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PTAX 343 Homestead Exemption for Persons with Disabilities (HEPD)

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  2. PIN, Tax ID, Property Identification Number

  3. New applicant or renewal

    Is this a new application or a renewal application?

  4. Please upload your proof of disability.
  5. Is this the only property for which you have applied for this exemption?*
  6. On January 1, were you the owner of record, or have a legal or equitable interest, or have a life care contract with a facility under the Life Care Facilities Act?*
  7. Are you liable for the payment of real estate taxes?*
  8. On January 1, did you occupy this property as your primary residence?*
  9. On January 1, were you a resident of a facility licensed under the ID/DD (intellectually disabled/developmentally disabled) Community Care Act, Nursing Home Care Act, Specialized Mental Health Rehabilitation Act of 2013, or MC/DD (Medically Complex for the Developmentally Disabled) Act?*
  10. enter the name and address of the facility
  11. was this property occupied by your spouse or did it remain unoccupied?
  12. 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.
  13. I state under penalties of perjury that to the best of my knowledge, the information contained in this application is true, correct, and complete.
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