DTE 105G

Addendum to the Homestead Exemption Application for Senior Citizens, Disabled Persons and Surviving Spouses
For applicants who have previously received the homestead exemption under R.C. 323.152(A)(2)(b).

Individuals who received the homestead exemption for tax year 2013 (2014 for manufactured and mobile homes) on any residence may continue to receive the homestead exemption on another residence within the state without meeting the income test currently required for the exemption, if a different residence otherwise meets the qualification of a homestead.

In order to assure that an applicant has previously received the homestead exemption for the aged or disabled, certain information must be made available to the county auditor.

Addendum to the Homestead Exemption Application for Senior Citizens, Disabled Persons and Surviving Spouses
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Franklin County Auditor
Homestead Section
373 S. High St., 19th Fl.
Columbus, OH 43215-6310
614-525-3240

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DTE 105A can be accessed at https://homestead.franklincountyohio.gov/.
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WARNING

The Homestead Exemption must have been received in Ohio for the 2013 tax year (or for 2014 tax year for manufactured or mobile homes). Credits from other states do not qualify.
Applicant's Name

First NameMiddle NameLast NameSuffix
Full Name
Applicant's current home address

Street Address

Street Address Line 2

CityState

Zip Code
Are you applying for homestead exemption on a real estate property or manufactured/mobile home property?

Real EstateManufactured or Mobile Home
Registration number of current manufactured or mobile home
Taxing district and parcel of current home
County in which prior homestead was granted
Address for which prior homestead was granted

Street Address

Street Address Line 2

CityState

Zip Code
Did you receive homestead exemption on a real estate property or manufactured/mobile home property?

Real EstateManufactured or Mobile Home
Registration number of prior manufactured or mobile home
Taxing district and parcel of prior home
I declare under penalty of perjury that I was receiving the homestead exemption for tax year 2013 (2014 for manufactured and mobile homes) on the property described in this addendum, and have examined this document and, to the best of my knowledge and belief, it is true, correct and complete.
Signature

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Person signing the form

First NameMiddle NameLast NameSuffix
Date

MonthDayYear
Date
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone number
E-mail address
example@example.com
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Addendum to the Homestead Exemption Application for Senior Citizens, Disabled Persons and Surviving Spouses

Addendum to the Homestead Exemption Application for Senior Citizens, Disabled Persons and Surviving Spouses

WARNING