PermanentHomestead Exemption Affidavit Homestead Exemption FormΔFirst Name Last Name Physical Address Mailing Address City State Zip Code Previous Residence Address Phone Number Email Assessment # Date Acquired (m/d/y) Previous Owner I am requesting the Homestead Exemption for the tax year of By signing below I hereby certify that I am requesting homestead exemption on the above property and that I have read and understand the following: I am only allowed one homestead exemption, and I must occupy the property in order to qualify. I understand if I no longer reside on the property I must notify the assessor’s office to provide a forwarding address. I also understand that if I rent the property I must notify the assessor’s office and it is no longer eligible for homestead exemption.Signature Sign Here Today's Date (m/d/y) File Homestead Exemption x