Louisiana § RS 47:2325 - Forms

§ RS 47:2325. 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:

QUALITY:

LOW ___ FAIR ___ AVERAGE ___ GOOD ___ VERY GOOD ___

STYLE:

NUMBER OF STORIES ___ SPLIT LEVEL ___ 1 1/2 STORY

FINISHED ____

EXTERIOR WALL:

STUCCO ___ SIDING, SHINGLE, OR METAL ___ BRICK

VENEER ___ COMMON BRICK ___ FACEBRICK OR STONE ___

CONCRETE BLOCK ___

FOUNDATION:

PIERS _____ RUNNING PIERS _____

SWIM POOL:

HEATER _____ CHLORINATOR _____

HEATING AND AIR-CONDITIONING:

FLOOR FURNACE ___ PANEL WALL ___ HEAT AND A/C ___

RADIANT ___ ELECTRIC ___ CENTRAL HOT AIR ___

SPACE ___ CEILING ___

PLUMBING:

NUMBER OF FIXTURES ___ NUMBER OF ROUGH-INS ___

TUB ENCLOSURES ____

FLOOR COVERING:

CARPET ___% HARDWOOD ___% VINYL ASBESTOS ___%

FANCY STONE ___%

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:

CLASS:

MEDICAL  ___MOTEL ___ INDUSTRY ___ SERVICE

STATION ___ HOTEL ___ OFFICE ___ APARTMENT ___

STORE ___ BANK ___ PARKING ___ GENERAL

BUSINESS ___ OTHER ___

QUALITY:

LOW ___ FAIR ___ AVERAGE ___ GOOD ___ VERY GOOD ___

STYLE:

NUMBER OF STORIES ___ SPLIT LEVEL ___ 1 1/2 STORY ___

WALL HEIGHT ___

EXTERIOR WALL:

STUCCO ___ SIDING, SHINGLE OR METAL ___ BRICK

VENEER ___ COMMON BRICK ___ FACE BRICK OR

STONE ___ CONCRETE BLOCK ___

HEATING AND AIR-CONDITIONING:

FLOOR FURNACE ___ PANEL WALL ___ HEAT AND

AIR-CONDITIONING ___ RADIANT ___ ELECTRIC ___

CENTRAL HOT AIR ___ SPACE ___ CEILING ___

BASEMENT:

CONCRETE ___ CINDER BLOCK ___ OUTSIDE BELOW GRADE

ENTRANCE ___ UNFINISHED ___ SQUARE FEET ___

FINISHED ___ SQUARE FEET

FLOOR AREAS:

1ST FLOOR ___ SQUARE FEET 2ND FLOOR ___ SQUARE FEET

3RD FLOOR ___ SQUARE FEET

TOTAL ____ SQUARE FEET

EXTRA FEATURES:

ELEVATORS ___ LOAD ___ OUT BUILDINGS ___

UTILITY ROOM ___ OTHER: ______

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.