Form PT01
Annexations Affecting DRA
For DRA Payable in 2016 - Reported at Unique Taxing Area (UTA) Level
Counties use this form to report annexations where:
1) the original UTA of the annexed property is certified to receive Disparity Reduction Aid,
2) the effective date is from July 1, 2014 through June 30, 2015, and
3) the annexed portion of the UTA comprises 5% or more of the taxable net tax capacity of the entire unique taxing area before the annexation
Name of county
Date
Name of contact person
Title
Phone
(
)
I certify that this form is accurate to the best of my knowledge.
Payable 2015
Effective
Original UTA of Annexed Property
Taxable NTX Before Annexation
Taxable NTC of
Payable 2016 UTA of Annexed Property
Date of
C/T
SD
Sub
of UTA Where Annexed
Annexed Portion
C/T
SD
Sub
Annexation
City/Town Name
Code
Code
Code
Property Originated
of UTA
City/Town Name
Code
Code
Code
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
1
2
3
4
Column Descriptions
(1)
Effective date of the annexation order. Annexations between July 1, 2014 and June 30, 2015 affect DRA certification for taxes payable in 2016.
(2 - 5)
Name of the taxing district and codes of the UTA where the annexed property originated. Codes should match those found for this UTA on the 2015 Abstract of Tax Lists.
(6)
Taxable NTC, before the annexation, of the entire UTA where the annexed property originated. Report the payable 2015 taxable NTC. Do not report the total NTC.
(7)
Taxable NTC of the annexed portion of the UTA. Report the payable 2015 taxable NTC. Do not report the total NTC. The value in column seven (7) should be 5% or
more of the value in column six (6).
(8 - 11) Name of the taxing district and codes of the UTA where the annexed property will be located for taxes payable 2016. These codes will match those to be reported
on the 2015 Abstract of Assessment and 2016 Abstract of Tax Lists.
Email this completed form to the Property Tax Division by July 20, 2015
Email to: proptax.admin@state.mn.us
(Rev. 06/15)