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Get AZ DOR 82514 2020-2024

Most recent State Income Tax Return MUST accompany the filed DOR 82514 affidavit for the County Assessor s use in determining the applicant s initial eligibility. DOR FORM 82514 Rev. 12/2017 ASSESSED EXEMPT AMOUNT LIMITED PROPERTY OWNER DATE DEPUTY ASSESSOR/NOTARY DATE MY COMMISSION EXPIRES INSTRUCTIONS for completing the DOR 82514 AFFIDAVIT for INDIVIDUAL PROPERTY TAX EXEMPTION Read the information below the instructions for the DOR 82514 affidavit following and the information on the DOR 82514 carefully before completing the DOR 82514 affidavit form. A Beginning in Tax Year 2006 a person who is initially applying for the property tax exemption allowed by A. To assure that the property tax exemption application is processed for the current Tax Year if the affidavit is hand-delivered file the DOR 82514 with the County Assessor s Office no later than the last business day of February. Some County Assessor s Offices may now be closed on Fridays. For DISABLED PERSONS A Certificate of Disability for Property Tax Exemption form DOR 82514B with the original signature of the applicant s physician on it and which is dated MUST accompany the applicant s filed DOR 82514 affidavit. R.S. 42-11111 B C E. On an initial affidavit form list all taxable property the applicant owns. Attach additional identifying or descriptive information if necessary. If subsequent year affidavits are required by the Assessor correct any of the preprinted information listed on the DOR 82514 by crossing out any real or personal property which the applicant no longer owns and by adding any property the applicant now owns not shown on the list. Print TYPE COUNTY Clear Form AFFIDAVIT OF INDIVIDUAL TAX EXEMPTION FILE SEE REVERSE FOR INSTRUCTIONS PART II. DISABLED Totally and Permanently NAME Spouse s Name Date of Medical Certificate BBB ADDRESS 1. None of my children under 18 years of age resided with me during the previous calendar year. The total income from all sources of myself my spouse and any of my children 18 years of age or more who resided with me did not exceed 32 447 during the previous calendar year. PHONE 2. At least one of my children who is under 18 years of age or who was totally and permanently disabled resided with me during the previous calendar year. The total income from all sources of myself my spouse and any other of my children residing with me did not exceed 38 926 during the previous calendar year. PART III. ALL APPLICANTS MUST COMPLETE 1. Are you now a legal resident of this state Yes No 2. When did you first become a resident of this state PART I. WIDOWS AND WIDOWERS spouse and any of my children 18 years of age or more who resided with me did not exceed 32 447 during the previous calendar year. permanently disabled resided with me during the previous calendar year. The total income from all sources of myself my spouse and any other of my children residing with me did not exceed 38 926 during the previous calendar year. 3. Where in the state did you first establish residence City/Town County 4. Do you own property in this county If yes in which county 6.

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