Application For Cobb County Homestead Exemptions
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APPLICATION FOR COBB COUNTY HOMESTEAD EXEMPTIONS
SELECT TYPE OF EXEMPTION(S)
Cobb County Basic Homestead Exemption
State Senior Age 65
Cobb County School Tax (Age 62) Exemption
State Senior Age 65 $4,000 Exemption ($10,000 income limit)
Cobb County $22,000 Disability
State Surviving Spouse of a Peace Officer of Firefighter
($12,000 income limit)
State Veteran’s or Surviving Spouse Disability
Killed in the Line of Duty
Veteran
Surviving Spouse
Firefighter
Peace Officer
CURRENT RESIDENCE
1. Property address
2. Primary/legal residence
3. Date of occupancy
(MM/DD/YYYY)
/
/
Yes
No
4. Number of houses on property
5. Adjoining lot properties?
6. Address of adjoining lots
Yes
No
PREVIOUS RESIDENCE
7. Previous address
8. Date moved
9. Applicant still owns this property?
(MM/DD/YYYY)
/
/
Yes
No
10. Exemptions at previous
11. Exemption removal letter
12. Address(es) of additional property
address or any other property?
attached if property with exemption
owned in or out of Georgia
Yes
No
is located in another county/state?
Yes
No
APPLICANT INFORMATION
APPLICANT 1
APPLICANT 2
13. Applicant Name
14. Mailing Address (if different)
/
/
/
/
15. Date of Birth
(MM/DD/YYYY)
16. Phone Number
17. Email
18. County/State of Voter
Registration
19. Social Security Number
Required if applying for Age 65 ($10,000
Income limit), Veteran Disability exemption
20. State/Auto Tag Number(s)
Attach copy of registration/renewal
21. State and Driver License
Number or Georgia ID Number
Attach a copy
22. Active Military? If yes, list your
legal state of residence and
Yes
No
Yes
No
provide a copy of your Military
LES
23. Marital Status
Single
Married
Divorced
Widowed
Single
Married
Divorced
Widowed
24. U.S. Citizen? If no, list your
Yes
No
Yes
No
A# or I94# and attach a copy
A#
or I94#
A#
or I94#
EXEMPTION TYPE:
NEW
CHANGE
ADDITION
DENIED
TAX REP _____________ DATE_______________
OFFICE USE ONLY
PARID#__________________________HS CASE#______________________EX CODE#_____________________YEAR BEG____________ TAX YEAR________________
SUPERVISOR/MANAGER APPROVAL_____________________ (VETERAN DISABLITY/COBB DISABILITY/SS)
OATH OF APPLICANT: I do hereby make application for the exemptions as indicated to the Tax Commissioner of Cobb County in
accordance with the provisions of the State of Georgia. I, the undersigned do solemnly swear that the above statements are true and
correct. I am a qualified applicant according to O.C.G.A. 48-5-40 and the bona fide owner of the above described property. I actually
occupied said property on January 1 of the year for which this exemption is claimed. Note: Making false or fraudulent statements is a
misdemeanor and subject to penalties and fines per O.C.G.A 48-5-51.
Date
Date
X______________________________________________________
___________________
X______________________________________________
__________________________
Applicant 1’s signature
pplicant 2’s signature
A
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