Application Limitation Of Increase In Value For Single-Family Dwellings Occupied By Low-Income Owners: 65-Years-Of-Age Or Older; Or Disabled - State Of New Mexico

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STATE OF NEW MEXICO - 2016 TAX YEAR
APPLICATION
LIMITATION OF INCREASE IN VALUE FOR
SINGLE-FAMILY DWELLINGS OCCUPIED BY
Application Form
Pursuant to 7-36-21.3 NMSA 2000
LOW-INCOME OWNERS:
Revised 11/2015
as Amended in 2013
65-YEARS-OF-AGE OR OLDER;
OR DISABLED
PLEASE READ INSTRUCTIONS CAREFULLY
Part I
Tax Year
OTERO COUNTY
(575) 437-5310
2016
Applicant's and Name and Mailing Address
Phone Number
Driver's License or Personal ID Certificate (Number & State)
Date of Birth
Uniform Property Code (UPC #):
Physical Address:
Legal Description of Property:
A. Is the property the applicant's primary residence?
YES
NO
B. Is the property occupied by the applicant, and,
is he/she the current owner?
YES
NO
C. Will the applicant be age 65 or older during the current tax year?
YES
NO
D. Is the applicant disabled?
YES
NO
Continue on back side of this page
FOR ASSESSOR'S OFFICE USE ONLY
Qualifies
Does not Qualify
VALUATION LIMITATION (To be completed by the County Assessor)
The records of OTERO County indicates the property value is $_______________________ on the ____________ Notice of Value.
Valuation Limitation Authorized by: ________________________________
Date: _______________________________
Yes
Yes
UPC Ownership matches App :
HOFX:
No
VETX:
VETW:
No
Yes
No
Yes
No
Attached documents :
ID
Income
SS
WC
POD
Last Application Year: _________

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