Homebuilders/Developers Exemption Application

Homebuilders/Developers Exemption Application
Date Submitted: Date Submitted: / MM / DD YYYY
Newly Constructed and Unoccupied Detached Single Family Homes
Owner Name: Owner Name: * First Middle Last
Shared Ownership? *

Shared Ownership? No Yes
Second Owner Name: Second Owner Name: * First Middle Last
Email Address: *

Confirm Email Address: *
Mailing Address: Mailing Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Company Name: *
Builder's License Number: *
Daytime Phone Number: Daytime Phone Number: * - ### - ### ####
Property Address: Property Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Subdivision Name:
Building Permit Number:
Certificate of Occupancy:
Issue Date: Issue Date: * / MM / DD YYYY
Certificate Copy: *

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Attach Files
Lot Number: *
It Is Required That The Builder/Developer Notify The Assessor’s Office Immediately Upon The Home Being Occupied/Leased
Is This Home Being Used As Sales Office? *

Is This Home Being Used As Sales Office? Yes No
Is This Home Being Rented Or Occupied In Any Way? *

Is This Home Being Rented Or Occupied In Any Way? No Yes(Explain) Yes(Explain)
Who is Signing this Form: *

Who is Signing this Form: Property Owner Authorized Agent
An individual who is not the legal property owner must provide documentation to substantiate their relationship to the owner(s) or legal interest in the property at the time of submission. the three forms of acceptable proof are:

1. Copy of power of attorney for the owner of record.
2. Copy of completed poa39 by owner of record.
3. Copy of personal representative appointment by probate court.
Proof Of Authorization To Sign: *

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Attach Files
I certify that I owned the property as of December 31st of the preceding tax year. I certify that I am the owner of the above newly constructed detached single family home, that the home is yet to be occupied, that the home has received a certificate of occupancy, and that the information that I provided is correct. I understand that: *

I certify that I owned the property as of December 31st of the preceding tax year. I certify that I am the owner of the above newly constructed detached single family home, that the home is yet to be occupied, that the home has received a certificate of occupancy, and that the information that I provided is correct. I understand that: I am responsible for the property tax on the unimproved land; I must notify the Assessor within thirty (30) days of when the home is occupied or leased regardless of whether it is sold; I must reapply annually by January 31st of each subsequent year in order for the home to continue receiving the exemption; I am aware that this exemption is limited to five (5) consecutive years, or until the property is sold or occupied; I understand that if this application is not filed by January 31st, of the current tax year, the exemption will not be applied; I understand that there are no refunds for this exemption for any previous years.
Annual Recertification Required By January 31st For Each Year Of Eligibilty
Builder/Developer Signature: *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date of Re-Certification: Date of Re-Certification: * / MM / DD YYYY

Homebuilders/Developers Exemption Application

Homebuilders/Developers Exemption Application

Homebuilders/Developers Exemption Application

Newly Constructed and Unoccupied Detached Single Family Homes

Certificate of Occupancy:

An individual who is not the legal property owner must provide documentation to substantiate their relationship to the owner(s) or legal interest in the property at the time of submission. the three forms of acceptable proof are:

Annual Recertification Required By January 31st For Each Year Of Eligibilty