Application For Homestead And Farmstead Exclusions
ADVERTISEMENT
1
2PROPERT
PROPERT
PROPERTY TAX R
Y TAX R
Y TAX RELIEF,
ELIEF,
ELIEF, SUSQUEH
SUSQUEH
SUSQUEHANNA CO
ANNA CO
ANNA COUNTY
UNTY
UNTY
APPLICA
APPLICA
APPLICATION FO
TION FO
TION FOR HOMES
R HOMES
R HOMESTEAD A
TEAD A
TEAD AND FARM
ND FARM
ND FARMSTEAD
STEAD
STEAD EXCLUS
EXCLUS
EXCLUSIONS
IONS
IONS
Please read instructions on reverse side before completing application. Applications must be filed with the County Assessors Office by March 1st.
The County Assessors Office phone is:
570 278-4600
151
570 278-4600
Basic
Basic Inform
Information
ation
Name / Address Correction
1.
Property Owner(s)
_________________________________________________
Send y
Send your c
our complet
ompleted ap
ed applicat
plication to
ion to: :
_________________________________________________
SUSQUE
SUSQUEHANNA
HANNA COUNT
COUNTY Y
COURTH
COURTHOUSE
OUSE
2.
Property Address
_________________________________________________
PO BOX
PO BOX 218
218
MONTRO
MONTROSE, PA
SE, PA 18801
18801
3.
Municipality
_________________________________________________
4.
School District
_________________________________________________
5.
Mailing Address
_________________________________________________
_________________________________________________
_________________________________________________
City/State/Zip
_________________________________________________
6.
Phone Number of Applicant.................................................. Daytime ___________________ Evening ___________________
Homest
Homestead In
ead Informat
formation
ion
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 where some or all of the property taxes are
paid jointly?......................................................................................................................................................
_____ Yes _____ No
10. If you answered yes to question 9, what is your proportionate share of ownership?.......................................
_____ %
11. Is your property used 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?........
_____ %
13. Your parcel number is: _______________________________________
Farmst
Farmstead In
ead Informa
formation
tion
(Only applicable to buildings and structures used for commer
(Only applicable to buildings and structures used for commercial agricultural production.)
cial agricultural production.)
14. Does this property include at least ten contiguous acres of farm land?...........................................................
_____ 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 already receive a
property tax abatement under any other law? ...................................................................................................
_____ Yes _____ No
I hereby certify that the above information is true and correct.
Signature(s)
_________________________________ _________________________________ Date ____/____/____
This application must be signed by an owner for whom this property is the primary residence. 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 $2,500.00.
OFFICIAL USE
OFFICIAL USE ONLY
ONLY
Date Filed
____/____/_____
Homestead Value
______________
0 0
Date Reviewed
____/____/_____
Land Value
Farmstead Value
______________
0 0
Imprv Value
0 0
Reviewed By
________________
Total Value
Approved
__
Denied
__
Applicable Years
________________
Land Use
14:49:58 01/04/2007
You must file this application in order to receive PROPERTY
You must file this application in order to receive PROPERTY TAX RELIEF under ACT 1 of 2006, the Pennsylvania Tax Payer
TAX RELIEF under ACT 1 of 2006, the Pennsylvania Tax Payer Relief Act
Relief Act
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