Eddie Cook 
 
          Maricopa County Assessor 
 
                       2023 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 these  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 beforeSeptember 1st. 
 
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. Iconfirm have lived in the primary residence a minimum of two years or more         Yes      No  
 
4. Iconfirm one of the owners is at least 65 years of age in the home…………….            Yes      No  
 
5. I confirmthat income from all sources for all owners on title does not exceed $43,872 for  
 one owner OR does not exceed $54,840 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 2022, 2021, and 2020 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__________ 

                              2023 SENIOR VALUATION APPLICATION                Revision 230216 

       Eddie Cook 
 
       Maricopa County Assessor 
 
                      2023 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 2023 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                       
        602-506-3591                                                           
    Walk-ins welcome                        By Appointment Only         By Appointment Only 
                                                   
          Please call for alternative solutions for filing if there are additional hardships. 
                                                                          
                          2023 SENIOR VALUATION APPLICATION                   Revision 230216 

        Eddie Cook 
 
        Maricopa County Assessor 
 
                          2023 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 owners 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.           
                                                    
                                2023 SENIOR VALUATION APPLICATION                Revision 230216