CITY OF COLUMBIANA
COMMUNITY REINVESTMENT AREA NUMBER 099-17036-204
TAX EXEMPTION PROGRAM APPLICATION
(FORM 1)
Print or type the following:
Property owner(s) name (s) as found on tax duplicate.
Last Name F i r s t N a m e Middle Initial Phone Number
Last Name F i r s t N a m e Middle Initial Phone Number
Address of Improved Property (number and street)
Parcel Number
Legal Description of Property as Found on Tax Duplicate
Type of Abatement being requested.
New Structure Remodeling
Residential (Units) Commercial Industrial
Describe your project and or improvements:
City of Columbiana Building Permit No.
Completion date of your project
Cost of your project
(Please attach copies of receipts, materials invoices, contractor invoices, cancelled checks, etc.)
I hereby certify that all information on, and attachments to, this application are true and correct to
the best of my knowledge.
Date Applicant’s Signature
Applicant’s Signature
Telephone Number of Applicant
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*FOR OFFICIAL USE ONLY*
Project meets requirements for exemption under Ordinance No. 18-O-2979.
Residential (Units) Commercial Industrial
a. b. c. d. e.
Period of Exemption for this improvement: years.
I hereby certify that the project described herein meets the necessary requirements for the
Community Reinvestment Tax Exemption Program for the City of Columbiana, Ohio under
Ordinance No. 18-O-2979 passed on September 4, 2018, and effective September 4, 2018
according to Ohio Revised Code Sections 3735.65 through 3735.70.
Date Housing Officer
City of Columbiana
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