Application For Exemption Residence In An Industrial Or Commercial Zone

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PA-42
APPLICATION FOR EXEMPTION
Residence in an Industrial or Commercial Zone
RSA 75:11
In accordance with RSA 75:11, I hereby make application to the assessing officials of the
Municipality of
, New Hampshire, for an exemption on my
residential property, which is my principal place of abode, located at
identified as Tax Map #
, Lot #
, for the tax
year
.
Date: ___________________ Applicant's Signature: ___________________________________
NOTICE TO APPLICANT FOR EXEMPTION
Residence in an Industrial or Commercial Zone
Notice is hereby given that your application for an exemption on you residential property as
described above has been granted /denied by the local assessing officials.
Reason for denial:
Further information may be obtained from the office of the Assessors/Selectmen.
.
Date: ___________________
Signed: ___________________________________
___________________________________
___________________________________
Original: municipality file
Copy to applicant

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