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Property Address City State Zip Code County Legal Description of Property (attach additional sheets if necessary) Parcel ID Number This section is to be completed by all applicants. Please answer the following questions about the use of the property. What is the principal use of the above-described property? Additional Uses of the Property (give percentage of use): Are these uses directly related to the mission of the organization? Yes No Is any part of this property used for commercial purposes? Yes No If yes, please explain. Why is ownership of this property necessary? Is any part of this property used for residential purposes? Yes No If yes, please fill out next section. Owner(s) of the Property Name of Organization Date Property Acquired by Organization Representative or Owner Name Title Date of Application Mailing Address of Organization City State Zip Code County Is the above organization exempt from federal income tax under section 501(c)(3)? Yes No The above organization is seeking exemption from property tax under the following category (please check one): Academy, College, University or Seminary of Learning Public Hospital Church, Church Property or House of Worship Public School House Public Property used Exclusively for Public Purposes Other (specify) Public Burying Ground Institution of Purely Public Charity (If yes, please file for exemption using the “Institution of Purely Public Charity Application for Property Tax Exemption” form.) This section is to be completed by all applicants. Please fill out the following information about the property on which exemption is being claimed. CR-PTE Application for Property Tax Exemption (Rev. 07/21) Please read the back of this form before completing. If you are applying for exemption as an institution of purely public charity, please fill out the “Institution of Purely Public Charity Application for Property Tax Exemption” form. Property Information This section is to be completed by all applicants. Please provide the following information for the organization that owns the property on which exemption is being claimed. Use of the Property Continued For Office Use Only Approved Denied Name of organization_ Assessor’s ---PAGE BREAK--- Sign Here Applicant Signature Daytime Phone Date Signature of owner or authorized representative. By signing below, I certify that the above information is true and correct to the best of my knowledge, and I am the owner of the property or authorized representative of the organi- zation that owns the property for which exemption is being claimed. This section is to be completed if any part of the property is used for residential purposes. Please fill out the follow- ing information for each person who occupies the above-described property. List additional occupant’s information on a separate sheet and attach it to this application. Name of Occupant Nature of Service/Employment Full-time Part-time Is occupant required to reside on this property as a condition of employment? Yes No If yes, why is this required? Does occupant pay rent, either in cash or as a part of salary? Yes No If yes, please give details. Why is ownership of this residence necessary? Residential Use of the Property ---PAGE BREAK--- Filing for Exemption Most taxpayers claiming exemption from property tax must file an applica- tion for exemption with the assessor in the district where the property is located on or before February 1 of the assessment year. For most exempt properties, this ap- plication must be refiled every third year. No matter what year the taxpayer initially files for exemption, applications will again be due in 2022, 2025, 2028, etc. Property owned by the state of Minnesota or any of its political subdivisions are not required to file. Owners of some types of exempt prop- erty may be asked to complete a differ- ent application instead of or in addition to this form. In cases of sickness, absence, disability or for other good cause, the assessor may extend the deadline for filing the statement of exemption for a period not to exceed 60 days. What type of property qualifies for exemption? Minnesota Statute 272.02 describes the types of property eligible for property tax exemption. The filing requirements can be found in Minnesota Statute 272.025. No property will be exempt from taxa- tion under Minnesota Statute 272.02 if the taxpayer claiming the exemption knowingly violates any of the provisions of this section. Assessor May Request Additional Information Upon written request by the assessor, taxpayers must make available to the assessor all necessary books and records relating to the ownership or use of property which can help verify whether or not the property qualifies for exemp- tion. Sale or Purchase of Exempt Property Property which is exempt from prop- erty tax on January 2 and, due to sale or other reason, loses its exemption prior to July 1 of that year, will be placed on the current assessment rolls for that year. The valuation will be determined with respect to its value on January 2 of such year. The classification will be based on the use to which the property was put by the purchaser, or in the event the purchaser has not utilized the prop- erty by July 1, the intended use of the property, as determined by the county assessor, based upon all relevant facts. Property which is subject to property tax on January 2 that is acquired by a government entity, institution of purely public charity, church or educational institution before July 1 of the year is exempt for that assessment year if the property is to be used for an exempt purpose. Use of Information The information on this form is re- quired by Minnesota Statutes, section 272.02 to properly identify you and de- termine if you qualify for property tax exemption. If you do not provide the required information, your application may be delayed or denied. Your County Assessor may also ask for additional verification of qualifications. Penalties Making false statements on this ap- plication is against the law. Minnesota Statute 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. Questions? Contact your County Assessor’s Office for assistance. Form CR-PTE Instructions