Rev 1/01/2010
COUNTY OF FRANKLIN
STATE OF NORTH CAROLINA
Tax Year 2010
APPLICATION FOR PROPERTY TAX RELIEF
Name/Mailing Address:
Tax Parcel ID:
The deadline to submit an
Application is June 1, 2010.
Property Address:
List All Owners:
North Carolina offers income based property tax relief programs for homeowners who are at least 65
years of age or totally and permanently disabled. This form may be used to apply for the:
Elderly or Disabled Exclusion or Circuit Breaker Tax Deferment Program
Separate applications are required for each owner that is claiming property tax relief. If a husband and
wife are the sole owners of the property, only one application is required. Each owner may receive
benefits from only one of these programs even though they may meet the requirements for both.
Homes owned by honorably discharged disabled veterans or their unmarried surviving spouses are also
eligible for tax relief. To request an application for the Disabled Veteran Exclusion or for assistance in
completing this application, please call the Franklin County Tax Department at (919) 497-1397.
Name of Applicant: ________________________________________________________________
Last First MI
Date of Birth: __________________________ Age as of January 1, 2010: ______
Name of Spouse: ________________________________________________________________
Last First MI
Date of Birth: __________________________ Age as of January 1, 2010: ______
Social Security Number (SSN) disclosure is mandatory for approval of the Elderly or Disabled Exclusion and the
Circuit Breaker Tax Deferment Program and will be used to establish the identification of the applicant. The SSN
may be used for ve