Eddie Cook 
                     
                     Maricopa County Assessor 
 
                            2024 SENIOR VALUATION PROTECTION “SENIOR FREEZE” APPLICATION 
                                                                                                      
                                    PLEASE CHECK ONE:  
                          NEW APPLICATION                    RENEWAL APPLICATION 
                                                      
Purpose:  To  freeze  the  application  tax  year   Limited  Property  Value  (LPV)  of  the  primary 
residence owned by seniors based on income, age, and residency.  It is important to note that 
this  program  does not  freeze  your  property  taxes,  it  freezes  the  taxable  portion  of  your 
property  value.  If  the owner meets all  requirements  and  the  County Assessor  approves  the 
application,  the valuation of the primary residence will  remain fixed for a three-year period         . 
Renewal applications will be sent out prior to deadline of the renewal year.   
                                                     
                  This form must be submitted on or before        September 1 .st
 
Owner Name(s): ______________________________________________________________ 
 
Mailing Address: __________________________________City: ____________ Zip: ________ 
 
Phone: _________________________E-Mail: _______________________________________ 
 
Alt Phone or E-Mail: _____________________________              Self         Spouse       Other: ______ 
 
1. Parcel OR Account Number: _______________ (             http://www.mcassessor.maricopa.gov  ) 
 
2. Primary Residence Address: _________________________________City: ______________  
       
3. I confirm have lived in the primary residence a minimum of two years or more            Yes    No  
 
4. I confirm one of the owners is at least 65 years of      age in the home …… …….         Yes    No  
 
5. I confirm that income from all sources for all owners on title does not exceed $45,264       for  
   one owner OR does not exceed     $56,580 for two or more owners, averaged over the past 3 years. 
       
      Yes: No proof of income documents required at this time.  *Additional documentation may 
   be requested by the Assessor’s Office to verify income. 
    
      Unsure: If unsure, please submit Federal or AZ Tax Returns for 2023, 2022, and 2021 for 
   all property owners.  If you did not file tax returns, please submit SSA-1099 Social Security 
   Statement and/or any IRS-1099 forms. 
    
Under penalty of perjury, I/we hereby certify that all the information contained in this application 
form and supporting documentation are true and correct. I/we consent to the freezing of the value 
of our primary residence for a three-year period. 
 
Print Name (s)__________________________ /_______________________ Date__________ 
 
Signatures (s)__________________________ /________________________ Date__________ 
FOR-135 V0                                          301 W. Jefferson, Phoenix, Arizona 85003, mcassessor.maricopa.gov 

                     Eddie Cook 
                   
                     Maricopa County Assessor 
 
                           2024 SENIOR VALUATION PROTECTION “SENIOR FREEZE” APPLICATION 
                                                                                                   
 Please provide copies (not originals) of documentation with your application. 
            Please black out your social security number and account numbers 
                                   to protect your identity. 
 
  SIGNED: Completed and signed 2024 Senior Valuation Protection “Senior Freeze” 
              Application  
 
  COPY of: Proof of minimum age of 65 age for applicant. (Birth certificate, driver’s license, 
              state ID, see additional list on in general instructions under Question 4)  
 
  COPY of: Proof of residency for a minimum of 2 years provided for applicant (Driver’s 
              license, state ID or voter card)  
 
  COPY of: Income documentation from all sources, if applicable. 
 
Return your completed application with supporting documents to our office (available options): 
 
           File Online: Visit the Assessor Website at mcassessor.maricopa.gov; Select 
           “Customer Portal,” register and file your Senior Valuation Protection online. 
            
           Email: PE.SVP@Maricopa.gov 
            
           Mail or Fax:  Attn: SVP 
           Maricopa County Assessor 
           301 W Jefferson St Phoenix, AZ 85003 
           OR 
           at Fax 602-506-7620 
                                                 
           In Person:  Visit any one of our Assessor’s Offices listed below: 
 
 Maricopa County Assessor’s                      P.O.R.A         Sun City CAN Office 
 Downtown Phoenix Office              (Sun City West) Office     10195 W Coggins Dr. 
 301 W Jefferson St. 2 ndFloor      13815 W Camino Del Sol                   602-506-5044 
 Monday thru Friday 8am - 5pm                   623-584-4288                  
            602-506-3406                                                      
            Walk-ins welcome          By Appointment Only        By Appointment Only 
                                                  
              Please call for alternative solutions for filing if there are additional hardships. 
 
FOR-135 V0                                      301 W. Jefferson, Phoenix, Arizona 85003, mcassessor.maricopa.gov 

                  Eddie Cook 
                  
                  Maricopa County Assessor 
 
                        2024 SENIOR VALUATION PROTECTION “SENIOR FREEZE” APPLICATION 
                                                                                                 
                                 GENERAL INSTRUCTIONS 
                                                    
Specific Instructions:  
 
Question  1.  Please  list  your  Parcel  or  Account  ID  number  as  it  is  listed  on  the  Assessor’s 
Website  at www.mcassessor.maricopa.gov.    Simply  type  in  your property  address  or  owner 
name in the search area.  Parcel number is an 8-digit number (111-11-111) listed as APN and 
an account number is 7-digit number (1111111) listed as Acct.  
 
Question 2. Primary residence address is the property location address for which you want your 
value frozen.  
 
Question 3. The property must be the applicant’s primary residence for a minimum of two years 
prior to application deadline.  Rental property does not qualify (Class 4).  We can only protect 
one primary residence for a homeowner (Class 3 or 6 historical). Proof of residency can include 
Driver’s license, state ID card, voter registration card, or an official document such as a SSA-
1099 or signed federal tax return.  
 
Question 4. Minimum age of 65 for at least one owner on title.  Proof of age includes driver’s 
license, state ID, birth certificate or passport   
 
Question 5. if unsure if those on title meet the income qualifications:   
 ➢  Filed Tax Returns submit- 
           o  First two pages of ALL owner’s federal tax return 1040 for the past 3 years.  You 
             may  contact  Internal  Revenue  Service  at  1-800-906-9887  for  Tax  Return 
             Transcripts in lieu of Tax Returns  
           o ALL owners Arizona tax returns for the past 3 years 
 ➢  Did not file Tax Returns submit, if applicable-  
           o  Social  Security  Statement  (SSA-1099)  you  may  contact  Social  Security 
             Administration at 1-800-772-1213.  If you are unable to get a statement, you may 
             provide a 1-month bank statement of the Social Security Payment for each year. 
           o  IRS-1099 R- Pension/Annuity/IRA statement 
           o  Veteran benefits award statement you may contact Veterans Administration at 1-
             800-827-1000. If you are unable to get a statement, you may provide a 1-month 
             bank statement of the deposit for each year. 

FOR-135 V0                                         301 W. Jefferson, Phoenix, Arizona 85003, mcassessor.maricopa.gov