1. Enter assessed valuation of dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Enter assessed valuation of surrounding land up to five (5) acres used for homestead
purposes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Total valuation of homestead (Add Lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Enter total assessed valuation on the single tax receipt or single assessment on a tax receipt . . . . . . . . . . .
5. Compute percentage of tax allocated to the homestead (Divide Line 3 by Line 4) (Round to a whole percent.) . . .
6. Multiply the Total Tax Paid by the percentage on Line 5. Enter the amount here and on Form MO-PTC, Line 9;
Form MO-PTS, Line 11; or Form MO-SSC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Assessor Certification
Form
948
Assessor
Attach this form to the Property Tax Credit Claim (Form MO-PTC), Property Tax Credit (Form MO-PTS), or
the Public Safety Officer Surviving Spouse Credit (Form MO-SSC).
If your real estate tax receipt on your homestead includes tax on your dwelling and surrounding land
which exceeds five (5) acres, the county assessor must complete this section to determine the
appropriate percentage you may claim on Form MO-PTC, Form MO-PTS, or Form MO-SSC.
Claimant
Address
Homestead Taxes
Tax Year
*15318010001*
15318010001
Department Use Only
(MM/DD/YY)
Social Security Number Spouse’s Social Security Number
Taxpayer Name Spouse’s Name
- - - -
State ZIP CodeCity
%
Assessor
If you own a mobile home and the tax is shown on your personal property tax receipt, the county assessor must complete this
section to determine the appropriate percentage you may claim on Form MO-PTC, Form MO-PTS, or Form MO-SSC.
Claimant
Mobile Home Percentage
1. Valuation of mobile home only...................................................................
2. Total valuation of all personal property ............................................................
3. Compute percentage of personal property tax allocated to the mobile home (Divide Line 1 by Line 2)
(Round to a whole percent.) ....................................................................
4. Multiply the Total Tax Paid by the percentage on Line 3. Enter the amount here and on Form MO-PTC, Line 9;
Form MO-PTS, Line 11; or Form MO- SSC .......................................................
%
Assessor’s
Certification
Assessor’s Name Telephone Number
Assessor’s Signature Date (MM/DD/YY)
Form 948 (Revised 11-2020)
Mail to: Taxation Division Phone: (573) 751-3505
P.O. Box 2200 Fax: (573) 522-1762
Jefferson City, MO 65105-2200 E-mail for MO-SCC: income@dor.mo.gov
E-mail for MO-PTC or MO-PTS: propertytaxcredit@dor.mo.gov
