County of Allegheny
OFFICE OF PROPERTY ASSESSMENTS
ACT 50 – Application for Homestead & Farmstead Exclusions
Parcel ID:
Applications must be received by
March 1st of applicable tax year
Property Address:
(Street)
(City)
(State)
(Zip Code)
Owner Name:
(Last)
(First)
(MI)
Mailing Address:
(Street)
(City)
(State)
(Zip Code)
Phone #:
Do you use this property as your primary residence?
Yes
No
Do you claim anywhere else as your primary residence?
Yes
No
Is your residence part of a cooperative or a condominium where property taxes are
paid jointly?
Yes
No
Is your property used for purposes besides your primary residence, such as a
business or rental property?
Yes
No
If yes, what portion of the property is used for your primary residence?
%
Do you wish to seek farmstead exclusion for the buildings or structures on this
property?
Yes
No
If yes, is any portion of the farm or buildings abated from property tax under
another law or program?
Yes
No
Please read before signing: Any person who knowingly files an application which is false to any
material matter shall be subject to payment of taxes due, plus interest, plus penalty and shall be
subject to prosecution as a misdemeanor of the third degree and a fine up to $2,500.
I hereby certify that the statements made in this application are true and correct to the best of my
knowledge, information and belief.
Signature of Property Owner
Date
PROPERTY ASSESSMENT USE ONLY:
RETURN ORIGINAL TO:
Received:
OFFICE OF PROPERTY ASSESSMENTS
Data Entry:
400 NORTH LEXINGTON AVENUE SUITE LL
QA/QC:
PITTSBURGH, PA 15208
INITIALS AND DATE MUST BE FILLED IN ALL LOCATIONS
ATTN: ASSESSOR’S DEPARTMENT
ACT 50 of 1998 – Application for Homestead & Farmstead Exclusions
Rev 3/04
INSTR