Application Form For Maine Homestead Property Tax Exemption

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APPLICATION FOR MAINE HOMESTEAD PROPERTY TAX EXEMPTION
36 M.R.S. §§ 681-689
Completed forms must be filed with your local assessor by April 1. Forms filed after April 1 of any
year will apply to the subsequent year tax assessment. See reverse for instructions.
SECTION 1: CHECK ALL THAT APPLY
1a.
I am a permanent resident of the State of Maine.
b.
I have owned a homestead in Maine for the past 12 months.
(1)
If you owned a homestead in another municipality within the past 12 months, enter the
address (street number, street name, municipality):
________________________________________________________________________
c.
I declare the homestead in this municipality is my permanent residence and I am not claiming or
receiving a homestead property tax exemption for any other property.
(Summer camps, vacation homes, and second residences do not qualify)
IF YOU HAVE NOT CHECKED ALL THREE BOXES, STOP HERE
You do not qualify for a Maine homestead property tax exemption
SECTION 2: DEMOGRAPHIC INFORMATION
2a. Names of all property owners (names on your tax bill):
________________________________________________________________________________
b. Physical location of your homestead (i.e. 14 Maple St.): ___________________________________
City/Town: _______________________________ Telephone #: ____________________________
c. Mailing Address, if different from above: ________________________________________________
City/Town: _______________________________ State: _________________ ZIP: ____________
SECTION 3: MAINE RESIDENCY IS BASED ON ONE OR MORE OF THE FOLLOWING (check all that
apply):
3a.
I file a Maine resident income tax return.
b.
The address on my driver’s license is the same as the above address in Section 2.
c.
The legal residence on my resident fishing and/or hunting license is the same as the above
homestead location on line 2b.
d.
I pay motor vehicle excise tax in this municipality.
e.
I am a registered voter in this municipality.
(If you did not check any boxes, please attach an explanation that shows your residency.)
I hereby declare, aware of penalties for perjury, that the answers to the above are, to the best of my knowledge
and belief, true, correct and complete. A person who knowingly files false information for the purpose of
obtaining a homestead property tax exemption is guilty of a criminal offense.
Signature of Homestead Owner(s) ____________________________________ Date: __________________
_____________________________________ Date:__________________

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