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PTAX-324 Application for Senior Citizens Homestead Exemption

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  2. PIN, Tax ID, Property Identification Number Your PIN is listed on your property tax bill
  3. Assessor verified:
  4. Marital Status*
  5. Have you previously received a senior citizens homestead exemption on this property?*
  6. Check your type of residence*
  7. Is the residence operated as a cooperative?
  8. Is the residence a life care facility under the Life Care Facilities Act?
  9. On January 1 were you the owner of record or did you have a legal or equitable interest in this property or did you have a life care contract with a facility under the Life Care Facilities Act? *
  10. On January 1 did you occupy this property as your principal residence?*
  11. On January 1 were you a resident of a facility licensed under the Assisted Living & Shared Housing Act, Nursing Home Care Act, ID/DD Community Care Act, or Specialized Mental Health Rehabilitation Act?
  12. If Yes to above, was this property occupied by your spouse, who is 65 years of age or older?
  13. Did this property remain unoccupied?
  14. On January 1, were you liable for the payment of real estate taxes on this property?*
  15. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  16. I state that to the best of my knowledge, the information on this application is true, correct, and complete.
  17. Leave This Blank:

  18. This field is not part of the form submission.