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Complete the cells highlighted in GREEN, using the Tab Key to navigate (Press SHIFT + Tab to move backwards). YELLOW cells are formatted to do all necessary calculations for you. At the base of your screen, you will see tabs that take you to additional forms that are also required. When you have completed all necessary forms, follow the instructions below the form to print, sign them, and mail them along with any necessary documentation to the Division of Property Taxation.
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24-DPT-EXSTATE OF COLORADOPHONE (303) 864-7787
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TRE2024.XLSDIVISION OF PROPERTY TAXATION1313 SHERMAN ST. #419
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REV 12/23DEPARTMENT OF LOCAL AFFAIRSDENVER, CO 80203
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OWNER'S OCCUPANCY REPORT
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TO BE COMPLETED ANNUALLY BY OWNERS OF PROPERTY
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WHICH IS EXEMPT PURSUANT TO 39-3-112, C.R.S.
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The information given below must be valid as of January 1, 2024
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I. Facility Information:
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Owner Name and Mailing Address:File Number:
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Use the name and file number as it appears on the form supplied for this property location. Do not use information from forms for any other location.
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Property Location:
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II. Income Limits:
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A. Go to the HUD website at the URL listed below and click on the link for the income limits that were effective as of January 1, 2024. Follow the links until you reach the page titled Income Limits Documentation System – Select Geography. Select Colorado, then select the county in which the above-listed property is located.
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URLURL:https://www.huduser.gov/portal/datasets/il.html
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B. Enter the figures for the “Low (80%) Income Limits" for the number of residents listed below. If your facility houses larger families, print out the page from the HUD website and attach it to this filing.
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One ResidentTwo ResidentsThree ResidentsFour Residents
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C. The yellow cells below should automatically multiply the figures given in Item B by 1.5 to arrive at the maximum total income allowed per unit in order for a unit to qualify for exemption. (Example: Income Limit $18,000 X 1.5 = $27,000 maximum income per unit.)
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One ResidentTwo ResidentsThree ResidentsFour Residents
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 $ - $ - $ - $ -
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D. With the above information, complete the List of Occupants. Then complete Section III.
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III. Summary of Unit Qualification:
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Enter the total number of units in each subsection below based on the property's occupancy as of January 1.
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A. Total number of RENTED units (do not include demo units, vacant units, units occupied rent-free by staff, guest units, etc.):
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B. Total number of units rented on January 1 whose occupants and their Total Household Income qualified under one of the categories on the List of Occupants:
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C. Total number of units that did not meet the above requirements:
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D. If subsections A, B, and C, are completed correctly, A minus B minus C should equal zero. If this is not the case, please recheck your work, and correct as necessary. 0
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IV. Signature and verification:
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I declare, under penalty of perjury in the second degree, that I have examined this report and any accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete.
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Signature:Date:
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Email:
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Print Name:Phone:
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To save this workbook, click File, Save As, and choose the directory you want this document to be saved in. If you do not do this, the form will automatically save in your Temporary Internet Files folder, and may be difficult to find.
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To Print, hold the CTRL key and press the P key. This will execute a macro that will perform certain checks on the forms for verification purposes, and print the forms. Sign and mail the Owner's Occupancy Report, List of Occupants, and any other required documents (e.g. Certificates of Medical Condition, Worksheet for Qualification, etc.) to the Division of Property Taxation. Please be sure to keep a copy for your records.
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