Sd Form - 1294 - Pt 38c - Application For Property Tax Homestead Exemption (Sdcl 43-31-33)
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SD EForm -
1294
V14
PT 38C - APPLICATION FOR PROPERTY TAX HOMESTEAD EXEMPTION (SDCL 43-31-33)
(ATTACH – INFORMATION FOR TAX RELIEF PROGRAMS IN SOUTH DAKOTA)
Applicant’s Name
Applicant’s Mailing Address
_______________________________________________
_______________________________________________
====================================================================================
HOUSEHOLD INFORMATION
====================================================================================
List all others living in the household. If you are applying as part of a multiple member household, you must
include their income as well as your own. Please list other members of the household below.
---------------------------------------------------------------------------------------------------------------------------------------------------
Last Name
First Name & Middle Initial
Age
Relationship
Social
Security No.
====================================================================================
PROPERTY INFORMATION
====================================================================================
Legal description of property for which application is to apply:
=============================================================================
ELIGIBILITY
=============================================================================
A. Are you 70 years of age as of the date of this application?
YES
NO
If "NO", what year did you turn 70 _______________
B. Have you owned a single family dwelling for at least three years?
NO
YES
OR
NO
YES
C. Have you been a resident of South Dakota for at least five years?
D. Have you lived in your single family dwelling for at least eight months
YES
NO
of the previous calendar year?
E. Do you live alone and have a household of less than $16,000?
YES
NO
OR
F. Do you live in a household whose combined income is less
YES
NO
than $20,000?
I understand that the county is prohibited from collecting taxes on my homestead, if I meet the above
qualifications. I also understand that the taxes shall become a lien on the property and shall be collected
before this property can be transferred to anyone else's name.
Claimant's signature
date
Preparer's signature
______________________________________
Address
City
PT 38C (12/16)
Telephone Number
REMINDER – Application to be made on an annual basis on or before May 1
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