Application Form For Property Tax Exemption - Tennessee State Board Of Equalization

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TENNESSEE STATE BOARD OF EQUALIZATION
APPLICATION FOR PROPERTY TAX EXEMPTION
This form must be COMPLETELY FILLED IN AND SIGNED and must include
FOR OFFICIAL USE ONLY
the following attachments: (1) Quitclaim or warranty deed for real property;
DO NOT WRITE IN THIS SPACE
(2) Corporate Charter & Bylaws or if unincorporated, a copy of any other document
that explains the organization’s governing structure; (3) Financial information for the
last fiscal year (i.e., Form 990 if required by IRS, or income/expense statement/budget);
(4) Photograph of property; (5) Personal property schedule/list for personal property
only applications. Send a duplicate copy of the application and supporting documents
to the county assessor.
This information is also available at our website
RETURN ALL REQUIRED DOCUMENTS AND REQUIRED FEE (Check or Money Order)
RECORD # ________________
TO:
STATE BOARD OF EQUALIZATION
th
9
Floor, W.R. Snodgrass TN Tower
312 Rosa L. Parks Avenue
FEE: _____________________
Nashville, TN 37243-1102
PHONE (615) 401-7883
Property Location: ____________________County
PROPERTY TYPE: ( ) REAL PROPERTY
( ) PERSONAL PROPERTY
PROPERTY ASSESSOR’S IDENTIFICATION
Control
Property
Special
Map
Group
Parcel
Identifier
Interest
Acres
Personal Property Identification Number (if applicable): _______________________________________________________
1. Applicant’s name:__________________________________________________________________________________
2. Applicant’s address:________________________________________________________________________________
Street Address
___________________________________________________________________________________________________
City
State
Zip Code
Telephone Number
3. Location of subject property:_________________________________________________________________________
Street Address
___________________________________________________________________________________________________
City
State
Zip Code
4. Applicant’s contact information:________________________________________________________________________
Name
___________________________________________________________________________________________________
Telephone Number
E-mail Address
___________________________________________________________________________________________________
Street Address
___________________________________________________________________________________________________
City
State
Zip Code
5. Type of organization: ( ) Religious; ( ) Charitable; ( ) Scientific; ( ) Educational; ( ) Other - Please Explain __________
___________________________________________________________________________________________________
6. Is the organization incorporated?
( ) Yes
( ) No
7. Type of exemption applied for: ( ) Religious; ( ) Charitable; ( ) Scientific; ( ) Educational
8. Has the organization previously made application for exemption for this or any other property? ( ) Yes
( ) No
9. If religious, was this property exempt under previous owner?
( ) Yes
( ) No
10. If religious, does this property replace previously approved exemption property owned by your organization?
( ) Yes ( ) No
(Over)

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