FARM MACHINERY, HORSES OR PONIES
This application for exemption on all farm machinery, except motor vehicles as defined in Section 14-1, to
an assessment of $200,000, (additional 100,000 by legislative body approval) ponies or horses which are
actually and exclusively used in farming, within the provisions of Section 12-91(b) of the General Statutes
MUST BE FILED ANNUALLY BY NOVEMBER 4
ST
* with the assessor or board of assessors of the
municipality in which the property is located. Failure to file this application within the time limit prescribed
shall be considered a waiver of the right to such exemption for the assessment year.
*
2019 filing date is Monday, November 4, 2019.
Owner/Farme
Mailing Address Phone
Location of farm machinery and ponies or horses
Have you filed, or do you intend to file, any application for exemption as provided
under the above statute, in this or any other town or city, as trustee, as an
individual farmer, or as a member of a group of farmers, partnership or family
corporation, other than under the ownership contained in this application?
YES NO
Do you derive at least $15,000 in gross sales, or did you incur at least $15,000 in
expenses related to such farming operation during the previous calendar year?
YES NO
Are the horses and ponies, and/or farm machinery kept within the State of
Connecticut?
YES NO
If yes, list town(s):
Machinery
Make
ea
Model Description of use in farmin
I DO HEREBY declare in accordance with § 12-91 of the Connecticut General Statutes under penalty of
perjury that the statements herein made by me are true according to the best of my knowledge and belief.
Date: Signed: (owner(s) or trustee(s))
X
Subscribed and Sworn to
before me:
X
Date: My commission expires
M-28 Revised August 2018
Approved by Commissioner of Agriculture
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