Tax Year 2015 Property Tax Assistance Application Form

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ASSESSMENT CODE:
Clear Form
Tax Year 2015
Property Tax Assistance Application (PTAP)
15-6-134, MCA
________________________County
Name _________________________________________________________________________________
Mailing Address _________________________________________________________________________
City ____________________________________State ___________________ Zip __________________
Contact Phone Number(s) _________________________________________________________________
Part I. General Information
Please return your signed and completed application, along with your income documentation, to your local
Department of Revenue office. Your application must be postmarked or hand-delivered by April 15, 2015. Go
to revenue.mt.gov and click on Property Assessment, then Contact Us for mailing addresses of our 56 local
county Department of Revenue offices or call us toll free (866) 859-2254 (in Helena, 444-6900).
If your application is approved, the property tax relief you receive will apply to the first $100,000 of the taxable
market value of your residential property, including up to five acres of land. Once we have processed your
completed application, we will send you a letter informing you whether your application has been granted or
denied and describing your appeal rights.
Part II. Qualifying Criteria
You must own, or currently be under contract to purchase, a home or mobile/manufactured home. (Please
mark one of the check boxes below.)
q
Home
q
Mobile/Manufactured Home Only
q
Mobile/Manufactured Home and Land
Each property owner who occupied the property as his or her primary residence for at least seven months
during 2014 must sign this form, provide a social security number(s), and check the appropriate box in Part III
indicating that he or she is providing income documentation or is filing an income tax extension.
If you are required to file a Montana income tax return, you must include with your signed application a copy of
your Montana income tax return and, if they were included in your tax filing, a copy of federal schedules C, D,
E and F and Forms 4797 and 8829.
Even if you are filing an income tax extension, your signed application form must be received or postmarked by
the April 15, 2015 deadline date. By checking the filing an income tax extension box in Part III, you have until
October 25, 2015 to submit your income documentation to the local Department of Revenue office.
If you are not required to file a Montana income tax return, please include with your signed application
documentation that verifies all of your taxable and nontaxable income, such as Form W-2 and Form 1099, as
well as social security, disability and/or veterans statements, etc.
Total household income for this property tax relief program means the income you reported on your 2014 tax
return or returns, excluding losses, depletion, and depreciation and before any federal or state adjustments to
income. If you are single and your total household income is greater than $21,032, you do not qualify for this
property tax relief program. Households with more than one owner occupant and a total household income
greater than $28,043 cannot qualify for this property tax relief program.

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