Louisiana Revised Statutes — Title 47 (Revenue and Taxation)

La. R.S. 47:2325

Forms

Official textlegis.la.gov14 subsections

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.

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