Fill - Free fillable Application For Abatement SOE (Hennepin County MN) PDF form

Applic

ationforPropertyTaxPenaltyAbatementDuringStateofEmergency

Pleaseprovidethefollowi

nginformation:

ApplicantName:

SocialSecurityNumber:

StreetAddress:

City: State: ZipCode:

PropertyID(PID):

PropertyAddress:

EmailAddress:

PhoneNumber:

PleasedescribehowtheC O VID‐19pandemichasimpactedyourabilitytopaypropertytaxes.Pleasebeasspecificas

possible.(Youmayattachyourdescriptionifneeded.)

Pleasesubmityourcompletedform,alongwithsupportingdocumentationoftheimpactdescribedabove,to:

abate@hennepin.us.IfyouhavenotalreadypaidyourMay15,2020taxespleaseremitthatpayment(includingpenalty)

within14daysofsubmissionofthisapplication.Iftheabatementisapproved,anyabatedpenaltywillberefunded.

ApplicantSignature: Date:



(pleasetypeyournametosigntheform)



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Application For Abatement SOE (Hennepin County MN)

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