Boone County Disabled Pow Real Property Tax Exemption Application

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TOM SCHAUWECKER
Boone County Assessor
Application for Exemption from Real Property Taxes &
Sworn Affirmation of Homestead Occupancy per Article X,
Section 6 of the Missouri Constitution.
Questions? Please Call (573) 886-4270
Date: ______________________
Please Print
Name of Applicant: __________________________________________________
Property Address: ___________________________________________________
City, State, Zip: _____________________________________________________
Parcel ID Number: __________________________________________________
Daytime Phone Number: _____________________________________________
Under Penalty of law, I declare that I am the lawful owner of the property and am
occupying said property as my primary residence. I have examined this form,
including all attachments as listed, and state that the information contained therein is
true, correct and complete.
Applicant’s Signature:
__________________________________________
Subscribed and sworn to before me this ______ day of _______________, 20___.
Notary Public:
________________________________________________
My Commission expires: _____________________________________________
Place Notary Seal/Stamp Here
Boone County Government Center
801 E. Walnut, RM 143
Columbia, MO 65201-77333
573-886-4270 FAX 573-
886-4254

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