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D.C. Homestead Deduction Form (rev. 3/11)

D.C. Homestead Deduction Form (rev. 3/11)

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Published by Nikki Smith
The District of Columbia Office of Tax and Revenue (OTR) has created a new Homestead and Senior Citizen/Disabled Property Tax Relief Application (Homestead Application). Effective May 2, 2011, the OTR will no longer accept any prior versions of the Homestead Application.
The District of Columbia Office of Tax and Revenue (OTR) has created a new Homestead and Senior Citizen/Disabled Property Tax Relief Application (Homestead Application). Effective May 2, 2011, the OTR will no longer accept any prior versions of the Homestead Application.

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Categories:Types, Legal forms
Published by: Nikki Smith on Mar 14, 2011
Copyright:Attribution Non-commercial

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07/02/2013

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Government o theDistrict o Columbia
FR-HD Homestead Deduction and Senior Citizen/ Disabled Property Tax Relie Application
Check one: Initial Application ReconfrmationPrint in CAPITAL letters using black ink. Leave lines blank that do not apply.
PART 1 – PERSONAL INFORMATION
Your social security number (SSN) Co-owner SSNYour frst name M.I. Last nameCo-owner frst name M.I. Last name
PART 2 – PROPERTY INFORMATION
Property address (number and street)Square Sufx Lot Unit Number Quadrant Zip Code +4
PART 3 – HOMESTEAD DEDUCTION
1. Are you domiciled in the District o Columbia? Yes No
if no, you do not qualify
2. Do you own and occupy this residential property as your principal residence? Yes No
if no, you do not qualify
3. Provide the date you moved in to this residential property: mm-dd-yyyy4. Do you own other real property in the District o Columbia or elewhere? Yes, complete property inormation belowSquare Sufx Lot I located in the District o Columbia, otherwise provide the ollowing:Benefts received or this property: Homestead Senior Citizen Disabled Abatement OtherSquare Sufx Lot I located in the District o Columbia, otherwise provide the ollowing:Benefts received or this property: Homestead Senior Citizen Disabled Abatement OtherStreet City State Zip Code +4Street City State Zip Code +4
PART 4 – PROPERTY TAX RELIEF FOR SENIORS
At least one owner must be 65 or older with total household ederal adjusted gross income less than $100,000 to qualiy or senior tax relie. Applicants must complete Part 3 above.Your birth date (mm-dd-yyyy) Co-owner birth date (mm-dd-yyyy)List the name and SSN o each adult resident living in this property other than the owner(s) or tenant(s):First Name Last name Social Security NumberFirst Name Last name Social Security Number
PART 5 – PROPERTY TAX RELIEF FOR DISABLED
At least one owner must be permanently and totally disabled or receiving certain disability payments with total household ederal adjusted gross income less than $100,000 toqualiy or disabled tax relie. Applicants must also complete Part 3 above.1. Are you (or the co-owner) permanently and totally disabled or receiving government disability payments? Yes – please read below and attach requested documentation.Provide other residents’ inormation in Part 4. Provide a copy o the disabled person’s Social Security Administration Certifcation o Disability
OR
provide evidence o the SSI, SSD,Federal, DC, State, Local or railroad retirement disability payments.
PART 6 – AFFIDAVIT
Under the penalties of law, I declare that I have examined this application and its attachments, if any, and to the best of my knowledge, it is correct.
Your signature Date (mm-dd-yyy) Daytime phoneFirst name M.I. Last name
Incomplete applications will be returned or completion beore any property tax beneft is granted. This application and continued eligibility or these property tax benefts aresubject to periodic audit. Denial o this application or reconfrmation may be appealed. The appeal orm is posted on the OTR website:
www.taxpayerservicecenter.com

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