Special Assessment Level – Disabled Property Owner

Disabled Homeowner

LOUISIANA SPECIAL ASSESSMENT LEVEL APPLICATION

Permanently, Totally Disabled Homeowner Freeze

Property must be Homestead Exempt to qualify

Owner Name

Phone

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Property Address

Address Line 1

Address Line 2

City

State

Zip Code

Owner Date of Birth

Owner SS# (Last Four Digits Only)

Proof of Disability

You must provide a copy of your disability letter from the Social Security Office. You must be 100% disabled to qualify.

Disability Letter (File Upload)

Choose File

Adjusted Gross Income for the Year Prior to Application

You must provide a copy of the prior year’s tax return. Upload your file below.

Proof of Income (File Upload)

Choose File

Driver’s License (File Upload)

Choose File

IMPORTANT NOTE:

This application may be applied to the homesteaded property of the applicant if they meet all requirements stated below. If granted, the special assessment level will freeze the assessed value of the property as valued upon granting the application. The freeze will remain on the property as long as the applicant is eligible. The property owner will still have to pay any additional taxes that are a result of a millage increase.

REQUIREMENTS:

A. Applicant must be permanently totally disabled as determined by a final non-appealable judgment of a court or is certified by a state or federal administrative agency charged with the responsibility for making determinations on that matter.

B. Adjusted Gross Income must not exceed $102,700 a year. If property has more than one owner, you must combine incomes if you file separately.

The maximum allowable gross income will be adjusted annually by the consumer price index as reported by the United States Government. If this income threshold is surpassed this assessment freeze will be rendered invalid.

I have read the above information and certify that the information regarding my personal qualifications is true and correct. I understand that it is a criminal offense to make any false statements for the purpose of procuring a Special Assessment Level.

Today’s Date

By submitting this form I agree that I have read the above information and certify that the information regarding my personal qualifications is true and correct. I understand that it is a criminal offense to make any false statements for the purpose of procuring a Special Assessment Level.

In accordance with the Americans with Disabilities Act, if you need special assistance please contact our office at 225-635-3350.