ATTACHMENT #2 - 019/120/010
Return this form to your local Assessment Office. Click this box to get a list of office locations.
APPLICATION FOR RESIDENTIAL USE ASSESSMENT FOR REZONED RESIDENTIAL PROPERTY
File this application with the Supervisor of Assessments at the address shown above on or before April 1 of the taxable year preceding the taxable year for which the use assessment is sought. Name of Homeowner: Mailing Address:
Location of Property:
(If different than above)
Property Account Number:
(from assessment notice)
Date Property was Acquired Date of Rezoning Please check the following: Yes Yes Yes No No No
Zoning at Acquisition Current Zoning Class
I currently reside in this dwelling as my principal residence and occupied the dwelling for at least 3 years before the property was rezoned. I have a legal interest in the dwelling as a homeowner. This property was rezoned from residential to commercial or industrial through comprehensive rezoning, and was not initiated by me or anyone having any interest in the property. I understand that when this property is subdivided, used for a purpose other than a residential use, or is transferred to someone other than an immediate family member of the owner, the property will be revalued based on current zoning and penalty and interest will be imposed.
I declare under penalties of perjury that this application has been examined by me and to the best of my knowledge and belief is a true, correct and complete return.
SIGNATURE OF HOMEOWNER
RP #40 5/90