Form Cta-Pvx - Property Valuation Exemption Page 2

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Property Valuation Exemption
Page 2 of 5
1.
Real Property—For real property, provide a description of all improvements, and attach a copy of the
deed.
___________________________________________________________________________
___________________________________________________________________________
2.
Personal Property—For personal property, provide an itemized list of all items, including the
acquisition date(s) and any legal documentation of ownership. (If the description is lengthy, attach
additional pages to this form.)
___________________________________________________________________________
___________________________________________________________________________
3.
If personal property, where was the property located on January 1 of the year you request the
exemption to begin? (Provide the street address, city, county and state.)
___________________________________________________________________________
5.
Is the subject property leased? _____No
_____Yes. If yes, attach a copy of the lease agreement.
6.
Indicate all uses you make of the subject property: (Explain in detail.)
___________________________________________________________________________
___________________________________________________________________________
7.
Indicate how often you use the subject property for this purpose(s).
___________________________________________________________________________
___________________________________________________________________________
8.
Indicate all other individuals, groups or organizations that use the subject property. Explain in detail
how each individual or entity uses the property.
___________________________________________________________________________
___________________________________________________________________________
9.
Indicate whether or not a fee is charged in relation to the use of the subject property. If a fee is
charged, please explain why there is a fee, how that fee is determined or calculated, and what purpose
the fee serves. Include a copy of any fee schedules.
___________________________________________________________________________
___________________________________________________________________________
10.
Date (mm/dd/yyyy) you acquired ownership of subject property: _______________________
Date (mm/dd/yyyy) the property was first used for exempt purposes: ____________________
Date (mm/dd/yyyy) you are requesting the exemption to begin:_________________________
Date (mm/dd/yyyy) construction commenced and ended*:_____________________________
*(If property is new construction)
11.
Which statute authorizes the exemption: ___________________________________________
12.
Do you request a hearing on the application for exemption? _____Yes _____No

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