Upper Pittsgrove, MT · Salem County

No notary required

$250 Real Property Tax Deduction Supplemental Income Form

This form reports income for residents seeking a senior citizen, disabled person, surviving spouse, or surviving civil union partner property tax deduction.

What this form is

Applicants use this form to report income for the calendar year and help the assessor or collector determine eligibility for a property tax deduction. It asks for applicant and spouse income across 15 categories, including wages, pensions, benefits, and other income. Married applicants must include their spouse’s income, and the assessor or collector may request federal income tax records to substantiate the statement.

Who needs it

Residents seeking the listed property tax deduction complete this form, including a spouse’s income when the applicant is married.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed without a notary; the signer certifies the statements as true and subject to penalties for perjury if falsified.

How to submit this form

  1. 1

    Download The Form

    Download the $250 Real Property Tax Deduction Supplemental Income Form.

  2. 2

    Complete Income Details

    Enter the calendar year and report the applicant’s income; married applicants must include their spouse’s income.

  3. 3

    Gather Supporting Records

    The assessor or collector may request federal income tax records to substantiate the income statement.

  4. 4

    Submit The Form

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who should complete the $250 Real Property Tax Deduction Supplemental Income Form?
Applicants seeking a senior citizen, disabled person, surviving spouse, or surviving civil union partner property tax deduction use this form to report income.
What income information does the form request?
It asks for applicant and spouse income for a calendar year across 15 categories. Married applicants must include their spouse’s income.
Do I need a notary for the $250 Real Property Tax Deduction Supplemental Income Form?
No. The form has signature lines but no notary block. The signer certifies the statements as true and acknowledges penalties for perjury if falsified.
How do I submit the $250 Real Property Tax Deduction Supplemental Income Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This $250 Real Property Tax Deduction Supplemental Income Form doesn’t need a notary — but if you have another Upper Pittsgrove form that does, a commissioned online notary can help.