Homestead Application
Applications are due to your county assessor’s office by December 15. For manufactured homes assessed as personal property,
applications are due May 29. Please read all instructions before completing this application. NOTE: Each applicant must complete a
separate form to apply for homestead (see Section 2 for married couple applicant instructions).
OFFICE USE ONLY
Applicant Name
Assessment Year
Assessor or Representative’s Signature
Date
SECTION 1: PROPERTY
INFORMATION
This section MUST be completed. Please provide the following information on the property you are claiming homestead.
Address of Property
Property ID Number (Found on the Property Tax Statement)
City State Zip Code County
Date Purchased Date Occupancy Established by Applicant(s)
This section must be completed by EACH individual or married couple applying for homestead. By completing this section, you cer-
tify you (and your spouse if applicable) are a Minnesota resident, and occupy the property described above as your primary place of
residence. You also certify that the information you provide is true and correct to the best of your knowledge.
Occupant
First Name and Initial Occupant Last Name Social Security Number
Are you listed as an owner on the deed? Yes No
Marital Status: Single Married Divorced Legally Separated
If married, does your spouse occupy the property? Yes No
Previous Address
City State Zip Code County
Date Vacated Check One: Did you claim homestead at your previous address?
Yes
No
Occupant’s Spouse
First Name and Initial Occupant’s Spouse Last Name Social Security Number/ITIN
Previous Address
City State Zip Code County
Date Vacated Check One: Did you claim homestead at your previous address?
Yes
No
Continued
(Rev. 06/14)
SECTION 2: OCCUPANT INFORMATION
CR-H
Type of Application o Owner Occupied
o Relative/Residential
o Relative/Agricultural
Determination o Approved
o Denied
SECTION 3: HOMESTEAD APPLICATION
Sign Here (Applicant)
I certify that the above information is true and correct to the best of my knowledge. Minnesota Statutes, section 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. This application must be signed by all owners who occupy the property or by the qualifying relative and returned to the
county assessor to receive homestead treatment.
Signature of Applicant Date Daytime Phone
Evening Phone Email
Signature of Applicant’s Spouse (If Applicable) Date Daytime Phone
Evening Phone Email
Signature of Other Owner/s (If Applicable) Date Daytime Phone
Evening Phone Email
Signature of Other Owner/s (If Applicable) Date Daytime Phone
Evening Phone Email
Please complete both sides and mail this completed application and all required attachments to your assessor.
1
Qualifying relative for residential homestead include; parent, stepparent, child, stepchild, grandparent, grandchild, brother, sister,
uncle, aunt, nephew, or niece of the owner, by blood or marriage.
2
Qualifying relative for agricultural homesteads include; grandchild, child, sibling, or parent of the owner of the agricultural property or
the spouse of the owner.
SECTION 4: RELATIVE
HOMESTEAD APPLICATION
SECTION 3A: RESIDENTIAL HOMESTEAD APPLICATION SECTION 3B: AGRICULTURAL HOMESTEAD APPLICATION
Are you claiming residential homestead?
Yes
No
Is your spouse claiming residential homestead Yes
No
at this property as well?(If applicable)
Are you listed as an owner on the deed? Yes
No
If you are not an owner, are you a qualifying Yes
No
relative of an owner?
1
Are you claiming agricultural homestead? Yes
No
If yes, do you or your spouse claim another Yes
No
agricultural homestead?
Is your spouse claiming agricultural homestead Yes
No
at this property as well? (If applicable)
If you are not an owner, are you qualifying Yes
No
relative of an owner?
2
If you are a qualifying relative, are there Yes
No
any other agricultural relative homesteads
in Minnesota for your family?
Complete Section 3A to apply for residential homestead OR Section 3B to apply for agricultural homestead. NOTE: If you are not
sure whether you qualify for agricultural homestead, please contact your county assessor.
Complete this section ONLY if you are a qualifying relative applying for homestead. Otherwise, skip to Section 5.
Property Owner First Name and Initial Property Owner Last Name Relationship to Applicant
Property Owner Mailing Address
City State Zip Code County
Is the property owner a Minnesota resident?
Yes
No
SECTION 5: SIGNATURE
OR
Print
Reset Form
Who is eligible for
Homestead?
If you own and occupy your own
property, you may be eligible for
homestead treatment. Classication as
a residential or agricultural homestead
may make your property eligible for
a reduced classication rate and/or a
reduced taxable value, or may make you
eligible for special program enrollment
and the Property Tax Refund program.
You must have owned the property and
occupied it as your primary residence
by no later than December 1 of the cur-
rent year to be eligible for homestead
for taxes payable next year.
For manufactured homes assessed as
personal property, homestead applica-
tions are due by May 29.
How to Apply
Complete the entire application fully
and legibly. Mail the application to
your county or city assessor within 30
days of establishing homestead, but no
later than December 15 of the current
year to be eligible for homestead in the
next payable tax year. For manufactured
homes, the application is due by May 29
for taxes payable in the current year.
Applications do not need be submitted
annually in order to continue receiving
homestead; however, the assessor may
ask for an updated application at any
time.
All owner-occupants and spouses who
occupy the property must provide
Social Security numbers and sign the
f
orm.
If your property is owned by a trust,
the grantor, grantor's surviving
spouse, grantor's relative, or grantor's
surviving relative must sign the
application (depending on who is
seeking homestead).
Required Attachments
If any owners do not occupy the prop-
erty, you must furnish the assessor with
the names and addresses of the owners.
If any spouses do not occupy the prop-
erty, you must furnish the assessor with
the names and addresses of the spouses.
If more than two owners occupy the
property, please attach another form
with the Owner/Occupant Information
section completed.
Use of Information
e information on this form is re-
quired by Minnesota Statutes, section
273.124 to properly identify you and
determine if you qualify for home-
stead. Your Social Security number is
required. If you do not provide the
required information, your applica-
tion will be denied. If you provide your
Social Security number thereaer, the
eective date of the homestead clas-
sication may be delayed. Your Social
Security number is considered private
data for purposes of establishing home-
stead.
SSN/ITIN
An ITIN can only be used in situations
where one spouse has a Social Security
number and the other spouse does not.
ITINs are not an acceptable alternative
to Social Security numbers in any other
case.
e Social Security number(s) you pro-
vide on this form will not be disclosed
to the public, but may be shared among
government ocials for tax collection
and administration purposes.
Penalties
Making false statements on this ap-
plication is against the law. Minnesota
Statutes, section 609.41, states that any-
one 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.
If you falsely claim homestead, penal-
ties may also be assessed in the amount
of the tax that would have applied to
your property had it not been consid-
ered homestead.
Additional Resources
Your County Assessors Oce should
be able to assist you with properly ll-
ing out this form. A fact sheet may be
found on the Department of Revenues
website at www.revenue.state.mn.us.
Questions?
Contact your County Assessor’s Oce
for assistance.
Form CR-H Instructions
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