1/2013
TAX DIVISION
205 Lawrence Street P. O. Box 609
Marietta, Georgia 30060 Marietta, GA 30061-0609
Phone (77) 794-5680 Fax (770) 794-5685 http://www.mariettaga.gov
City of Marietta Affidavit for Homestead Exemption
Where Property is Owned by a Trust
I do hereby swear or affirm that the information and statements contained herein are true and correct to the best
of my knowledge. This Affidavit is submitted in support of my request that the City of Marietta Tax Office grant a
Homestead Exemption to me as the applicant and beneficiary of the trust for the property located at:
_____________________________________________ ______________________ _________
(Street Address) (City) (Zip)
The above described property is currently owned or title vested in _____
(Name of Trust)
____ as evidenced by a certain deed recorded in
Cobb County Superior Court, Deed Book _________, Page _________, dated _________________.
I, the applicant, am the beneficiary of the above named Trust and the party legally entitled to receive the
Homestead Exemption for the above described property. I resided at the above described property on January 1
of the year for which this application is made and declare this to be my legal domicile.
I understand Homestead Exemption will be granted or denied based on the statements contained herein and those
on the CITY OF MARIETTA HOMESTEAD EXEMPTION APPLICATION. I further understand that, by law, the Tax
Office must be notified in the event that the individual(s) who qualified for this exemption becomes deceased, no
longer resides at or owns the subject property or otherwise becomes ineligible for the Homestead Exemption. If
any of the information changes, I will inform the City of Marietta Tax Office in writing of the change in the year the
change occurs.
I declare that I do not receive a Homestead Exemption on any other property in Georgia or in any other state either
individually or by virtue of a trust. I declare under penalty of perjury and other penalties of state and local laws that
I am eligible to claim the local Homestead Exemption available to homeowners.
Applicant’s Name: _____
Address : _____
Phone Number: ____ Email: _____
I do hereby swear or affirm under penalty of law that this information is true and correct to the best of my
knowledge. (Note: the making of false and/or fraudulent statements may subject one to criminal prosecution under
applicable provisions of Georgia law, including but not limited to O.C.G.A. 16-10-20, which upon conviction carries a
fine of not more than $1,000 or imprisonment of one to five years, or both.)
Applicant’s signature Date ______
Notary Public My Commission Expires:
