Monday - Friday7:30 a.m. - 5:30 p.m.
Identification of Applicant and Property: Please provide your name, social security number and date of birth. Your spouse should be identified in section 3, even if he or she also qualifies.
Note: Property can be held in a life estate.
Age, occupancy and ownership requirements:
To use the short form, all three questions in this section must be answered "True." If any questions are "False," please review the long form qualifications to see if you still qualify.
Each additional person who occupies the property as his or her primary residence must be listed here, along with his or her social security number. The form will be kept confidential. If your husband or wife occupies the property, he or she must be listed on the first line and identified as your spouse. If more than three additional people occupy the property, you may attach an additional sheet with their names and social security numbers. Affidavit and Signature:
You must sign and date the form. If the form is signed on behalf of the applicant by a guardian, conservator or attorney-in-fact, that person must provide documentation of his or her authority in the form of a court order or power of attorney. If there is a contact person other than the applicant, please provide that person's name and telephone number.
Go to the Senior Property Tax Exemption Short Form.
Please note: The form is in PDF format and requires Acrobat Reader to view and print. Download the free software!
If you have any questions, please contact the assessor's office by phone, 303-271-8629; or email email@example.com.
100 Jefferson County Parkway Golden, Colorado 80419 (303) 279-6511
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