Kentucky Application for Exemption from Property Tax

Application for Exemption from Property Tax
Form 62A023
62A023 (7-13)

Commonwealth of Kentucky
DEPARTMENT OF REVENUE

APPLICATION FOR EXEMPTION
FROM PROPERTY TAXATION

Office of Property Valuation
Phone: 502-564-8338
Fax: 502-564-8368

This application is to be used by organizations seeking property tax exemption pursuant to Section 170 of the Kentucky
Constitution. Answer all questions as fully as possible and return the application and all attachments to the local Property
Valuation Administrator.
(   )
(   )

Name
(Print)

Enter Exact Legal Name of Organization	

Daytime Office & Cell Phone Numbers

Property
Location
(Print)

Number and Street		

City	

County	

State	

ZIP Code

P.O. Box or Number and Street	

City	

County	

State	

ZIP Code

Mailing Address
(If Different from Above)
(Print)

E-mail Address

Web Site:

Purpose of the
Organization and
Major Activity of
Applicant
State of
Incorporation

State

 Nonprofit    LLC    Other _________________________

County(ies) in
Which Property
is Located
Type of
Exemption
(check)

Applicant
Authorization
and Signature

 Public Property	

 Institution of Education	

  Place of Burial	

 Institution of Purely Public Charity

 Religious

For this property tax exemption application, I authorize the Department of Revenue (DOR) or its representative(s)
to visit and inspect the property to be exempted now and in the future, to ensure the property is being used for taxexempt purposes. I hereby certify that the statements and information contained herein are correct to the best of my
knowledge and belief and that I am authorized to sign this application.
Signed_ ______________________________________________ 	

Title__________________________________________

Print_________________________________________________ 	

Cell Phone Number____________________________

Date_ ________________________________________________

Recommendation_____________________________________________________________________________
To be
Completed by
the Property
Valuation
Administrator

____________________________________________________________________________________________
____________________________________________________________________________________________
Signed_ ___________________________________________ 	Date______________________________________ 	
Print______________________________________________ 	

1.

Who is the legal owner of the property? (Include all owners of an interest in the property and describe their
interest.)

2.

When was the property acquired?

3.

(a).

How was the property acquired?

(b).

Provide a copy of the deed and a copy of the property record card (if available).

(c).

Provide a picture of the property and buildings: “Exterior and Interior”

(a).

Has this organization previously been granted any tax exemption by the Commonwealth of Kentucky?
Yes
No (If yes, describe.)

(b).

Has this organization previously been granted any tax exemption under Section 501 of the Internal Revenue
Code?
Yes
No (If yes, attach a copy of the authorization letter.)

4.

5.

Attach a statement detailing compensation, if any, to the following organization members:
A.
B.
C.
D.
E.

Officers
Directors
Trustees
Five Highest Paid Professional Service Employees
Five Highest Paid Employees

6.

List the names and salaries of any family members serving in any capacity in the organization.

7.

List types of employees performing activities of the organization and their qualifications. Indicate which, if any, of
these persons receive compensation for their activities.

8.

(a).

Is any course of instruction offered on the property?
instruction.)

(b).

Is it open to the public?
attendance?
Yes
No

9.

10.

Yes

No

(If yes, describe the

Yes
No Is there any charge or fee required for
(If yes, how is the money utilized by the organization?)

Attach a resume of past activities in which the organization has participated in, present activities and future
plans of the organization.

Describe the current use of the property.

11. Does or will this organization limit its benefits, services or products to specific classes of persons?
Yes
No (If yes, explain.)

12. Does the organization require the receipients or will they be required to pay a fee or other charge for the organization
benefits, services or products?
Yes
No (If yes, explain.)

13. Does the property produce income?

14.

Yes

No

(If yes, explain how the income is used.)

(a).

Does the organization operate a commercial establishment?
names, addresses and a description of the property.)

Yes

No

(b).

List Kentucky Sales and Use Tax Permit Account Number for each business that sells tangible personal
property.

(c).

Describe the items of all real or tangible property. (General description only.) Include the location of any real
property, or describe the tangible personal property.

15. Is this organization financially supported, operated or controlled by any other organization?
(If yes, list other organizations.)

(If yes, indicate the

Yes

No

16. Describe the applicant organization’s fund-raising program and explain to what extent it has been put into effect.

17. List all grants received during taxable years the organization has been in existence. (Show name of contributor, date,
amount of grant and brief description of the nature of the grant.)

18. Attach detailed financial statements, including both balance sheets and income and expense statements, for the
two most recent accounting periods.

19. Attach copies of the Articles of Incorporation, bylaws and any amendments to the Articles or bylaws as well as
any other information you wish to provide to help the Office of Property Valuation issue a ruling.

Applicants seeking an exemption for low-income housing must provide the documents requested and
answer the following questions about the parcels for which an exemption is desired.
	 20.	

For low-income housing applicants, provide copies of the following:

		

(a).	

A list of all partners, including general partners and limited partners.

		

(b).	

All partnership agreements.

		

(c).	

All current Land Use Restriction Agreements (LURAs).

	 21.	

Have any tax credits been awarded or applied for?     Yes      No. If yes, provide the following
information:

		

(a).	

The project name and location of the property involved;

		

(b).	

The total amount of the credit and the benefiting partner; and

		
	

(c).	

The start date and end date for the tax credits.

Applicants seeking an exemption as a religious organization must answer the following questions about
each parcel for which an exemption is desired.
	 22.	 List all acreage and improvements owned by the applicant for which an exemption is desired. Include the number
of acres for land and a general description of all improvements.

	 23.	 If multiple parcels, give a complete description of how each parcel in question 22 is being used. Examples of uses
to note include: religious worship services, minister occupied parsonage, held for future development, parking,
fellowship hall, leased to another entity, etc.

	 24.	

(a).	

If any of the property described in question 22 is a separate parking lot or garage, is the lot or garage rented
out during the week?   Yes    No  (If yes, give details.)

		

(b).	

Is the lot or garage essential for members to attend worship services?   Yes    No  (If no, give
details.)

CONSTITUTION OF KENTUCKY

REVENUE AND TAXATION
	
§170. Property exempt from taxation—Cities may exempt factories for five years.—There shall be exempted
from taxation public property used for public purposes; places of burial not held for private or corporate profit; real
property owned and occupied by, and personal property both tangible and intangible owned by, institutions of religion;
institutions of purely public charity, and institutions of education not used or employed for gain by any person or
corporation, and the income of which is devoted solely to the cause of education, public libraries, their endowments,
and the income of such property as is used exclusively for their maintenance; household goods of a person used in his
home; crops grown in the year in which the assessment is made, and in the hands of the producer; and real property
maintained as the permanent residence of the owner, who is sixty-five years of age or older, or is classified as totally
disabled under a program authorized or administered by an agency of the United States government or by any retirement
system either within or without the Commonwealth of Kentucky, provided the property owner received disability
payments pursuant to such disability classification, has maintained such disability classification for the entirety of the
particular taxation period, and has filed with the appropriate local assessor by December 31 of the taxation period, on
forms provided therefor, a signed statement indicating continuing disability as provided herein made under penalty
of perjury, up to the assessed valuation of sixty-five hundred dollars on said residence and contiguous real property,
except for assessment for special benefits. The real property may be held by legal or equitable title, by the entireties,
jointly, in common, as a condominium, or indirectly by the stock ownership or membership representing the owner’s
or member’s proprietary interest in a corporation owning a fee or a leasehold initially, in excess of ninety-eight years.
The exemptions shall apply only to the value of the real property assessable to the owner or, in case of ownership
through stock or membership in a corporation, the value of the proportion which his interest in the corporation bears
to the assessed value of the property. The general assembly may authorize any incorporated city or town to exempt
manufacturing establishments from municipal taxation, for a period not exceeding five years, as an inducement to their
location. Notwithstanding the provisions of Sections 3, 172, and 174 of this Constitution to the contrary, the General
Assembly may provide by law an exemption for all or any portion of the property tax for any class of personal property.
(Amendment, proposed Acts 1954, ch.111, §1, approved November, 1955; amendment, proposed Acts 1970, ch.186, §1,
approved November, 1971; amendment, proposed Acts 1974, ch.105, §1, approved November, 1975; amendment, proposed
Acts 1980, ch.113, §1, approved November, 1981; amendment, proposed Acts 1990, ch.151, §1, approved November, 1990;
amendment, proposed Acts 1998, ch. 227, §1, ratified November, 1998.)