Local Economic Revitalization Tax Assistance Act (LERTA) Application

2. The Undersigned hereby makes application to the Norwin School District for exemption from real property taxation under the District’s Local Economic Revitalization Tax Assistance Act (LERTA) Resolution No. 01-2016 to 2017 and submits the following information in support thereof:

   The Undersigned hereby makes application to the Norwin School District for exemption from real property taxation under the District’s Local Economic Revitalization Tax Assistance Act (LERTA) Resolution No. 01-2016 to 2017 and submits the following information in support thereof:

4. Name of Applicant:

6. Address

8. City

9. State

10. Zip Code

12. Location of Real Property

14. City

15. State

16. Zip Code

18. Name(s) and Address of Property Owner

20. Source of Title to Real Property (Attach Deed / Sales Agreement)

22. Nature of Improvement(s) and/or New Construction

24. Date Building Permit Issued
    Date Building Permit Issued

25. Attach a Copy of the Building Permit Issued

27. If No Building Permit Required, Date Construction Commenced
    If No Building Permit Required, Date Construction Commenced

29. Date Application Submitted to Board
    Date Application Submitted to Board

    The Undersigned hereby certifies that a copy of this Application was forwarded the Westmoreland County Board of Assessment and Revisions of Taxes on

31. Signature*

    I certify under penalty of perjury that this is a true and accurate statement.

    1. I Agree
32. Today's Date
    Today's Date

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field