Farm Machinery Exemption Form (Personal Property) (PDF)

450 Columbus Boulevard, Hartford, CT  06103 
Affirmative Action/Equal Employment Opportunity Employer 
 
STATE OF CONNECTICUT 
DEPARTMENT OF AGRICULTURE 
 
Application to the Assessor for 
Farm Machinery, Horses or Ponies 
Form M-28 MHP, rev. 10/24/19 
(860) 713-2500 
  www.CTGrown.gov 
This application for exemption on all farm machinery, including tractors and other machinery, with the exception of motor vehicles as 
defined in Section 14-1, up to the assessed value of $100,000, ponies or horses which are actually and exclusively used in farming, within 
the provisions of Section 12-91 of the Connecticut General Statutes as amended must be filed ANNUALLY by November 1st with the 
assessor or board of assessors in the municipality in which the property is located. Failure to file this application with the Assessor within 
the time limit prescribed, shall be considered a waiver of the right to such exemption for the assessment year.  
NAME:  (Name of Owner(s) or Trustee(s) 
      
FARM NAME/ PROPERTY ADDRESS: 
      
PHONE NO: 
      
E-MAIL: 
      
MAILING ADDRESS: (Number and Street or P.O. Box) 
      
(Town/City)   
      
(State)    
           
(Zip Code) 
      
Town(s) in which the farm machinery, horses or ponies are located: 
      
Machinery, horse or pony 
description 
Year (or age, if 
horse or pony) 
Make/Model (description, if 
horse or pony) 
Purpose/ Farming use 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Have you filed, or do you intend to file, any application for exemption as provided under 
the above statute, in this or any other town or city, as trustee, as an individual farmer, or 
as a member of a group of farmers, partnership or family corporation, other than under 
the ownership contained in this application? 
 
YES   
     NO  
 
Do you derive at least $15,000 in gross sales, or did you incur at least $15,000 in 
expenses related to such farming operation during the previous calendar year? 
YES   
     NO  
 
Are the horses or ponies, and/or farm machinery kept within the State of Connecticut? 
YES   
     NO  
 
I DO HEREBY declare in accordance with Section 12-91 of the CT General Statutes under penalty of perjury that the statements herein made by 
me are true according to the best of my knowledge and belief. 
 
DATE:                              SIGNED: (owner(s) or trustee(s)        
X 
Subscribed by Sworn 
To before me:        
DATE:        
SIGNED:  (Notary Public)       
X 
My Commission expires:       
DATE:                              SIGNED:  (Assessor(s)) 
 
NOTE: ATTACH ADDITIONAL SHEETS IF NECESSARY