Fillable TETON COUNTY, WYOMING PROPERTY TAX DEFERRAL APPLICATION (Teton County Wyoming Government)

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TETON COUNTY, WYOMING PROPERTY TAX DEFERRAL APPLICATION (Teton County Wyoming Government)

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The TETON COUNTY, WYOMING PROPERTY TAX DEFERRAL APPLICATION (Teton County Wyoming Government) form is 2 pages long and contains:

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BROWSE TETON COUNTY WYOMING GOVERNMENT (WY) FORMS

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TETON COUNTY, WYOMING
PROPERTY TAX DEFERRAL APPLICATION
Page 1
Name of Applicants/Claimants
Name of Owner (if different than above):
Address (Mailing):
City:
Zip:
Property Address:
Legal Description:
Date of Purchase:
Photo Book:
Page No:
Instrument No.:
Members of Household:
(Attach additional sheets if necessary)
Name:
Monthly/Annual Income:
Complete this portion only if applying
$
Under the limited income requirement
$
$
$
$
Name & Address of all Mortgagees or Holders of any Deeds of Trust or Purchase Contracts:
Estimate of current market value: $ _______________________
Name & Address of Fire/Casualty Insurance Co:
For Official Use Only
Assessor Tax ID:
Total Tax Amount:
Assessor Taxable Value:
Total Tax Deferral:
Commissioners Estimated Value:
Total Tax from General Fund:
AFFIDAVIT FOR PROPERTY TAX DEFERRAL
Page 2
STATE OF WYOMING
)
)
ss.
COUNTY OF TETON
)
I, ________________________________, of lawful age, being first duly sworn upon oath, depose and state as follows:
a. That the property listed above is my principal residence, being located upon forty (40) acres or less;
b. That I occupy the property and live in the residence for at least ten (10) months of each year;
c. That either
______ I own the residence in fee simple, or pursuant to a purchase contract or deed of trust or;
______ I rent the property and under terms of the rental contract, I am required to pay all taxes;
d. ______ As of this date, I am at least 62 years of age (Date of Birth) _________________.
e. ______ That I am disabled as defined in the attached certification be the Social Security Administration
OR ______ I purchased the property at least ten (10) years prior to the beginning of the tax year for which I am
applying.
f. ______ My total Household income does not exceed the maximum yearly income allowable and is accurately
documented for the last ten (10) months in attachments included hereto.
g. ______ All prior property taxes have been paid in full; fire and casualty insurance exists in sufficient amount to exceed
the equity value of the residence.
I, _______________________________, as the Property Owner or Authorized Agent for the Property Owner of the above
referenced property, and being duly sworn upon my oath, state the facts alleged in the foregoing instrument are true to the best of
my knowledge and belief and acknowledge that the deferral of collection, if approved by the board of county commissioners, shall
constitute a perpetual tax lien against the property with priority over any other lien.
(Date)
Property Owner or Authorized Agent
State: ___________________________________
County of: _______________________________
Signed before me on this ___________ day of ________________, 20________ by ___________________________________, owner of the above
referenced property.
Notary Public: _________________________________________
My commission expires: _________________________________ (stamp)
I, ______________________________, as the Mortgagee, or Holder of the Deed of Trust or Purchase Contract for the above
referenced property, and being duly sworn upon my oath, state the facts alleged in the foregoing instrument are true to the best of
my knowledge and belief and acknowledge that the deferral of collection, if approved by the board of county commissioners, shall
constitute a perpetual tax lien against the property with priority over any other lien.
(Date)
Mortgagee or Holder of Deed of Trust
State: ___________________________________
County of: _______________________________
Signed before me on this ___________ day of ________________, 20________ by ___________________________________, Mortgagee, Holder
of the Deed of Trust or Purchase Contract for the above referenced property.
Notary Public: _________________________________________
My commission expires: _________________________________ (stamp)
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TETON COUNTY, WYOMING PROPERTY TAX DEFERRAL APPLICATION (Teton County Wyoming Government)

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Completed 14 February 2021

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