RS 47:2325

§2325. Forms The following forms shall be used by the owners of real property to satisfy the requirements of Section 4 above.* Exhibit A RESIDENTIAL HOMEOWNER'S REPORT ________ 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. 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 Garage Carport Building #1 Building #2 Size ____sq.ft. ____sq.ft. ____sq.ft. ____sq.ft. Type of Construction: Wood Frame ________ ________ ________ ________ Brick Veneer ________ ________ ________ ________ Concrete Block ________ ________ ________ ________ Other ________ ________ ________ ________ Type ________ ________ ________ ________ 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. _________________________ _____________ Signature of Taxpayer Date 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: 1. QUALITY: LOW ___ FAIR ___ AVERAGE ___ GOOD ___ VERY GOOD ___ 2. STYLE: NUMBER OF STORIES ___ SPLIT LEVEL ___ 1 1/2 STORY FINISHED ____ 3. EXTERIOR WALL: STUCCO ___ SIDING, SHINGLE, OR METAL ___ BRICK VENEER ___ COMMON BRICK ___ FACEBRICK OR STONE ___ CONCRETE BLOCK ___ 4. FOUNDATION: PIERS _____ RUNNING PIERS _____ 5. SWIM POOL: HEATER _____ CHLORINATOR _____ 6. HEATING AND AIR-CONDITIONING: FLOOR FURNACE ___ PANEL WALL ___ HEAT AND A/C ___ RADIANT ___ ELECTRIC ___ CENTRAL HOT AIR ___ SPACE ___ CEILING ___ 7. PLUMBING: NUMBER OF FIXTURES ___ NUMBER OF ROUGH-INS ___ TUB ENCLOSURES ____ 8. FLOOR COVERING: CARPET ___% HARDWOOD ___% VINYL ASBESTOS ___% FANCY STONE ___% 9. BUILT-IN APPLIANCES: BUILT-IN RANGE-OVEN ELECTRIC ___ BUILT-IN RANGE-OVEN GAS ___ DROP-IN RANGE-OVEN ELECTRIC ___ DROP-IN RANGE-OVEN GAS ___ MICRO-WAVE OVEN ELECTRIC ___ DISPOSAL ___ 10. EXTRA FEATURES: ELEVATOR LOAD ___ UTILITY ROOM ___ OUT BUILDINGS ___ OTHER: ___ 11. APARTMENTS: NUMBER OF EFFICIENCY ___ RENTAL OF EACH ___ NUMBER OF ONE BEDROOM ___ RENTAL OF EACH ___ NUMBER OF TWO BEDROOM ___ RENTAL OF EACH ___ NUMBER OF THREE BEDROOM ___ RENTAL OF EACH ___ NUMBER OF FOUR BEDROOM ___ RENTAL OF EACH ___ NUMBER OF APARTMENT BUILDINGS ___ SIZE ___X___ NUMBER OF CLUB HOUSES ___ SIZE ___X___ NUMBER OF LAUNDRY BUILDINGS ___ SIZE ___X___ NUMBER OF SWIMMING POOLS ___ SIZE ___X___ NUMBER OF OTHERS: ______________________ EXPLAIN: ________________________________ SIZE ___X___ _________________________________________ SIZE ___X___ TOTAL FLOOR _____ SQUARE FEET 12. PARKING: PARKING SPACES: _____ OPEN ____ COVERED ____ 13. INCOME: RENTALS INCLUDE: _______________________________________ __________________________________________________________ VACANCIES AT THIS TIME ______ INCOME AND EXPENSE ESTIMATES: (ITEMIZE) ______________ __________________________________________________________ __________________________________________________________ MONTHLY INCOME: ______________ ANNUAL INCOME: _____________ _________________________________ _________ 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: 1. CLASS: MEDICAL ___MOTEL ___ INDUSTRY ___ SERVICE STATION ___ HOTEL ___ OFFICE ___ APARTMENT ___ STORE ___ BANK ___ PARKING ___ GENERAL BUSINESS ___ OTHER ___ 2. QUALITY: LOW ___ FAIR ___ AVERAGE ___ GOOD ___ VERY GOOD ___ 3. STYLE: NUMBER OF STORIES ___ SPLIT LEVEL ___ 1 1/2 STORY ___ WALL HEIGHT ___ 4. EXTERIOR WALL: STUCCO ___ SIDING, SHINGLE OR METAL ___ BRICK VENEER ___ COMMON BRICK ___ FACE BRICK OR STONE ___ CONCRETE BLOCK ___ 5. HEATING AND AIR-CONDITIONING: FLOOR FURNACE ___ PANEL WALL ___ HEAT AND AIR-CONDITIONING ___ RADIANT ___ ELECTRIC ___ CENTRAL HOT AIR ___ SPACE ___ CEILING ___ 6. BASEMENT: CONCRETE ___ CINDER BLOCK ___ OUTSIDE BELOW GRADE ENTRANCE ___ UNFINISHED ___ SQUARE FEET ___ FINISHED ___ SQUARE FEET 7. FLOOR AREAS: 1ST FLOOR ___ SQUARE FEET 2ND FLOOR ___ SQUARE FEET 3RD FLOOR ___ SQUARE FEET TOTAL ____ SQUARE FEET 8. EXTRA FEATURES: ELEVATORS ___ LOAD ___ OUT BUILDINGS ___ UTILITY ROOM ___ OTHER: ______ 9. PARKING: PARKING SPACES ___ OPEN ___ COVERED ___ 10. LAND USE: COMMERCIAL ____ INDUSTRIAL ____ 11. FLOOR COVERING: CARPET ___% HARDWOOD ____% VINYL ASBESTOS ___% FANCY STONE ___% CONCRETE ___% OTHER ___% 12. PLUMBING: NUMBER OF FIXTURES: ___ NUMBER OF ROUGH-INS ___ 13. INCOME: RENTALS INCLUDE: _______________________________________ __________________________________________________________ VACANCIES AT THIS TIME: __________ INCOME AND EXPENSE ESTIMATES: (ITEMIZE) ______________ __________________________________________________________ __________________________________________________________ MONTHLY INCOME: __________________ ANNUAL INCOME: _________________ ___________________________________ 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. 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.