Voluntary Payment of Deferred Taxes
Without Requesting Disqualication
Web
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Full Name of Owner(s)
Telephone Number Fax Number
AV-3
ASSESSOR’S USE ONLY: DATE FILED:____________________________________ MAIL HAND-DELIVERED
Instructions
Use this form to: Voluntarily pay any or all of the deferred taxes without requesting disqualication from present-use value classication.
G.S. 105-277.1F allows a property owner receiving present-use value to voluntarily pay any or all of the deferred taxes without affecting
the eligibility of the property for present-use value classication. The payments are immediately applied to the existing deferred
taxes and are not held for application to additional deferred taxes resulting from any future removal from the program.
If you wish to be removed from present-use value classication, le Form AV-6 instead of this form.
Tax Years Parcel ID Total Acres in Parcel
List the properties for which the deferred taxes will be paid.
ACKNOWLEDGEMENT
I (we), the undersigned, hereby acknowledge the following:
1. I (we) are voluntarily paying deferred taxes. I (we) are not requesting disqualication.
2. Payment of the deferred taxes does not result in disqualication.
3. The payments will be immediately applied to the existing deferred taxes and will not be held for application to additional
deferred taxes resulting from any future removal from the program.
Signatures—All owners must sign this form. An attorney licensed to practice law in North Carolina who is representing the
current owner may sign for the owner. All tenants of a tenancy in common must sign this form. If husband and wife own the property as
tenants by the entirety, either the husband or the wife may sign, but both are recommended to sign. All general partners of a partnership
must sign. An ofcer of a corporation may sign for the corporation. An ofcer of an LLC may sign for the LLC. A trustee may sign for the
trust.
Name (Owner or Owner’s Attorney - Please Print) Signature (Owner or Owner’s Attorney) Date
Name (Owner or Owner’s Attorney - Please Print) Signature (Owner or Owner’s Attorney) Date
Name (Owner or Owner’s Attorney - Please Print) Signature (Owner or Owner’s Attorney) Date
Name (Owner or Owner’s Attorney - Please Print) Signature (Owner or Owner’s Attorney) Date
Contact Person for Owner’s Attorney Phone Fax
4
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