HOMESTEAD TAX CREDIT 
 
FOR HOMESTEAD PROTECTION THROUGH TAX CREDIT FROM THE PAYMENT OF REAL 
PROPERTY TAXES AS PROVIDE UNDER ACT No. 6991 TWENTY-SEVENTH LEGISLATURE OF 
THE VIRGIN ISLANDS OF THE U.S., APPROVED MARCH 10, 2008 
 
This form must be completed and returned to the Office of the Tax Assessor 
on or before January 1st of each taxable year. 
 
 
District:……………………………………………………………………………………………. 
 
Name:……………………………………………………………………………………………………… 
 
Street:……………………………………………………………………………………………………… 
 
Address and/or P.O. Box No:……………………………………………………………………………… 
 
Designate below the owner- occupied property on which you claim tax credit pursuant to Act No. 6991 
STREET NO. OF 
  
  
                   FOR OFFICE USE ONLY 
  
HOUSE AND/OR LOT 
NAME OF STREET OR ESTATE 
NAME OF 
QTR 
            DO NOT WRITE IN THIS SPACE 
  
  
  
Assessment 
Taxes 
If not 
exempted 
  
  
  
Exempted 
Exempted 
State reason 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
Parcel No………………………………………………………………………………………… 
______________________________________________________________________________ 
 
Did you receive income from the above property by rental, lease or otherwise between January 1st, 20…. 
to January 1st, 20…. 
 
I, …………………………………………being duly sworn, say that the foregoing statement is correct 
and that, as Owner, Partner, Trustee, Administrator, Guardian, or Agent, I have been residing in the above 
described property in the District of …………………………………… 
 
 
 
 
 
 
 
 
 
 
……………………………………………… 
 
 
 
 
 
 
 
                             Signature 
 
 
Subscribed and sworn to before me this……….day of……………………….., 20…… 
 
 
 
 
 
……………………………………….                                .………..…………………………………….. 
                 Notary Public 
 
 
 
                       Assessor or Assignee