Homestead Application Form Homestead Exemption Application Parcel ID* Owner* Co-Owner Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant #1 InformationName* Date of Birth* MM slash DD slash YYYY Age* Marital Status*SingleMarriedSpouse's Name* U.S. Citizen?* Yes No If not Citizen, Registration Number* Applicant #2 InformationName Date of Birth* MM slash DD slash YYYY Age* Marital Status*SingleMarriedSpouse's Name* U.S. Citizen?* Yes No If not Citizen, Registration Number* Phone*Alternative PhoneEmail* How long at this address?* Previous Address* Date Purchased* MM slash DD slash YYYY Purchased from whom? Are you receiving homestead or tax credit on any other property?* Yes No If yes, Location of Property* Are you active duty military?* Yes No If Yes, what state is your home of record?*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCounty where you are registered to vote State where you are registered to voteAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCounty where vehicles are registered Total # of VehiclesTag #1 Tag #2 Tag #3 The following documents are required in order to process your Homestead Exemption Application: Valid Georgia Driver’s License or State Issued ID Current Voter Registration card reflecting the current home address All vehicles titled under the applicant’s name must be registered in Clayton County, and current vehicle registration must be submitted. If applicant or spouse owns other properties, a letter from County/State must be provided verifying no Homestead. No exceptions. If you cannot meet these requirements, the following is acceptable only after review: Current Federal and State income tax forms with ALL attachments (will only be needed if applicant states they do not vote and/or have no vehicles) If applicant is not required under Federal or State Law to file income taxes, applicant will need to bring in all utility statements showing the applicant as the account holder, with statements being mailed to the property location. The following documents will only be accepted upon review: Bank statement with correct address. Employer verification including but not limited to: Paycheck or pay stub showing correct address. W-2 for preceding calendar year showing correct year. Health insurance statement. Social Security statement for current year. Medicare or Medicaid statement. Uploads* Drop files here or Select files Max. file size: 64 MB. Applicant #1 Signature* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY Applicant #2 Signature* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY
