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TAX ABATEMENT APPLICATION(Residential)

Application is for abatement of real property taxes assessed January 1, 2008, accruing

July 1, 2008 through June 30, 2009, on real property destroyed by flood. The destroyedreal property cannot have been sold for taxes or have taxes delinquent for 30 days as of

June 13, 2008.

The term destroyed as used in this abatement program shall mean, in the case of

residential property, a significant loss of the use and enjoyment of the real property as

evidenced by loss of use of all mechanical systems and inability to reside in the property

for a period of time.

The applicant must have been the legal title holder on June 13, 2008 and continues to hold

legal title to the destroyed real property.

The deadline for submitting this application will be October 1, 2009 at 5:00 p.m. Late

applications will only be accepted for good cause shown.

Completed and notarized applications shall be submitted to the Office of Linn

County Treasurer. Applications must be signed in the presence of a notary.

Notaries will be available at the Office of Linn County Treasurer.

Hand Delivered Address:

Linn County Treasurer

Lower Level

2500 Edgewood Road SW

Cedar Rapids, Iowa

Mailing Address:

Linn County Treasurer930 First Street SW

Cedar Rapids, IA 52404

For questions please call (319) 892-5000

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1. Appl icant s Name:2. Appl icant s Address :3. Appl icant s Phone Number :4. Address of property for which tax abatement is requested:5. Parcel number or GPN of proper ty for which tax abatement is requested:6. January 1, 2008, assessed value of property for which tax abatement is requested:7. January 1, 2009, assessed value of property for which tax abatement is requested:

8. Describe in detail the nature and extent of physical damage to the property for whichtax abatement is requested, including damage to mechanical systems and appliances:

9. What is the estimated cost of repair of the real property for which tax abatementis requested?

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10. What period of time between July 1, 2008 and June 30, 2009 were you NOT able toreside in your home? __________________________________________________________

11. At the time of the loss, who held legal title to the property?12. Who currently holds legal title to the property?13. Has this property been sold for taxes? ____Yes ____No14. As of June 13, 2008 were the taxes on the property delinquent for 30 days or more?

____Yes ____No

15. Has any portion of your property taxes been paid or paid into escrow by private insurance orpublic assistance? ____Yes ____No

If yes, what amount was paid by private insurance or public assistance? __________________

I hereby make application for abatement of real property taxes assessed on the real property listed above

assessed January 1, 2008, accruing July 1, 2008, to June 30, 2009, and payable September 30, 2009 andMarch 31, 2010, and swear upon oath that the information contained in this application is true and

correct as I verily believe. I understand that providing false information on this application may result in

criminal prosecution.

Date Applicant

Subscribed and sworn to before me this______________day of ___________________ , 2009.

Notary Public