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  • Form Pt-pa-1 - Alabama Department Of Revenue

Get Form Pt-pa-1 - Alabama Department Of Revenue

PHYSICIANS AFFIDAVIT OF PERMANENT AND TOTAL DISABILITY PTPA1 NAME OF PERSON EXAMINED Address City State Zip Code I am actively providing treatment directly related to the permanent and total disability.

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How to fill out the Form PT-PA-1 - Alabama Department Of Revenue online

Filling out the Form PT-PA-1 is an essential process for individuals seeking a homestead exemption in Alabama due to permanent and total disability. This guide will walk you through the steps to complete this form online effectively and efficiently.

Follow the steps to accurately complete the Form PT-PA-1.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the name of the person who has been examined for permanent and total disability on the designated line.
  3. Provide the complete address of the individual, including street address, city, state, and zip code.
  4. Indicate whether you are actively providing treatment related to the disability by checking 'Yes' or 'No'.
  5. Submit your professional opinion regarding the permanent and total disability by marking 'Yes' or 'No'.
  6. Fill in the date when the individual seeking the exemption has been determined to be permanently and totally disabled.
  7. In the affidavit section, write your name and affirm that you have personally examined the individual and believe them to be disabled.
  8. Sign and date the affidavit to verify your assessment.
  9. Record your Alabama medical license number, its issue date, and expiration date.
  10. Complete your business address, including street address, city, state, and zip code.
  11. Provide a contact phone number for follow-up communication, if necessary.
  12. Once all fields are completed, save your changes and choose to download, print, or share the completed form as needed.

Complete your Form PT-PA-1 online today to ensure a smooth process for your homestead exemption.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232