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Continued (Rev. 7/23) CR-H Section 1: Homestead Property Information Address of Homestead City State ZIP Code County Date Purchased Date Occupied Property ID Number (Found on the Property Tax Statement) Is the property owned by a trust? Yes No If yes, attach documents showing the ownership interests of the trust. Are there multiple owners of the property (not including spouses)? Yes No If yes, please provide the number of owners. Section 2: Occupant Information Occupant First Name and Middle Initial Occupant Last Name Social Security Number/ITIN Phone Number Email Address Occupant’s Mailing Address (if different than homestead property) City State ZIP Code Are you listed as an owner on the deed? Yes No If yes, do not complete section 4, Relative Homestead. Are you a Minnesota resident? Yes No Marital Status: Single Married Divorced Legally Separated Widowed Your Previous Address Date Vacated City State ZIP Code County Did you claim homestead at your previous address? Yes No If yes, what happened with your previous homestead (sold, rented, etc.): OFFICE USE ONLY ASMT YR: Homestead Application Please read the instructions for important information on due dates and application requirements before completing this form. The qualifying occupant or occupants should complete this application. A qualifying occupant is an occupying owner and their spouse (if applicable) or an occupying relative and their spouse (if applicable). Please mail this completed application, a copy of the deed, and Certificate of Real Estate Value for the property, and all other required attachments to: Anoka County Property Records & Taxation, 2100 3rd Ave., Anoka, MN 55303 This form may be found at STAFF INITIALS & ---PAGE BREAK--- Section 3: Spouse Information Spouse of Occupant First Name and Middle Initial Spouse of Occupant Last Name Social Security Number/ITIN Phone Number Email Address Does the spouse occupy the property listed in Section 1? Yes (List their previous address below) No (List their current address below) Address Date Vacated City State ZIP Code County Section 3a: Additional Spouse Information Spouse of Occupant First Name and Middle Initial Spouse of Occupant Last Name Social Security Number/ITIN Phone Number Email Address Does the spouse occupy the property listed in Section 1? Yes (List their previous address below) No (List their current address below) Address Date Vacated City State ZIP Code County Section 2a: Additional Occupant Information Occupant First Name and Middle Initial Occupant Last Name Social Security Number/ITIN Phone Number Email Address Occupant’s Mailing Address (if different than homestead property) City State ZIP Code Are you listed as an owner on the deed? Yes No If yes, do not complete section 4, Relative Homestead. Are you a Minnesota resident? Yes No Marital Status: Single Married Divorced Legally Separated Widowed Your Previous Address Date Vacated City State ZIP Code County Did you claim homestead at your previous address? Yes No If yes, what happened with your previous homestead (sold, rented, etc.): Complete sections 2a and 3a ONLY if there are other occupying owners not listed in section 2 or 3. If not, skip these sections. ---PAGE BREAK--- Section 4: Relative Homestead Complete this section ONLY if you are a qualifying relative applying for homestead. Otherwise, skip to Section 5. If there are multiple owners, please attach their information separately. Property Owner First Name and Middle Initial Property Owner Last Name Your Relationship to Property Owner Property Owner Mailing Address City State ZIP Code County Phone Number Email Address Is the property owner a Minnesota resident? Yes No I certify that the above information is true and correct to the best of my knowledge. Minnesota Statutes, section 609.41, states that anyone giving false information in order to avoid or reduce their tax obligations is subject to a fine of up to $3,000 and/or up to one year in prison. This application must be signed by the occupant and their spouse (if applicable) and returned to the assessor. Signature of Occupant Date Signature of Occupant’s Spouse (If Applicable) Date Signature of Other Occupant (If Applicable) Date Signature of Other Occupant’s Spouse (If Applicable) Date Complete entire application and mail along with all required attachments to your assessor. Section 5: Signature ---PAGE BREAK--- Who is Eligible for Homestead? If you own and occupy your own property, you may be eligible to receive homestead. You must own the property and occupy it as your primary residence no later than December 31 of the current year to receive homestead for taxes payable next year. Classification as a residential or agricultural homestead may make your property eligible for a reduced classification rate and/or a reduced taxable market value, or may make you eligible for special program enrollment and the Property Tax Refund Program. How and When to Apply Complete the entire application fully and legibly and mail the application to your assessor within 30 days of establishing homestead, no later than December 31 to be eligible for homestead in the next tax year. For manufactured homes, if you do not own the land the home is on, you must submit the application by May 29 to be eligible for homestead in the current tax year. You do not have to reapply for each year; however, the assessor may ask for an updated application at any time. Each applicant who occupies the property must provide a Social Security or Individual Tax Identification number and sign the form. Spouses of the applicants must also provide their Social Security or Individual Tax Identification number, even if they do not occupy the property. What if My Property is Held Under a Trust? If the property is owned by a trust, the grantor of the trust is considered the owner when completing this application. The assessor may ask for additional information, including: • Name and type of trust • Grantors of the trust • Signatures of the grantors and date of those signatures Required Attachments If any owners or owners’ spouses do not occupy the property, you must provide their names and addresses to the assessor. The spouse of the occupant must provide their Social Security or Individual Tax Identification number, even if they do not occupy the property. If there are more than two qualifying occupants, attach another application with the occupant and occupant’s spouse (if applicable) sections completed. What is a Qualifying Relative? Qualifying relatives for both agricultural and residential homestead include: parent, stepparent, child, stepchild, grandparent, grandchild, brother, sister, uncle, aunt, nephew, or niece of the owner, by blood or marriage. Use of Information The information on this form is required by Minnesota Statutes, section 273.124 to properly identify you and determine if you qualify for homestead. Your Social Security or Individual Tax Identification number is required. If you do not provide the required information, your application will be denied. If you provide your Social Security or Individual Tax Identification number thereafter, the effective date of the homestead classification may be delayed. Your Social Security or Individual Tax Identification number is considered private data for purposes of establishing homestead. Penalties Making false statements on this application is against the law. Minnesota Statutes, section 609.41, states that anyone giving false information in order to avoid or reduce their tax obligations is subject to a fine of up to $3,000 and/or up to one year in prison. If you falsely claim homestead, you may be assessed a penalty equal to in the amount of the additional tax that would have applied to your property if it had not been considered homestead. Questions? For questions or help filling out the form, please call Anoka County Property Records & Taxation at: [PHONE REDACTED]. Please mail this completed application, a copy of the deed, and Certificate of Real Estate Value for the property, and all other required attachments to: Anoka County Property Records & Taxation, 2100 3rd Ave., Anoka, MN 55303 This form may be found at: Form CR-H Instructions