Owner Information

Social Security Number/ITIN(Required)

Date of Birth

Social Security Number/ITIN(Required)

County

Property ID Number(Required)

Example: 00-0000-000

I have owned this property since (Month)

I have owned this property since (Year)

I have lived in this property since:

Month

Year

Check All That Apply

Check all boxes that apply. If you are applying for the first time, you must attach the appropriate documentation certifying that you are blind or permanently and totally disabled. (See instructions to determine what information to provide).

What is your relationship to the owner?

Documentation Upload

Blind – Attach a copy of a signed and approved letter or report from your eye doctor stating that you are legally blind. Disabled – Attach a letter from a qualified agency certifying that you are totally and permanently disabled and receive disability payments. Copies of SSA-1099 forms, check stubs or letters from a physician are NOT acceptable.

Max. file size: 256 MB.

If you are receiving the Veterans with a Disability Homestead, you are unable to apply for the Class 1b homestead as well. If you have questions, please contact our office at 320-634-7715.

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I declare all information on this form is true, correct, and complete to the best of my knowledge and belief.

Signature of Applicant(Required)

Signature of Spouse(Required)

Date(Required)

Phone(Required)

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Special Homestead Classification – Class 1b Property

Owner Information

Check All That Apply

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