Gross Household Income
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A. Were you a resident of Oklahoma during the entire preceeding calendar year? ........................................ Yes No
B. Are you sixty-two (62) years of age or older?.............................................................................................. Yes No
C. Do you reside in the manufactured home? ................................................................................................. Yes No
D. Is the claimant the owner of the manufactured home? ............................................................................... Yes No
E. Is the land owned by the claimant? ............................................................................................................. Yes No
F. Is the claimant head-of-household? ............................................................................................................ Yes No
OTC
952
Revised
11-2019
Tax Year
State of Oklahoma
Application for Manufactured Home
Personal Property Exemption
68 O.S. Sec. 2949
Applicant’s Social Security Number
Title Number:
VIN:
First Name and Initial (if joint claimants, give rst names and initials of both) Last Name Birth Date
Present Home Address (number and street, including lot number, or rural route)
City, Town, County, State and Zip Phone Number
Email Address Parcel ID Account Number
School
District
1. Enter total wages, salaries, fees, commissions, bonuses, tips, dividends, royalties,income from
partnerships, estates, trusts, and gains from the sale or exchange of property ............................. 1.
2. Enter gross rental, business and farm income ................................................................................2.
3. Enter total interest income received ................................................................................................3.
4. Other (specify) .................................................................................................................................4.
5. All other household income (include all other income received from each of the sources
listed below) ....................................................................................................................................5.
a. Social Security payments and retirement benets ...................................................................a.
b. Veteran’s disability payments ...................................................................................................b.
c. Capital gains ............................................................................................................................c.
d. Other pensions and annuities ..................................................................................................d.
e. Worker’s compensation and employment payments ...............................................................e.
f. Loss of time insurance ..............................................................................................................f.
g. Support money .........................................................................................................................g.
h. Alimony ....................................................................................................................................h.
i. Cash public assistance .............................................................................................................i.
j. Gross income from out-of-state sources ................................................................................... j.
6. Total Household Income
(Check with your county assessor for qualifying income) ...............................................................6.
Part I. - Enter all income received by you, your spouse and members of your household for the Previous Year
Part II. Assessor Use Only - Calculation of Tax Exemption
1. Enter gross assessed value of manufactured home ......................................................................1.
2. Less exemption ...............................................................................................................................2.
3. Net assessed value of manufactured home ....................................................................................3.
Return Application to the County Assessor of the County in which the Manufactured Home is Located
Verification: I hereby certify that all information herein is true and correct to the best of my knowledge.
____________________________________________________ ________________________________
Signature of Claimant Date
Co-Applicants Social Security Number
____________________________________________________ ________________________________
Assessor/Deputy Date
Approved
Disapproved
✍
Don’t Forget
to Sign
Assessor
Use:
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Instructions on Reverse Side - Please Read Carefully
Return to County Assessor by March 15
2020