Homestead Deduction/senior Citizen/disabled Property Owner Application Instructions Page 2
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1
2
3HOMESTEAD DEDUCTION AND SENIOR CITIZEN OR
DISABLED PROPERTY OWNER APPLICATION
Owner(s):_______________________________________________________
Application
Reconfirmation
Square
Suffix
Lot
Property Address
Email address (if available): _______________________________________________________________________________
PART I – HOMESTEAD DEDUCTION
1.
Do you own and occupy this residential property as your principal residence (i.e. permanent home)?
Yes
No
2.
Is the property recorded in the name of a trustee of a revocable trust?
Yes
No
If YES, attach documentation supporting that the trust is a revocable trust and that the residence remains the residence of the
applicant/grantor.
3.
Is the property recorded in the name of a trustee of a special needs trust?
Yes
No
If YES, attach documentation supporting that the trust beneficiary who occupies the property is disabled (see also Part II).
If YES to 1, 2 or 3, provide the date the resident/applicant moved into the property:
(mm/dd/yyyy)
4.
Are you registered to vote in the District of Columbia?
Yes
No
If NO, where are you currently registered to vote? ________________________________________
5.
Do you have a District of Columbia driver’s license?
Yes
No
6.
Do you have a motor vehicle registered in the District of Columbia?
Yes
No
7.
Do you file District individual income tax returns or is District tax withheld from your pay?
Yes
No
PART II – Senior Citizen or Disabled Property Owner Tax Relief
1.
Are you 65 years or older? If YES, attach a copy of your driver’s license or District ID card.
Yes
No
2.
Provide your date of birth in the space provided:
(mm/dd/yyyy)
3.
Are you deemed to be permanently and totally disabled by the Social Security Administration (SSA) or do you receive
government disability payments? If YES, Attach a copy of the SSA certification or evidence of SSI, SSD, Federal, DC or
railroad retirement disability payments.
Yes
No
4.
Do you own 50% or more of the property?
Yes
No
5.
Is the total Federal adjusted gross income of everyone living in the house (excluding tenants under a written lease) less
than $100,000 for the prior calendar year?
Yes
No
th
Office of Tax and Revenue, Homestead Unit, 1101 4
Street, SW, Washington, DC 20024
2
(202) 727-4TAX (Tel), (202) 442-6691 (Fax),
Homestead@dc.gov
(Email), (Website)
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