Fillable Application for Property Tax Exemption (Minnesota Department of Revenue)

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Application for Property Tax Exemption (Minnesota Department of Revenue)

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Property Address
City State Zip Code County
Legal Description of Property (attach additional sheets if necessary) Parcel ID Number
This section is to be completed by all applicants. Please answer the following questions about the use of the property.
What is the principal use of the above-described property?
Additional Uses of the Property (give percentage of use):
Are these uses directly related to the mission of the organization? Yes No
Is any part of this property used for commercial purposes?
Yes No
If yes, please explain.
Why is ownership of this property necessary?
Is any part of this property used for residential purposes?
Yes No
If yes, please ll out next section.
Owner(s) of the Property
Name of Organization Date Property Acquired by Organization
Representative or Owner Name Title Date of Application
Mailing Address of Organization
City State Zip Code County
Is the above organization exempt from federal income tax under section 501(c)(3)? Yes No
The above organization is seeking exemption from property tax under the following category (please check one):
Academy, College, University or Seminary of Learning Public Hospital
Church, Church Property or House of Worship Public School House
Public Property used Exclusively for Public Purposes Other (specify)
Public Burying Ground
Institution of Purely Public Charity (If yes, please le for exemption using the “Institution of Purely Public Charity Application for
Property Tax Exemption” form.)
This section is to be completed by all applicants. Please ll out the following information about the property on
which exemption is being claimed.
PTE
Application for Property Tax Exemption
(Rev. 6/13)
Please read the back of this form before completing. If you are applying for exemption as an institution of purely public charity,
please ll out the “Institution of Purely Public Charity Application for Property Tax Exemption” form.
Property Information
This section is to be completed by all applicants. Please provide the following information for the organization that
owns the property on which exemption is being claimed.
Use of the Property
Continued
For Ofce Use Only
Approved
Denied
Name of organization _____________________________Assessment year ____________
Assessor’s signature ______________________________Date _______________________
Sign Here
Applicant Signature Daytime Phone Date
Signature of owner or authorized representative. By signing below, I certify that the above information is true and
correct to the best of my knowledge, and I am the owner of the property or authorized representative of the organi-
zation that owns the property for which exemption is being claimed.
Application for Property Tax Exemption (Continued) PTE
This section is to be completed if any part of the property is used for residential purposes. Please ll out the follow-
ing information for each person who occupies the above-described property. List additional occupant’s information
on a separate sheet and attach it to this application.
Name of Occupant Nature of Service/Employment Full-time
Part-time
Is occupant required to reside on this property as a condition of employment?
Yes No
If yes, why is this required?
Does occupant pay rent, either in cash or as a part of salary?
Yes No
If yes, please give details.
Why is ownership of this residence necessary?
Residential Use of the Property
Filing for Exemption
Most taxpayers claiming exemption
from property tax must le an applica-
tion for exemption with the assessor
in the district where the property is
located on or before February 1 of the
assessment year.
For most exempt properties, this ap-
plication must be reled every third
year. No matter what year the taxpayer
initially les for exemption, applications
will again be due in 2004, 2007, 2010,
etc.
Churches, houses of worship, property
used solely for educational purposes
by academies, colleges, universities or
seminaries of learning and property
owned by the state of Minnesota or
any of its political subdivisions are not
required to le.
Owners of some types of exempt prop-
erty may be asked to complete a dier-
ent application instead of or in addition
to this form.
In cases of sickness, absence, disability
or for other good cause, the assessor
may extend the deadline for ling the
statement of exemption for a period not
to exceed 60 days.
What type of property
qualies for exemption?
Minnesota Statute 272.02 describes the
types of property eligible for property
tax exemption. e ling requirements
can be found in Minnesota Statute
272.025.
No property will be exempt from taxa-
tion under Minnesota Statute 272.02
if the taxpayer claiming the exemption
knowingly violates any of the provisions
of this section.
Assessor May Request
Additional Information
Upon written request by the assessor,
taxpayers must make available to the
assessor all necessary books and records
relating to the ownership or use of
property which can help verify whether
or not the property qualies for exemp-
tion.
Sale or Purchase of
Exempt Property
Property which is exempt from prop-
erty tax on January 2 and, due to sale or
other reason, loses its exemption prior
to July 1 of that year, will be placed on
the current assessment rolls for that
year.
e valuation will be determined with
respect to its value on January 2 of such
year. e classication will be based on
the use to which the property was put
by the purchaser, or in the event the
purchaser has not utilized the prop-
erty by July 1, the intended use of the
property, as determined by the county
assessor, based upon all relevant facts.
Property which is subject to property
tax on January 2 that is acquired by a
government entity, institution of purely
public charity, church or educational
institution before July 1 of the year is
exempt for that assessment year if the
property is to be used for an exempt
purpose.
Use of Information
e information on this form is re-
quired by Minnesota Statutes, section
272.02 to properly identify you and
determine if you qualify for property
tax exemption. Your Social Security
number is required. If you do not
provide the required information, your
application may be delayed or denied.
Your County Assessor may also ask for
additional verication of qualications.
Your Social Security number is consid-
ered private data.
Penalties
Making false statements on this ap-
plication is against the law. Minnesota
Statute 609.41 states that anyone giving
false information in order to avoid or
reduce their tax obligations is subject to
a ne of up to $3,000 and/or up to one
year in prison.
Instructions for Form PTE
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Application for Property Tax Exemption (Minnesota Department of Revenue)

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Completed 6 August 2020

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