CUYAHOGA COUNTY FISCAL OFFICER 1219 Ontario Street - Room 315 Cleveland, OH 44113-1657 Telephone: (216) 443-7020 * FAX (216) 698-2748 WEB ADDRESS: Http://fiscalofficer.cuyahogacounty.us/ Auditor’s No. 18 Application For Two & One-Half Percent Tax Reduction on Owner-Occupied Home File with County Fiscal Officer no later than First Monday in June Parcel No. _______-_____-_______ Please read the back of this form before you complete it. A second application May also be filed for last year. See Late Application on the back of this form. _______________________________________________________________ Application for this year _______ Tax District ___________________ Application for last year _______ Name of Owner(s) of Home __________________________________________________________________ Address of Home _______________________________________________________________________ City ________________________________________, State ______, Zip ____________ Date Home Acquired ________________________________________________________________________ Type of Home: Single Family Dwelling Unit within a Multi-unit dwelling Is the land surrounding the home more than one acre? YES Condominium NO Do you occupy ALL of the Home as your principal place of residence? YES NO If answer is NO, please give details _____________________________________________________________ I declare under penalty of perjury that I have examined this application and to the best of my knowledge and belief, it is true, correct and complete. Signature of Applicant _____________________________________________ Applicant’s Address _______________________________________________ City ________________________, State ____, Zip _____ Phone Number _________________________ For County Auditor’s Use Only GRANTED Date __________________ DENIED Parcel Number Total Acres Land Improvement Total $ Tax Year $ $ Taxable Value Eligible for Deduction $_______________ $________________ $_______________ LAND BLDG. NAME ON TAX DUPLICATE ___________________________________________________________ TOTAL DATE FILED ___________________________ American LegalNet, Inc. www.FormsWorkFlow.com PLEASE READ THIS BEFORE YOU COMPLETE THE FRONT OF THIS APPLICATION GENERAL INSTRUCTIONS AND INFORMATION QUALIFICATIONS: To receive the 2 ½ % homestead tax reduction, you must own and occupy your home as your principal place of residence (domicile) on January 1st of the year you file for the reduction. A homeowner and spouse are entitled to this homestead tax reduction on only one home in Ohio. CURRENT APPLICATION: If you are applying for the 2 ½ % Homestead tax reduction for the first time this year, check the box for Application for This Year. LATE APPLICATION: If you believe that you also qualified for the 2 ½ % homestead tax reduction for last year, but did not file an application last year, you may file a Late Application with the application for this year. When you file a late application, check box on the second application at Application for Last Year. File both applications with the Fiscal Officer’s office at the same time. INSTRUCTIONS: The lines following Parcel No. and Tax District are for the parcel number of your home and for the taxing district in which it is located. Both of these can be found on your tax bill. In the line following Names of Owner(s) of Home list the names of all the owners. If all the names are not on your tax bill, list the names as they appear on the deed to your home. If you have any questions about this form or your eligibility please contact the Fiscal Officer’s office at (216) 443-7089. American LegalNet, Inc. www.FormsWorkFlow.com