Form PT01
Annexations Affecting DRA
For DRA Payable in 2021 - Reported at Unique Taxing Area (UTA) Level
Counties use this form to report annexations where all of the following conditions are met:
Print
Name of county Date
Name of contact person Title Phone
( )
Annexations
Payable 2020
Effective
Date of
Annexation
(1)
1
2
3
4
Original UTA of Annexed Property
City/Town Name
(2)
C/T
Code
(3)
SD
Code
(4)
Sub
Code
(5)
Taxable NTC Before
Annexation of UTA Where
Annexed Property Originated
(6)
Taxable NTC of
Annexed Portion
of UTA
(7)
Payable 2021 UT A of Annexed Property
City/Town Name
(8)
C/T
Code
(9)
SD
Code
(10)
Sub
Code
(11)
(6)
(7)
I certify that this form is accurate to the best of my knowledge.
(Rev. 05/20)
Email this completed form to proptax.admin@state.mn.us by August 1, 2020
1) the original UTA of the annexed property is certified to receive Disparity Reduction Aid,
2) the effective date is from July 1, 2019, through June 30, 2020, and
3) the annexed portion of the UTA comprises 5% or more of the taxable net tax capacity of the entire unique taxing area before the annexation.
(8 - 11)
(2 - 5)
(1)
Column Descriptions
Effectivedateoftheannexationorder.AnnexationsbetweenJuly1, 2019, and June 30, 2020, may affect DRA certification for taxes payable in 2021.
Name of the taxing district and codes of the UTA where the annexed property originated. Codes should match those found for this UTA on 2020 PRISM Submission 2.
Taxable NTC, before the annexation, of the entire UTA where the annexed property originated. Report the payable 2020 taxable NTC. Do not report the total NTC.
Taxable NTC of the annexed portion of the UTA. Report the payable 2020 taxable NTC. Do not report the total NTC. The value in column seven (7) should be 5% or more
of the value in column six (6).
Name of the taxing district and codes of the UTA where the annexed property will be located for taxes payable 2021. These codes will match those to be reported on
2020 PRISM Submission 2 and 2021 PRISM Submission 3.