APPLICATION FOR HOMESTEAD TAX EXEMPTION

APPLICATION FOR HOMESTEAD TAX EXEMPTION and FLOATING HOMESTEAD EXEMPTION NAME ADDRESS PARCEL I.D. NO. To the Tax Commissioner of Forsyth County, Georgia. In accordance with the provisions of the State Constitution and Laws authorizing Homestead Exemption not to exceed $8,000 in value, I hereby make application for Tax Exemption on the following described property. NUMBER OF LAND LOT DISTRICT LOCATION ACRES NUMBER MARKET VALUE TYPE OF HOUSE NUMBER BEDROOMS NUMBER BATHS BASEMENT YES  NO  FULL  PART  PART BASEMENT FINISH NONE   FULL  SIZE ______________ BEDROOMS Date of Purchase ____________________________From whom __________________________________________________________________________ Kind of deed or conveyance _______________________________________Recorded Book __________________ Page __________________________ Purchase Price of land and all improvements to date $ __________________________________________________________________________________ Is any part of the property rented? _______________________________What Part?__________________________________________________________ Is any part of the above Property used for business purposes? __________________________________How Much? ________________________________ What kind of business? ____________________________________________ Are you in the Military Service? ____________________________________ AFFIDAVIT OF HOMESTEAD EXEMPTION I, the undersigned, do solemnly swear that the statements made in support of this application are true and correct, that I am the bona fide owner of the property described in this application, that I actually occupied same on January 1 of the year for which application is made, that I am an eligible applicant for the homestead exemption applied for, that this is my primary place of residence, and that no transaction has been had in collusion for the purpose of obtaining a homestead exemption contrary to law. Daytime Phone No.______________________________________________________ Date of Birth: Sworn to and subscribed to before me, this SS NUMBER(S) ______________________________________________________ ______________________________________________________ _______Day of ________________20____. X_____________________________________________________________________ HOMESTEAD APPLICANT ________________________________________________________________________________________________________________ 48-5-40. As used in this part, the term: (1) 'Applicant' means: (A) A married individual living with his spouse; (B) An individual who is unmarried but who permanently maintains a home for the benefit of one or more other individuals who are related to such individual or dependent wholly or partially upon such individual for support; (C) An individual who is widowed having one or more children and maintaining a home occupied by himself and the child or children; (D) A divorced individual living in a bona fide state of separation and having legal custody of one or more children, when the divorced individual owns and maintains a home for the child or children; or (E) An individual who is unmarried or is widowed and who permanently maintains a home owned and occupied by himself. Are you over age 65? Yes  No 

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