Application For Residential Homestead Exemption Form printable pdf download

Fillable Form may be completed before printing

For Appraisal District Use Only

Return application to:

***PLEASE DO NOT FAX***

Initials: _________

Collin Central Appraisal District

Metro: 469.742.9200

Click Here to Print

250 Eldorado Pkwy

Granted: ____HS ____OV65 ____DP ____DVHS ____SS

Toll-Free: 866.467.1110

McKinney, TX 75069-8023

Denied: ____HS ____OV65 ____DP ____DVHS ____SS

APPLICATION FOR RESIDENTIAL HOMESTEAD EXEMPTION for

(Fill In Tax Year)

Geo ID:

Property Type:

Property ID:

Legal Description:

Situs Address:

Step 1: Owner's name, address & other information (person completing application)

Driver License / State ID or

Social Security Number*:

Name:

Spouse's

Birth Date**:

Date you first

Addr Line1:

occupied the home:

Percent Ownership in Property:

Addr Line2:

(including your spouse)

City, State, Zip:

Phone:

(area code and number)

*REQUIRED: Attach copies of your Texas Driver License / State Issued ID Card and your vehicle registration receipt. The physical address of your homestead must match

the address on both your TX DL / State ID card and your vehicle registration receipt. If you do not own a vehicle, see instructions on the back, Step 1.

Step 2: Describe your property

Other Owner's Name(s) and

Percent Ownership (excluding spouse):

Physical street address if different from situs address above:

(or legal description if no street address)

Number of acres (not to exceed 20) used for residential occupancy of the structure:

____________ acres

(Note: the structure and the land must have identical ownership)

MANUFACTURED HOMES: You must also complete page 3, Residential Homestead for a Manufactured Home Information form

COOPERATIVE HOUSING RESIDENTS:

Do you have exclusive right to occupy this unit because you own stock in a cooperative housing corporation?

Yes [

]

No [

]

Yes [

]

No [

]

Is your mailing address different from the property address?

If yes, please explain: _____________________________________________________________

Yes [

]

No [

]

Are you claiming a homestead exemption on another property?

If yes, delete exemption on: (street address) _____________________________________________________________,

(city) ______________________________ located in ___________________________ County for _________________ (tax year)

(If your other property is not in Collin County, you must notify that counties Appraisal District to remove the exemption)

Step 3: Check exemptions that apply to you (see instruction sheet on back for filing instructions and more information)

GENERAL RESIDENTIAL EXEMPTION (11.13): You may qualify for this exemption if (1) you owned this property on Jan 1; (2) you occupied it as your principal residence on Jan

1; and (3) you or your spouse have not claimed a residence homestead exemption on any other property.

DISABLED PERSON EXEMPTION (11.13(c),(d)):

You may qualify for this exemption if you are/were under a disability for the purposes of payment of disability benefits under the

federal Old Age, Survivor's and Disability Insurance Act OR you met the definition of disabled in that Act. You can't claim an age 65 or older exemption if you claim this exemption.

(You must furnish a letter from Social Security or verification from your physician stating that you are disabled and are unable to work.)

AGE 65 OR OLDER EXEMPTION (11.13(c),(d)): You may qualify for this exemption if you are 65 years of age or older. You cannot claim a disability exemption if you claim this

exemption.

AGE 55 OR OLDER SURVIVING SPOUSE OF A PERSON WHO RECEIVED THE AGE 65 OR OLDER EXEMPTION (11.13(q)): You may qualify for an extension of the over-65

exemption if (1) you were 55 years of age or older on the date your spouse died; (2) your deceased spouse was receiving the over-65 exemption on this residence homestead or

would have applied and qualified for the exemption in the year of the spouse's death; and (3) the property was your residence homestead when your spouse died and remains your

residence homestead.

Deceased Spouse's Name: _______________________________________________________________ Date of Death: __________________________

100% DISABLED VETERANS EXEMPTION (11.131): You may qualify for this exemption if you are a disabled veteran who receives from the United States Department of

Veterans Affairs (VA) or its successor (1) 100 percent disability compensation due to a service-connected disability; and (2) a rating of 100 percent disabled or a determination of

individual unemployability from the VA. (You must furnish a copy of your award letter or other document from the VA office.)

SURVIVING SPOUSE OF A PERSON WHO RECEIVED THE 100% DISABLED VETERANS EXEMPTION (11.131): You may qualify for this exemption if your deceased spouse

qualified for the 100% disabled veterans exemption at the time of his or her death and (1) you have not remarried since the death of the disabled veteran and (2) the property was

your residence homestead when the disabled veteran died and remains your residence.

Deceased Spouse's Name: _______________________________________________________________ Date of Death: __________________________

CEILING TRANSFER: Check if you will transfer a tax ceiling from your last home.

If so, from what county? ____________________________________

(Attach the tax ceiling certificate if transferring from another county.)

Step 4: Check if late (you must have met all of the qualifications checked above to receive the prior year exemption)

Application for homestead exemption for prior tax year ____________.

Step 5: Sign and date the application

By signing this application, you state that the facts in this application are true and correct, that you do not claim a residence homestead exemption on another

residence homestead in Texas, and that you do not claim a residence homestead exemption on a residence homestead outside of Texas.

NOTICE REGARDING PENALTIES FOR MAKING OR FILING AN APPLICATION CONTAINING A FALSE STATEMENT: If you make a false statement on

this form, you could be found guilty of a Class A misdemeanor or a state jail felony under Section 37.10, Penal Code.

Your signature on this application constitutes a sworn statement that you have read and understand the Notice Regarding Penalties for Making or Filing an

Application Containing a False Statement.

Authorized Signature: ______________________________________________________________ Date: __________________________

Form CCAD-114 2012/06