Fill and Sign the Mississippi Homestead Exemption Form

APPLICATION OF       , INC. FOR EXEMPTION FROM AD VALOREM TAXES AS AUTHORIZED BY § 27-31-51 et seq. OF THE MISSISSIPPI CODE OF 1972, AS AMENDED, FOR PERSONAL PROPERTY IN TRANSIT THROUGH MISSISSIPPI, WHEN SUCH PERSONAL PROPERTY IS CONSIGNED OR TRANSFERRED TO THE FREE PORT WAREHOUSE OPERATED BY       , INC. FOR STORAGE IN TRANSIT TO A FINAL DESTINATION OUTSIDE THE STATE OF MISSISSIPPI, SUBJECT TO THE APPROVAL OF       , INC.'S APPLICATION FOR LICENSE TO OPERATE A FREE PORT WAREHOUSE BY THE MISSISSIPPI STATE TAX COMMISSION TO THE BOARD OF SUPERVISORS OF       COUNTY, MISSISSIPPI:       Inc. (hereinafter "Applicant") files this its Application, in triplicate, for exemption from ad valorem taxation of personal property consigned or transferred to its free port warehouse for storage in transit to a final destination outside the State of Mississippi pursuant to §27-31-53 of the Mississippi Code of 1972, as amended, and respectfully represents unto the Board of Supervisors as follows: 1. Applicant is a Mississippi business corporation which has its principal place of business in the City of       ,       County, Mississippi; 2. Applicant meets the requirements for a "free port warehouse" license pursuant to §27-31-51 of the Mississippi Code of 1972, as amended, and upon approval of this Application,       will submit the Application for License attached hereto as Exhibit "A" and incorporated herein by reference to the Mississippi State Tax Commission; 3. Applicant is engaged in the business of warehousing and distributing pharmaceuticals, medical supplies and other health related products from its distribution center in       ,       County, Mississippi, which pharmaceuticals, medical supplies and other health related products are consigned or transferred to Applicant's free port warehouse for storage prior to transit to a final destination outside the State of Mississippi. Pursuant to §27-31-53 of Mississippi Code of 1972, as amended, Applicant is eligible for the exemption granted by the above mentioned section. 4. Subject to approval of its Application for License by the Mississippi State Tax Commission, Applicant should be granted an exemption from ad valorem taxes for personal property in transit through Mississippi when such personal property is consigned or transferred to Applicant's free port warehouse for storage and transit to a final destination outside the State of Mississippi. The exemption should become effective as of       , 20       and should apply to ad valorem taxes due for 20       and thereafter, so long as Applicant complies with all provisions of Sections 27-31-51 and 27-31-61 of the Mississippi Code of 1972, as amended. PRAYER WHEREFORE, the Applicant,       , Inc., prays that the Board of Supervisors enter a finding that the Applicant's personal property in transit through Mississippi when such personal property is consigned or transferred to Applicant's free port warehouse for storage in transit to a final destination outside the State of Mississippi is exempt from ad valorem taxes pursuant to §21-31-51 et seq. of Mississippi Code of 1972, as amended, subject to the approval of Applicant's Application for License to operate a free port warehouse by the Mississippi State Tax Commission; that said exemption from ad valorem taxation shall be effective January 1, 1994 and shall apply to ad valorem taxes due for 20       and thereafter, so long as Applicant continues to comply with all provisions of Sections 27-31-51 through 27-31-61 of the Mississippi Code of 1972, as amended; and that the Board of Supervisors approve this Application by an Order or Resolution entered in its minutes. RESPECTFULLY SUBMITTED, THIS THE       DAY OF       , 20       .       , INC. By:___________________________________       VICE-PRESIDENT & GENERAL MANAGER