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Surviving Spouse Application for Personal Exemption

  1. 1. I establish actual bona fide residency in the State of Nevada (must have current Nevada Driver's License or a Nevada identification card), and have provided a copy of the death certificate.

    2. I understand my application for exemption must be filled in the county in which I reside.
  2. 3. I have not claimed an exemption in any other county in Nevada for the current fiscal year.

    4. I understand that I must immediately report any address change to the Storey County Assessor.
  3. I understand that I must submit a copy of a certified death certificate and that I have no remarried.
  4. 6.*
  5. 7. I request my exemption be applied as follows:*
  6. 8. I affirm and certify under penalty of perjury that the above information is true and correct to the best of my knowledge.
  7. Leave This Blank:

  8. This field is not part of the form submission.