Kentucky Property Tax Application for Exemption Under the Homestead/Disability Amendment

Property Tax Application for Exemption Under the Homestead/Disability Amendment
Form 62A350
62A350 (3-16)

Commonwealth of Kentucky
DEPARTMENT OF REVENUE

APPLICATION FOR EXEMPTION
UNDER THE HOMESTEAD/DISABILITY AMENDMENT
Please print or type all requested information.

County___________________________________________________ 	

Date Submitted____________________________ 	

Application is hereby made for the homestead exemption provided by Section 170 of the Kentucky Constitution.
1.	 Name(s) of owner-applicant(s) in whose name(s) title is vested:___________________________________________________
	
___________________________________________________________________________________________________________
	
___________________________________________________________________________________________________________
2.	 Name of applicant(s)	
	
	
	

Date of birth	

Age	

Sex	

_________________________________ 	 _______________ 	 ______ 	 _____ 	
_________________________________ 	 _______________ 	 ______ 	 _____ 	
_________________________________ 	 _______________ 	 ______ 	 _____ 	

Relationship to other occupants
 
Husband   
Wife	  Other ________
 Husband   
Wife   Other ________
 Husband   
Wife   Other ________

3.	 Address of personal residence	

______________________________________________________________________________

		

City____________________________ 	State________________ 	 Zip Code_______________ 	

	Description_________________________________________________________________________________________________
	

Mailing address (if different from above)_______________________________________________________________________ 	

	

Phone Number______________________________________________ 	 Date of Ownership____________________________ 	

4.	 Have you applied for, or are you receiving, the homestead exemption in a different location, county, or state?
	
 
yes   no  If “yes”, where? ______________________________________________________________________________
5.	 Type of residential unit:   single family residence   duplex   apartment building   mobile home   condominium
	
 other (describe)__________________________________________________________________________________________
6.	 Type of ownership:   
fee simple   equitable title   jointly with survivorship   
jointly in common   by stock
	
ownership or membership representing the owner’s or member’s proprietary interest in a multi-family structure
Note:  Amount of exemption: If ownership is fee simple, equitable title, jointly with survivorship or jointly in common, applicant
receives full exemption or up to the assessed value of his interest in the property, whichever is less. If ownership is by stock
ownership or membership, the amount of exemption is full exemption or the percentage that the applicant’s ownership bears to
the total value of the property. (Example: Total value of the structure = $50,000; applicant’s stock ownership = 10%; exemption
limit = $5,000.)
AFFIDAVIT AND OATH
I, ______________________________________ , hereby swear (affirm) under penalty of perjury that I (we) am (are) the owner(s)
of the property for which this assessment exemption is sought and that I (we) do not or will not claim an exemption for any
other property in this Commonwealth or another state. I further swear (affirm) that I (we) maintain this residential unit as
my (our) primary residence; that I (we) am (are) 65 years of age or over, or totally disabled; and that all information contained
in this application is true and correct.
If qualifying under the disability provision under KRS 132.810(2), I do further swear (affirm) under penalty of perjury that my
disability is continuing and that if my disability status changes and benefits are no longer received I shall report such changes
to the property valuation administrator’s office as required by KRS 132.810(4)(b). Failure to do so could result in supplemental
bills being issued for the amount of the exemption received for up to a period of five years.

Signature of Applicant

Date

Signature of Spouse

Date

RESERVED FOR OFFICIAL USE
This application is   approved  disapproved.	
	

Map Number__________________________________
Account Number______________________________

Property Valuation Administrator

Date

(See Explanation on Reverse)

EXPLANATION
1.	 This application-affidavit must be submitted by December 31st of the year in which exemption is sought to the property
valuation administrator of the county in which the residential unit is located. In addition, the applicant must own, occupy
and maintain the subject property as a taxable interest as of January 1 during the tax year for which the exemption is sought
(in accordance with KRS 132.220(1)).
2.	 What does homestead exemption mean?
	

The homestead exemption provides for a reduction in the net taxable value of the owner’s personal residence. The amount
of the exemption is reviewed every two years. Under the provisions of the Homestead statute, a person or persons must
be 65 years of age or older or totally disabled during the year for which application is made, and must own, occupy and
maintain a residential unit for such exemption.

3.	 Age Requirement
	

A person or persons owning, living in and maintaining a residential unit must meet the 65 years of age requirement. If only
one spouse is 65, the age requirement is met.

4.	 Verification of Age
	

Date of birth of the applicant(s) must be established by a substantiating document, such as:

		
1.	 Birth certificate* or birth registration*
		
2.	 Confirmation or baptismal records
		
3.	 Driver’s License* or state issued photo ID*
		
4.	 Medical Assistance Card carrying an A or J
			
prefix to Social Security Number
		5.	
Passport*
		
6.	 Red, White and Blue Medicare Card issued
			by Social Security
		7.	
School records
			* primary documentation
5.	 Disability Requirements
	
	
	
	
	

A person must be 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. In addition, the following
provisions must be met:
A.	 The applicant must have maintained the disability classification for the entire year.
B.	 The applicant must have received disability payments under this classification.
C.	 Verification documentation must be submitted to the property valuation administrator by December 31 in the first year
of eligibility.

6.	 Review of Applicants
	

At any time a Property Valuation Administrator may conduct a review of applications and may require an applicant to
re-apply or submit proof of continuing disability and benefits received.

7.	 KRS 132.810(2)(h) provides, “When title to property which is exempted, either in whole or in part, under the homestead
exemption is transferred, the owner, administrator, executor, trustee, guardian, conservator, curator or agent shall report
such transfer to the property valuation administrator.”
8.	 Fraudulent Misrepresentations
	

Under the provisions of KRS 132.990(1), “Any person who willfully fails to supply the property valuation administrator
or the Department of Revenue with a complete list of his property and such facts with regard thereto as may be required
or who violates any of the provisions of KRS 132.570 shall be fined not more than five hundred dollars ($500).”