Landfill 2nd Home Exemption Form

  1. Submission deadline Sept. 1st each year.
  2. Are you a full-time resident of Fremont County?*
  3. Do you have two homes in Fremont County?*
  4. Is the 2nd home being lived in full time?*
  5. Do you rent the 2nd home?*
  6. Do you receive any income from the 2nd home?*
  7. NOTE:

    THIS IS FOR THE CURRENT TAX YEAR, YOU MUST APPLY EACH YEAR BY SEPTEMBER 1st.

    IF IT COMES TO THE COUNTY’S ATTENTION THAT YOUR HOME IS BEING RENTED, YOU WILL BE CHARGED BACK TO THE DATE OF THIS APPLICATION.

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. Leave This Blank:

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