City Of Youngstown Sanitation Homestead Exemption Application Form printable pdf download

City Of Youngstown Sanitation Homestead Exemption Application Form

City of Youngstown Sanitation

Homestead Exemption Application Form

This is to confirm that I am a resident of the City of Youngstown, Ohio who owns or leases the

property at the address below. I would like to apply for the twenty percent (20%) discount on

my City sanitation fee.

Water Account #: ________________________________________________________

Applicant’s Name _____________________________ Date of Birth ___________

Name of Spouse _______________________________ Date of Birth ___________

Address: _______________________________________________________________

Phone Number: ________________________________________________________

Signature___________________________________ Date ______________________

**The signature of the applicant on the Homestead Exemption application authorizes the City of Youngstown

to determine all financial records relating to applicant’s income.

TO QUALIFY YOU MUST ATTACH THE FOLLOWING:

(1) Proof of Ownership or a copy of your lease agreement;

(2) Proof of Income for Applicant and Spouse (if applicable); and

(3) Proof of Age OR Disability

*The attached form provides examples of documents that will satisfy these

requirements.*

 If you are approved, the reduced rate will be reflected on your next water bill.

 If you are not approved, you will receive notice of disapproval.

 If you have not submitted all required documentation, you will receive a

notice that shows in what way(s) your application was deficient. If you

receive a notice of deficiency, your application will be set aside until you

provide the missing documentation.

Mail completed form to:

City of Youngstown Homestead Exemption

26 South Phelps 5

Floor, Youngstown, Ohio, 44503

330-742-8888

City Of Youngstown Sanitation Homestead Exemption Application Form