Veterans_Beckel/
�,:�
e, y
APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
WWI VETERANS AND SURVMNG SPOUSES OF CERTAIN VETERANS
SWte Form 12662 (R9/ 5-06) ,
Prescnbed by the Department ot local Govemment Finaixe
���UGTIONS: Please check appropriate box(es) pertaining to tax deduction. (More than one box may be checked; however, a surviving
spouse who receives a deduction under Section IV may not receive a deduction fion ll.)
FILING DATES:
REAL PROPERTY: DURING THE 12 MONTHS BEFORE JUNE11 OF THE YEAR THE DEDUCTION O P Y.
MOBILE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FOR CH �L �+I ES TO
OBTAIN THE DEDUCTION.
❑ I Totalty disabled veteran (or vete2n at leas! age 62 vnfA a� leas( 10% disabiliry) or surviving spou�'I�lot�o ex�'88�12.48G
Complete sections I. V and VI. (IC 6-7.1-12-14) .
❑ II Partially service-connected disabled veteran OR surviving spouse - Not to exceed 524,960 �a<., ,Qj,�,
Complete seUions II, V and VL QC 6-1.7-12-73) GIBSON C G �
❑ III Wodd War I Veteran - Not to ezceed 518720
Complete sections tll, V and VI. (IC 6-7.7-12-�7?)
!� IV Surviving spouse of World War I Veteran - Not to exceed 518,720
seciions IV. V. and VI.
Name of appli�(�rst, middie,
( dces I dces not � own property with
applicalion is made for Ihe purpose of obtaining
property tor the year 20 W
6-t.t-72-1
individual(s) besides
(cify, tov�, township) � Is the property in question:
OUNTy qUDITOR
/
�i � 7 �
another veteran.
deduUion from the assessed valuation of the foliowing described taxabie
Property ❑ Mobile Home (IC G1.7-7)
Applicant was a member of ihe U.S. lvmed Forces fa a[ least 90 days (not neoes.urily dunrg wa� time).
ei or Key number
6-1a- I� -aa! -DD aSo �
B. � MP�ram vas hawrady disdiarged.
C. � APPGnrrt a: ❑ Tota�y disaded; a
� ❑ Al least age 62 wdh at Ieasl 10% disability
D. ❑ AppfrcanYs disa6ifM1y is evidenced by ❑ certir��e a e5ybaiy r.om me a,ae�a oePam�t or vete�s nRa�;
❑ Fer�sion cerarrcarc:
❑ Award ot cornpensation hom Veferans Administration or Departrnenl of Defense; or
❑ Veterans Administra�on Form 245455 `fax Abatement Certifipte'
E. ❑. The assessed vahiation (at 100 %) of tlie prvperty for whir7l the dedudim is daimed (may rat exceed $173.Q00) 3
F. � Applicant is the surviving spouse of an individual who would have qualified fw the deducuon under this section when he or she v.as alive.
(Age o/deaeased veteran on date
A LV g¢plicant was a member of the U.S. Artned Fwces during any of its wars.
B. W hcani was horrorably discharged.
C. �lcant has a service�connected disability of at least 70%
D. 0 Applicant's disabiliry is evidenced by ❑ Certficate of eligibility from the Indiana Departrnent of Veterans ARairs;
❑ Pension certifiwte;
❑ Award of compensation Gom Veterans AdminisVation or Department of Defense; or
� Veterans Adminisiration Fortn 20-5455'Tax Aba[ement Certficate'
E. O Applicant is ihe surviving spouse of an individual whn wrn�ld hava qualified fw Ne deduction under ihis section when he w she was alive.�
(Age o/deceased veteran on date
Applicarri is a veteran of World War I.
AppfinnYs disabaity is eviderred by ❑ Letler irom Veterans Adminis0-ation a Departrmnt of Defense; or
❑ Disdiarge documents
C. � The assessed valuaaon (at 1 pp%) of the property for which Ihe deducUOn is daimed (may not exceed S 763, 000) 5_
D. ❑ The property is ihe appGcarri's prindpal residence.
E. ❑ The appficant ovmed Ihe properly (a was buying it unde� oonvact) for at least me year betore the date of this applkatim.