MEMBERS OF COUNCIL:
Ron Mozer
Mayor
Director of Public Affairs
Anthony Orzechowski
Director of Accounts & Finance
Lois Thomas
Director of Streets & Parks
John Nestor
Director of Public Safety
Don Gregor
Director of Parks & Public Property
CITY OF MONESSEN
575 Donner Avenue
Monessen, PA 15062
Phone: 724-684-9000
Gerry Saksun
City Treasurer
Rosalie Nicksich
City Controller
Joseph Dalfonso
Solicitor
Mike Korposh
City Administrator
TAX FORGIVENESS APPLICATION
Checklist
Please check the boxes below to indicate that you are including the following items which are required by
the City of Monessen Tax Forgiveness Program Ordinance:
☐ Check or money order payable to the City of Monessen for the application fee.
☐ Completed application form.
☐ Title search report issued in last sixty (60) days of the date of application.
☐ Documentation of assessed value from Westmoreland County Tax Assessment Office
☐ Notarized sales agreement executed by transferee.
☐ Copy of recorded deed evidencing ownership or proposed deed.
☐ Description of work to be completed and estimate of work to be completed.
☐ Evidence of financial capacity to complete planned improvements/remediation.
☐ Tax certification from Westmoreland County Tax Claim Bureau evidencing tax liens.
☐ Tax certification evidencing no tax delinquencies on properties owned by Applicant.
☐ Affidavit of Non-Collusion.
☐ Affidavit of Non-Displacement.
☐ Evidence of property insurance.
☐ Executed Agreement.
APPLICATION INSTRUCTIONS
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Overview
This Application is to be utilized for any person, organization, corporation, limited liability company,
partnership or association seeking tax forgiveness in return for rehabilitation of tax delinquent and vacant
properties within the City of Monessen and in accordance with the City of Monessen Tax Forgiveness
Program Ordinance.
The City of Monessen (“City”) Tax Forgiveness Program will be implemented and utilized as a tool to
remediate and reduce the number of blighted properties located throughout the City. Currently, the City is
plagued with vacant and blighted residential properties that contain liens for delinquent real estate taxes
levied by the City, Monessen School District (“School District”) and Westmoreland County (“County”).
Qualified Properties
Properties possessing only delinquent taxes will be considered for the Tax Forgiveness Program.
Properties that have additional liens, such as, but not limited to mortgages, will not be considered.
Qualified Applicants
An Applicant may be an individual or business entity and shall not possess or own property within the
City of Monessen that is delinquent on any taxes or municipal fees.
Application Process
Applicants must complete the within Application and provide full, complete, and accurate information.
Failure to do so, will result in the Application being rejected upon review by the City Administrator.
A completed Application will be submitted to the Joint Committee for review and a decision regarding a
recommendation to the City and School District will be made within 90 days.
Applicants must expend funds utilized to remediate the property in the amount of at least fifty (50%) of
the total tax delinquency or an amount that is necessary to render the property habitable, whichever is
greater and the amount may be changed time to time by resolution of Council.
Applicants will be restricted from assigning, transferring, leasing, or otherwise conveying the property for
a period of one (1) year after being approved into the Program or until the property is habitable.
Applicants will have one (1) year to complete rehabilitation of the property. Failure to do so will result in
court action for breach of contract in the amount of taxes that were forgiven.
Applicant must allow the Code Enforcement Officer to inspect the property upon at least three (3) days’
notice and shall be subject to an inspection no less than once every three (3) months.
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MEMBERS OF COUNCIL:
Ron Mozer
Mayor
Director of Public Affairs
Anthony Orzechowski
Director of Accounts & Finance
Lois Thomas
Director of Streets & Parks
John Nestor
Director of Public Safety
Don Gregor
Director of Parks & Public Property
CITY OF MONESSEN
575 Donner Avenue
Monessen, PA 15062
Phone: 724-684-9000
Gerry Saksun
City Treasurer
Rosalie Nicksich
City Controller
Joseph Dalfonso
Solicitor
Mike Korposh
City Administrator
TAX FORGIVENESS PROGRAM APPLICATION
Applicant Information
Name of Applicant: ___________________________
Applicant Mailing Address: ________________________________________________
Daytime Phone Number: ________________________________________________
Evening Phone Number: ________________________________________________
Email Address: ________________________________________________
Address of Properties
Owned in City of Monessen: ________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Is the Applicant current on all real estate taxes for the properties listed above?
☐ Yes ☐ No ☐ Not Applicable
Has the Applicant submitted a tax certification from the Westmoreland County Tax Claim
Bureau evidencing the non-existence of delinquent taxes on the above properties?
☐ Yes ☐ No ☐ Not Applicable
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Property Information (Attach additional information as necessary.)
Address of Property: ______________________________________________
Parcel ID of Property: ______________________________________________
Type of Structure: ______________________________________________
* Commercial/Residential
Previous Owner Name: ______________________________________________
Previous Owner Address: ______________________________________________
Property Occupancy: ___ Vacant ___ Occupied
Title Search Completed by: ______________________________________________
* Include copy of Title Search Report with Application
Current Assessed Value: ______________________________________________
* Include documentation from County Tax Assessment Office.
Date of Sales Agreement: ______________________________________________
* Include copy of Sales Agreement
Date of Deed Recording: ______________________________________________
* Include copy of Recorded Deed or Proposed Deed.
Amount of Delinquent Taxes:City________ School District________ County________
* Include Tax Certifications from County Tax Claim Bureau.
Existence of unpaid water, utility bills, municipal service fees:
☐ Yes ☐ No
If yes, please identify the delinquency:
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Description of Necessary Repairs to Achieve Occupancy:
* Attach additional information as necessary.
Estimated Cost of Repairs to Achieve Occupancy:
* Attach additional information as necessary. (i.e. Estimates from contractors)
Evidence of Financial Capacity to Complete Repairs to Achieve Occupancy:
* Attach additional information as necessary (i.e. funding commitment letter, personal financial statement, or bank
statements)
Property Insurance Information:
Property Insured By: _______________________________
Policy Number: _______________________________
* Attach proof of property insurance.
I hereby certify that the statements made in this Application are true and correct to the best of
my knowledge, information and belief.
Date:______________ Signature: ___________________________
Name:
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Required Enclosures
____ Application Fee
____ Completed Application Form
____ Title Report
____ Documentation of Assessed Value
____ Executed Sales Agreement
____ Copy of Deed
____ Evidence of Financial Capacity
____ Tax Certifications
____ Affidavit of Non-Collusion
____ Affidavit of Non-Displacement
____ Proof of Property Insurance
____ Additional information when more space was needed to fully complete application.
I hereby certify that I have included the above information and said information contains true
and accurate information to the best of my knowledge.
Date:______________ Signature: ___________________________
Name:
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INTERNAL TRACKING
Date of Application: ______________________
Application Complete? _____ Yes _____ No
Omitted information: ___________________________________________________
___________________________________________________
___________________________________________________
Date Applicant was Notified of Incomplete Application:____________________________
Date Transmitted to Joint Committee:_____________________
Date:_______ Signature: ______________________________
Michael Korposh – City Administrator
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AFFIDAVIT OF NON-DISPLACEMENT
I, _________________________________________ (Full Name of Applicant) of
________________________________________ (Address of Applicant), being of legal age is planning to make
improvements to property located at ________________________________ (Address of Property), understanding
the obligation to disclose the truth in applying for tax forgiveness and understanding that there may be legal and
financial penalties for knowingly making false statements or negligently omitting operative facts, and do hereby
depose and say under oath as follows:
1. The Application for Tax Forgiveness is not being made for an improper purpose.
2. The Property applied for is owned by the Applicant or a valid and executed agreement exists to pur-
chase the property.
3. There are no residents or businesses being displaced as a result of the planned improvements.
Witness our hand under the penalties of perjury on the ___ date of _______________, 20__.
_________________________
Name:
_________________________
Name:
Commonwealth of Pennsylvania
County of Westmoreland
On the ____ date of ______________, 20___, before me___________________, personally appeared
________________________________________, personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose names are subscribed to the within Affidavit of Non-Displacement
and acknowledged to me that they executed the same in their authorized capacity, and that by their signature on the
instrument the person executed the instrument.
WITNESS my hand and official seal
_____________________________
Notary Public
My Commission Expires:
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AFFIDAVIT OF NON-COLLUSION
I/we _______________________________________ (Name of Applicant) of
___________________________________________ (Address of Applicant), understanding the
obligation to disclose the truth in applying for tax forgiveness and understanding that there may
be legal and financial penalties for knowingly making false statements or negligently omitting
operative facts, and do hereby depose and say under oath as follows:
1. The Application for Tax Forgiveness is not being made for an improper purpose.
2. I/We have a written, executed agreement for the sale of real estate in the City of Mon-
essen.
3. The aforementioned Agreement was completed at arms-length and includes a
bonafide purchase price for the property.
4. Applicant and owner, or former owner of the property are not related through busi-
ness, investment or family.
5. Applicant and owner, or former owner do not share any of the following financial in-
terests:
a. An ownership or investment interest in any entity which Applicant, and owner, or
former owner have a business transaction or arrangement,
b. A compensation arrangement between the Applicant and owner, or former owner
above and beyond the purchase of the property to be forgiven of taxes through the
Tax Forgiveness Program, or with any entity or individual with which the Appli-
cant or owner, or former owner has a business transaction or arrangement, or
c. A potential ownership or investment interest in, or compensation arrangement
with, any entity or individual with which either Applicant and owner, or former
owner is negotiating a transaction or arrangement. For purposes of this Affidavit,
“compensation” shall include direct and indirect renumeration as well as gifts or
favors that are not insubstantial.
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6. The aforementioned Agreement of Sale and Purchase of property was not entered into
solely for the purpose of obtaining the compromise of taxes.
Witness our hand under the penalties of perjury on the ___ date of _______________, 20__.
_________________________
Name:
_________________________
Name:
Commonwealth of Pennsylvania
County of Westmoreland
On the ____ date of ______________, 20___, before me___________________, personally appeared
________________________________________, personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose names are subscribed to the within Affidavit of Non-Displacement
and acknowledged to me that they executed the same in their authorized capacity, and that by their signature on the
instrument the person executed the instrument.
WITNESS my hand and official seal
_____________________________
Notary Public
My Commission Expires:
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