Fill - Free fillable Application For Ad Valorem Exemption

State of Oklahoma

Application for Ad Valorem Tax Exemption

for Religious Entities

Exemption: All property used exclusively and directly for fraternal or religious purposes within this

state. Ref. Title 68 O.S. 2887(7)

Attach a copy of all Documents which support this application for exemption.

(Example: articles of incorporation, bylaws, resolutions, income-expense statements, rent rolls, deeds, contracts,

leases, etc.) May provide a copy of IRS Section 501(c)(3) and your ling with Oklahoma Secretary of State.

It is impossible for this application to cover every provision addressed in the statutes related to exempt

religious organizations. The assessor may contact you with additional questions depending on the answers

provided herein.

Continue application on page 2

Please Print or Type

Religious Organization:

Religious Organization Name: _____________________________________________________________________

Mailing Address: ________________________________________________________________________________

Contact Name: ______________________________________ Title: ____________________________________

Phone Number: ___________________________ Email Address: _______________________________________

Is the Religious Organization requesting an exemption for its business personal property? .... Yes No

If Yes, provide a listing of the personal property being claimed for exemption.

Is there other business personal property in use by the Religious Organization which is not

being claimed for exemption?.................................................................................................... Yes No

If Yes, provide a listing of the personal property not being claimed for exemption.

Real Property Owner:

Property Owner Name: ___________________________________________________________________________

Physical Address: _______________________________________________________________________________

Mailing Address: ________________________________________________________________________________

Contact Name: ______________________________________ Title: ____________________________________

Phone Number: ___________________________ Email Address: _______________________________________

Legal Description: _______________________________________________________________________________

______________________________________________________________________________________________

Record of Deed: Date: ________________ Document Number: ____________ (or) Book/Page: ______________

Approximately what percentage of the property is requested to be exempt? ________ Sq. Footage: _____________

Are the Real Property Owner and the Religious Organization the same? ................................ Yes No

Are there currently other exemptions on this property?............................................................. Yes No

If Yes, provide organization name(s):

_____________________________________________________________ Sq. Footage: __________________

Tax Year

2020

Revised 11-2019

OTC 987

Assessor Use Only

Assessor/ Deputy: ___________________________________________ Date: ________________

Account Number: ___________________________________________

Application for Exemption: Approved Disapproved

School

District

Property Usage (Religious Organization):

1. Describe the exact usage of the property being claimed exempt:

_________________________________________________________________________________________

2. Explain exact usage of all income from the property being claimed exempt:

_________________________________________________________________________________________

3. Doestheorganizationoperatewithoutprotorprivateadvantagetoitsofcialsincharge?Explain:

_________________________________________________________________________________________

Application for Ad Valorem Tax Exemption for Religious Entities

Form 987 • Page 2

I, ____________________________________ being duly sworn, upon oath, under penalty of perjury do hereby depose and say

that I am (Title) __________________________________, of ____________________________________ (Real Property Owner);

that as such I am acquainted with the books, accounts, and affairs of the property owner and know the foregoing statements

with respect to the ownership to be true, correct and complete, and that all information requested of the

real property owner has been fully and correctly given (68 O.S. § 2945 provides penalties for false oaths).

Real Property Owner Affidavit:

Notary Seal

Signature: _______________________________________________________________________

Subscribed and sworn to before me this ___________ day of ___________________ , _________ .

My commission expires: ______________________ , _______________ .

____________________________________________________________________ , Notary Public

I, ____________________________________ being duly sworn, upon oath, under penalty of perjury do hereby depose and say

that I am (Title) __________________________________, of __________________________________ (Religious Organization);

that as such I am acquainted with the books, accounts, and affairs of the organization and know the foregoing statements

with respect to the organization to be true, correct and complete, and that all information requested of

the organization has been fully and correctly given (68 O.S. § 2945 provides penalties for false oaths).

Religious Organization Affidavit:

Notary Seal

Signature: _______________________________________________________________________

Subscribed and sworn to before me this ___________ day of ___________________ , _________ .

My commission expires: ______________________ , _______________ .

____________________________________________________________________ , Notary Public

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Fillable Application For Ad Valorem Exemption - Religious (Oklahoma)

Fill Online, Printable, Fillable, Blank Application For Ad Valorem Exemption - Religious (Oklahoma) Form

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