PermanentHomestead Exemption Affidavit Homestead Exemption FormΔFirst NameLast NamePhysical AddressMailing AddressCityStateZip CodePrevious Residence AddressPhone NumberEmailAssessment #Date Acquired (m/d/y)Previous OwnerI am requesting the Homestead Exemption for the tax year ofBy 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