Application For Exemption From Land Tax

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Ministry of Finance
Office of the Tax Commissioner
Application for Exemption from Land Tax
I wish to apply for exemption from Land Tax on my home.
1.
My full name is:
2.
(
:
i)
Address
(ii)
Telephone Home: ____________Cell: ____________ Work: _______________
*
(iii)
The assessment no. is:
*
(iv)
The Annual Rental Value (A.R.V.) is: $
(v)
My date of birth is:
*
This information is shown on your Demand Note.
3.
I certify that I am a Bermudian aged 65 years or over, and that I live in the above home. Please
tick whichever of the following applies:
I am the legal owner of the above property.
OR
I have a lease agreement for three years or more.
Please attach a copy of documentary proof (i.e. passport, birth certificate, status certificate,
lease agreements, confirmation of current address – e.g. recent utility bill etc.)
Signature
Date:
For office use only:
Basis of documentary proof: ______________________________
Examined by: _____________________ Date: ______________
F.B. Perry Building, 40 Church Street, Hamilton HM 12
P.O. Box HM 1374, Hamilton HM FX
Phone (441) 297-7537
Fax: (441) 296-5406
Email: etax@gov.bm
Websites:
and

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