Indiana County Application For Homestead And Farmstead Exclusions
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3INDIANA COUNTY
APPLICATION FOR HOMESTEAD AND FARMSTEAD EXCLUSIONS
Please read the instructions before completing this application. This application must be filed with the County Assessors Office by
March 1
. The County Assessor’s phone number and mailing address are: (724-465-3810) Indiana County Assessment Office, c/o
st
Homestead Exclusion, 825 Philadelphia Street, Indiana, PA 15701
Basic Information
1. Property Owner(s) ___________________________________________________________________________
2. Property Address ____________________________________________________________________________
3. Municipality _______________________________
4. School District _______________________________
5. Mailing Address of Property Owner (if different than property address) ___________________________________
6. Phone Number of Property Owner: Daytime _______________________ Evening ________________________
Homestead Information
7. Do you use this property as your primary residence? ______ Yes ______ No
8. Do you claim anywhere else as your primary residence? ______ Yes ______ No
9. Is your residence part of a cooperative or a condominium where some or all of the property taxes are paid jointly?
______ Yes ______ No
10. If you answered yes to question 9, do you pay a portion of the jointly paid taxes? ______ Yes ______ No
11. Do you use any portion of this property for something other than your primary residence, such as a business or rental
property? ______ Yes ______ No
12. If you answered yes to question 11, what percentage of the property is used solely as your residence? _______%
If known, please indicate your parcel number located on your tax bill. ___________________________________
13.
(If you do not know your parcel number or do not have your tax bill, leave blank, call your tax collector or call the county assessor.)
Farmstead Information (
only applicable to buildings
used for commercial production)
.)
(A Schedule F from your most recent tax return is required as proof of commercial production
14. Does this property include at least ten contiguous acres of farmland? ______ Yes ______ No
15. Are there buildings and structures on the property that are used primarily to:
a. Produce or store any farm product for purposes of commercial agricultural production?
______ Yes ______ No
b. House animals raised or maintained on the farm for the purpose of commercial agricultural production?
______ Yes ______ No
c. Store machinery or equipment used on the farm for the purpose of commercial agricultural production?
______ Yes ______ No
16. If you answered yes to questions 15 a, b, or c, do any farm buildings or structures receive an abatement of property
tax under any other law? ______ Yes ______ No
I hereby certify that all the above information is true and correct.
Signature(s) ____________________________ _____________________________ Date _______________________
Any person who knowingly files an application which is false to any material matter shall be subject to
payment of taxes due, plus interest, plus penalty and shall be subject to prosecution as a
misdemeanor of the third degree and a fine of up to $2,500.
OFFICIAL USE ONLY
Date Filed _______________________________________________________
Homestead Value _________________________________________________
Reviewed by _____________________________________________________
Farmstead Value __________________________________________________
Date Reviewed ___________________________________________________
Assessment Information:
Applicable Years __________________________________________________
Land ____________________________________________________________
Approved ________________________________________________________
Improvements _____________________________________________________
Denied __________________________________________________________
TOTAL ___________________________________________________________
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