Long Form: Property Tax Exemption For Seniors Page 2

Download a blank fillable Long Form: Property Tax Exemption For Seniors in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Long Form: Property Tax Exemption For Seniors with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

5. Complete this section if applicant or spouse was/is confined to a nursing home, hospital, or
assisted living facility.
5A. Name of Confined Individual
5B. Location
5C. Dates Confined
5D. During confinement, the property was occupied by either a) the spouse of the person confined, b) a financial dependent,
or c) the property remained unoccupied.
True
6. Complete this section if prior residence was condemned in an eminent domain proceeding.
6A. Street address of condemned property
6B. Dates of ownership of condemned property
from:
to:
6C. Dates condemned property was occupied as primary
6D. Approximate date of condemnation
residence
6E. Since condemnation, I have not owned and occupied any property as my primary residence other than the property
for which I am applying for exemption.
True
6F. If condemnation of the prior residence had not occurred, the condemned property would still be my primary residence.
True
7. Complete this section if property is owned by a trust or an individual as trustee.
7A. Name of Trust
7B. Maker(s) of Trust
7C. Trustee
7D. Beneficiary
7D. Beneficiary
7D. Beneficiary
7D. Beneficiary
7E. The property was transferred to the trust solely for estate planning purposes. Had the property not been transferred,
I and/or my spouse would be the owner(s) of record.
True
8. Complete this section if property is owned by a corporate partnership or other legal entity.
8A. Name of Corporate Partnership or Legal Entity
8B. Name of Principal
8B. Name of Principal
8B. Name of Principal
8B. Name of Principal
8C. The property was transferred to the corporate partnership or legal entity solely for estate planning purposes. Had the
property not been transferred, I and/or my spouse would be the owner(s) of record.
True
9. Affidavit and Signature
I declare, under penalty of perjury in the second degree (§ 18-8-503, C.R.S.), that the information
provided on this form and on any attachments is correct.
Signature:____________________________________________________________
Date:_________________
Signer is:
Applicant
Spouse
Guardian*
Conservator*
Attorney-in-fact*
* Authorization in the form of a court order or power of attorney is required.
Other Contact:_____________________________________________________ Telephone Number:__________________
(relative, personal representative, etc.)
The County Assessor must be informed of any change in ownership or occupancy of the property within 60
days of such occurrence.
Mail, FAX, or deliver this form to your County Assessor by July 15. We recommend you obtain a receipt
when delivering the form in person, or mail the form by certified mail. You may also call the Assessor
to ensure that your application was received.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2