Homestead–Abatement Unit
Non-Occupant Spouse Form
Instructions:
This form MUST be accompanied by a Homestead application
P
roperty ID:
Property Address:
Spouse Information
Per Minnesota Statutes, section 273.124, sub. 1(e), a married person may be eligible for a full homestead if their
spouse is absent due to marriage dissolution proceedings, legal separation, employment or self-employment in
another location, or other personal circumstances.
Please check ONE box below and provide applicable information/documentation:
Marriage Dissolution Proceedings
Provide legal documentation including the following pages within the dissolution; first page, page under
conclusions of law that indicates who is awarded the property, the signature/notarized page, and if
applicable, a page showing the name change.
Legal Separation
Provide documentation; for example, a letter from your Attorney stating he/she has been retained or legal
separation papers.
Employment or Self-employment in another Location
To qualify under this clause, the spouse's place of employment or self-employment must be at least 50 miles distant
from the other spouse's place of employment, and the homesteads must be at least 50 miles distant from each other.
Provide employer’s name, address and phone number for each spouse
Wife’s Employer’s Name: ________________________________________________
Employer Address: _____________________________________________________
Phone Number: __________________________
Husband’s Employer’s Name: _______________________________________________
Employer Address: ________________________________________________________
Phone Number: __________________________
Other personal circumstances; provide in writing the circumstances
In addition, Minnesota Statutes, section 273.124, subd. 13 (c), requires the County Assessor obtain the name,
address, and Social Security Number of the spouse of each owner even if the spouse does not occupy the property.
Social Security numbers are confidential and your information is protected under the MN Data Privacy Act.
Name of Non-Occupant Spouse: ___________________________________________
Social Security Number: _________________________________________________
_
Address: ______________________________________________________________
Is the non-occupant spouse a Minnesota resident? Yes No
P
roperty Owner’s Signature: ______________________________________ Date: _________________
Mail completed form to:
Ramsey County Assessor – Homestead Unit, P.O. Box 64097, Saint Paul, MN 55164-0097
Questions:
Call 651-266-2040 or email AskHomesteads@co.ramsey.mn.us
Making false statements on this form is against the law. Minnesota Statutes, section 609.41, states that
anyone giving false information in order to avoid or reduce their tax obligations is subject to a fine of
up to$3,000 and/or up to one year in prison.
