The following forms shall be used by the owners of real property to satisfy the requirements of Section 4 above.* This report should be filed with the ___________________ Parish Assessor's Office on or before ____________________, in accordance with Louisiana Statutes. If you need help in answering any of the questions in this report, please feel free to call on the Assessor's Office for assistance. Added by Acts 1976, No. 705, §5, eff. Aug. 4, 1976; H.C.R. No. 88, 1993 R.S., eff. May 30, 1993; H.C.R. No. 1, 1994 R.S., eff. May 11, 1994. *R.S. 47:2324. Exhibit A RESIDENTIAL HOMEOWNER'S REPORT ________ Owner _____________________________________________________ Mailing Address ______________________________________________ Property Address if Different ____________________________________ Legal Description _____________________________________________ ___________________________________________________________ CHECK OR FILL IN WHERE APPLICABLE: Date of Birth _______________ Social Security No. __________________ Spouse's Date of Birth ____________ Spouse's Social Security No. _______ Veteran: Yes_____ No ______ I. LAND DATA Dimensions: Front___x___x___x___ Check if: Corner Lot __ Inside Lot__ Cost if Purchased as Vacant Land:___________Date of Acquisition ______ Zoning __________ Adverse Influences ___________________________ II. BUILDING DATA A. HOUSE Approx. Size ____ Sq. Ft. Approx. Age of Bldg. ____ Stories: 1 ___ 1 1/2 ____ 2 ____ More ____ Number of Rooms ___ Consisting of: Bedrooms ___ Kitchen ___ Study ___ Den ___ Living Room ___ Dining Room ___ Finished Attic ___ Bath Rooms ___ Utility ___ Basement ___ Type of Construction: Wood Frame ___ Brick Veneer ___ Concrete Block ___ Other ___ and Type ___ Swimming Pool ___ Type of Foundation: Slab w/Pilings ___ Slab w/o Pilings ___ Piers ___ Insulation: Ceiling ___ Roof ___ Walls ___ Central Air ___ Window Units ___ Floor Furnace ___ Other ___ and Type ___ General Condition of Building: Good ___ Average ___ Poor ___ Adverse Influences ___________________________________________ B. GARAGE, CARPORT OR OTHER BUILDINGS Type of Construction: Cost of buildings and land _______________ Date of acquisition ________ Amount of Insurance _________________________________________ III. SITE DATA Electricity ___ Gas ___ Water ___ Storm Sewer ___ Street Surface: Concrete ___ Blacktop ___ Shells or Gravel ___ Sidewalks ___ SIGNATURE AND VERIFICATION I declare under the penalties for filing false reports that this return has been examined by me and to the best of my knowledge and belief is a true, correct and complete return. If the return is prepared by other than the taxpayer, his declaration is based on all the information relating to the matters required to be reported in the return of which he has knowledge. _________________________ _____________ PHOTOGRAPH OF BUILDING: Exhibit B APARTMENT PROPERTY REPORTING FORM OWNER __________________________________ DATE ______________ MANAGER ____________________________________________________ PROPERTY ADDRESS _____________ MAILING ADDRESS __________ CITY ____________________ TOWN ________________ ZIP __________ LEGAL DESCRIPTION: __________________________________________ _______________________________________________________________ CHECK OR FILL IN THE APPROPRIATE SPACES: _________________________________ _________ OWNER'S SIGNATURE AND TITLE DATE SIGNATURE AND VERIFICATION I declare under the penalties for filing false reports that this return has been examined by me and to the best of my knowledge and belief is a true, correct and complete return. If the return is prepared by other than the taxpayer, his declaration is based on all the information relating to the matters required to be reported in the return of which he has knowledge. _________________________ ___________ Signature of Taxpayer Date (SEE R.S. 47:2325 IN WEST'S LSA FOR PARISH ASSESSOR'S REAL PROPERTY RECORD CARD) Exhibit C COMMERCIAL AND INDUSTRIAL PROPERTY REPORTING FORM OWNER _____________________________________ DATE ___________ MANAGER ____________________________________________________ PROPERTY ADDRESS_____________ MAILING ADDRESS __________ CITY ___________________ TOWN ________________ ZIP __________ LEGAL DESCRIPTION: _________________________________________ ______________________________________________________________ CHECK OR FILL IN THE APPROPRIATE SPACES: ___________________________________ OWNER'S SIGNATURE AND TITLE __________________________ DATE SIGNATURE AND VERIFICATION I declare under the penalties for filing false reports that this return has been examined by me and to the best of my knowledge and belief is a true, correct and complete return. If the return is prepared by other than the taxpayer, his declaration is based on all the information relating to the matters required to be reported in the return of which he has knowledge. ____________________ _______ Signature of Taxpayer Date (SEE R.S. 47:2325 IN WEST'S LSA FOR PARISH ASSESSOR'S REAL PROPERTY RECORD CARD) Exhibit D VACANT LAND This report should be filed with the __________________ Parish Assessor's Office, in DUPLICATE on or before _______________, along with a recent snap shot of the property being reported, in accordance with Louisiana Statutes. If you need help in answering any of the questions in this report please feel free to come into the Assessor's Office for assistance. OWNER _______________________________________________________ MAIL ADDRESS _______________________________________________ PROP ADDRESS IF DIFFERENT _________________________________ LEGAL DESCRIPTION _________________________________________ _______________________________________________________________ I. LAND DATA DIMENSIONS: Front ___x___x___x___ CHECK IF: Corner lot ___ or Inside lot ___ DATE OF ACQUISITION ___ ___ ___ COST IF PURCHASED AS VACANT LAND ______________ ZONING ___________________ List any adverse influences which would affect the value of your property. _____________________________________________________________ ______________________________________________________________ If larger than lot size: Number of Acres ___, and four boundaries ____________, ____________, ____________, ____________ SIGNATURE AND VERIFICATION I declare under the penalties for filing false reports that this return has been examined by me and to the best of my knowledge and belief is a true, correct and complete return. If the return is prepared by other than the taxpayer, his declaration is based on all the information relating to the matters required to be reported in the return of which he has knowledge. ____________________________ _______ Signature of Taxpayer Date Notwithstanding their inclusion in the statutes the Louisiana Tax Commission or its successor, after adequate public notice and hearing may change, alter or delete any form on the basis of physical or objective factors, but may not require a homeowner to place an estimate on the value of his home. The assessor, in addition to requiring submission of the above forms by the property owner, shall have the right to require additional data pertaining to the appraisal of the property or physical inspection.
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