Application for Property Tax Exemption
REV 63 0001 (08/05/2024) 6 of 8
Home for the aging tax exempt bond nanced facility
Please provide:
• A lisng of the varying levels of care and supervision
provided or coordinated by the home.
• A copy of the regulatory agreement between the
home and the enty that issued the bonds.
• A residenal tenant list showing the unit number;
name of the resident(s) occupying the unit as of
December 31 of the previous year, age of resident(s),
an indicaon if the resident is disabled; and the
annual household income.
Home for the developmentally disabled - Please
provide:
• A tenant lisng showing the names of all occupants,
and move-in dates.
• Proof of tenant eligibility (provided by DSHS –
Division of Developmental Disabilies).
Home for the sick or inrm - Please provide:
• A copy of the facility’s license issued by the
Department of Health.
Housing facilies or mobile/manufactured home
cooperaves with income qualifying households
(exisng or future) - Please provide:
• Copy of agreements that dene the applicant’s
interest in the ownership and operaon of the
facility/coop (i.e. formaon/ownership structures,
operang agreements, regulatory agreements etc.).
• Documentaon conrming the project was insured,
nanced, or assisted through one of the following
sources:
Ê A federal or state housing program administered by
the Department of Commerce.
Ê A federal housing program administered by a city
or county government.
Ê An aordable housing levy authorized by RCW
84.52.105 or RCW 84.55.050.
Ê The surcharges authorized by RCW 36.22.250 or
Chapter 43.185C RCW.
Ê Washington State Housing Finance Commission.
Ê City or county funds designated for aordable housing.
• A tenant list showing the type of unit, unit number,
name of the tenant occupying the unit as of
December 31 of the previous year, total number of
tenants in unit, and their annual combined household
income. Not necessary to include for a future very
low-Income housing facility.
• Converng from Future to Occupied, include updated
site plan and parcel details.
Note: If applying as a future very low-income housing
facility then please provide a site map showing the facility
to be constructed and a meline of planned construcon.
Library (free) - Please provide:
• A copy of your policies regarding use/membership,
library hours, and material loan.
Limited equity cooperave housing - Please provide:
• Copy of agreements/documents that dene the
applicant’s interest in the ownership and operaon
of the owned cooperave housing, including sale
restricons (i.e. formaon/ownership structures,
operang agreements, regulatory agreements, etc.).
• Site plan demonstrang at least 95% of the property
is used for dwelling units or other noncommercial
purposes.
• A tenant list showing the unit number, name of
occupant as of January 1 of the assessment year,
or the rst date of occupancy in the rst year of
operaon, annual household income, and number of
occupants in each unit.
• Documentaon conrming the housing is insured,
nanced, or assisted through one of the following
sources:
Ê A federal or state housing program administered by
the Department of Commerce.
Ê A federal or state housing program administered
by the federal department of housing and urban
development.
Ê A federal housing program administered by a city
or county government.
Ê An aordable housing levy authorized under RCW
84.52.105.
Ê The surcharges authorized by RCW 36.22.250 or
Chapter 43.185C RCW.
Ê The Washington State Housing Finance Commission.
Museum (future only) - Please provide:
• Clearly established plans for nancing the
construcon.
• The proposed architectural plans showing what
poron of the property will be under actual use.
• A copy of your site survey, building permit, other
documents relevant to conrming an acve building
program.
Nature conservancy - Please provide:
• A descripon of the specic resource(s) preserved on
the property.
• A copy of your policy statement on the availability of
the property to the public.
Nonprot or public hospital - Please provide:
• A copy of Department of Health Cercate of Need.
• A copy of Department of Health Construcon Review
Packet.
• A copy of Department of Health Hospital Acute Care
License for the address under applicaon.