TAX LIEN/APPLICATION FOR
DEFERRAL OF PROPERTY TAXES
I. Date: Recorders
Stamp
I hereby request deferral of my property taxes per
Name: Birth Date:
____________________
Property Address: Phone: ______________________
Mailing Address:
______________________________________________________________________________________
City and Zip: ______________________________________________________________________________________________
Legal Description:
__________________________________________________________________________________________
_________________________________________________________________________________________________________
I certify that I(we) am(are) the owner(s) of, and
reside in the above described residential property, and that this property is
not income producing, and I (we) do not have any delinquent taxes owing. I(we) own the property (check one): Free and
clear_______, OR, there is a mortgage over 5 years old _____, OR, there is a
mortgage under 5 years old_____ (if applicable, attach a copy of the recorded
Subordination Agreement*), OR, a purchase contract_____.
List name, address, phone number of mortgage company
or holder of the purchase contract: __________________________________
___________________________________________________________________________________________________________
ALL OWNERS AS LISTED ON THE TITLE INCLUDING BUT NOT LIMITED TO JOINT TENANTS, TENANTS IN COMMON, ETC., MUST SIGN BELOW ACKNOWLEDGING THAT UPON ACCEPTANCE OF THE APPLICATION BY THE COLORADO STATE TREASURERS OFFICE THERE WILL BE A LIEN PLACED ON THE SAID PROPERTY.
X________________________________________
X_______________________________________
X________________________________________
X_______________________________________
Guardian,
Conservator, or Attorney-in-fact: ______________________________________________________
Other
contact (relative, personal representative, etc.):
________________________________________________
Phone
Number: ______________________________________________
II. Market Value (obtain from County
Assessor)
.$_____________a
Previous years deferred taxes and
accrued interest
....$_______________b
(obtain previous years
from County Treasurer)
Amount of 200__ taxes to be
deferred
.._______________c
List individual amounts of any liens
or mortgages on _______________d
the property (lines d, e, &
f)
..________________e
_______________f
Add
lines b through f
________________g
Subtract
line g from a
________________h
Line
g must be less than line a in order to qualify for deferral of property taxes.
IMPORTANT NOTICE TO PROPERTY OWNERS: YOU COULD LOSE YOUR PROPERTY IF THE CUMULATIVE AMOUNT OF THE DEFERRAL PLUS INTEREST EXCEEDS THE MARKET VALUE OF YOUR PROPERTY LESS THE VALUE OF ANY LIENS.
If you have mortgage liens on your real property:
list the book, page number, reception number, date, and county in which the
property is recorded:
Book:_________Page:_________Reception#______________Date:_________County______________
If you have mortgage liens on your mobile home: list
the street address and county where the mortgage is recorded with the
Authorized Agent of the Department of Revenue:
____________________________________________________________________________________
CERTIFICATE OF
DEFERRAL - TO BE COMPLETED BY THE COUNTY TREASURERS OFFICE
Tax
Schedule #: Date:
______________________________
Ownership
records agree with the above.
The
above property is eligible for deferral of 200_ taxes in the amount of $________________
_________________________________________
Treasurer or Deputy
__________________________________________
County
State Treasurer, Original Copy to the County Treasurer, County Assessor and Applicant