Individuals who received the homestead exemption for tax year 2013 (2014 for manufactured and mobile homes) on any
residence may continue to receive the homestead exemption on another residence within the state without meeting the
income test currently required for the exemption, if a different residence otherwise meets the qualifi cation of a homestead.
In order to assure that an applicant has previously received the homestead exemption for the aged or disabled, certain
information must be made available to the county auditor.
Applicant’s name
Applicant’s current home address
Taxing district and parcel or registration number of current home
County in which prior homestead was granted
Address for which prior homestead was granted
Taxing district and parcel or registration number of prior home
I declare under penalty of perjury that I was receiving the homestead exemption for tax year 2013 (2014 for manufactured
and mobile homes) on the property described in this addendum, and have examined this document and, to the best of my
knowledge and belief, it is true, correct and complete.
Signature of applicant Date
Mailing address
Phone number E-mail address
DTE 105G
Rev. 11/13
Addendum to the Homestead Exemption Application for
Senior Citizens, Disabled Persons and Surviving Spouses
For applicants who have previously received the homestead exemption under R.C. 323.152(A)(2)(b).
