The URL can be used to link to this page

Home My WebLink AboutVeterans_Cross\ / �W � e � NN APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, INWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS Slate Fwm 12662 (R6 / 10.01) Presrribetl by the Department of Local Govemment Finance INSTRUCTIONS: Please check appropriate box(es) pertaining to tax deduction. (More than one box may be checked; however��ing spouse who 2ceives a deduction under Section IV may not receive a deduction under Section 11.J .JG DATES: REAL PROPERTY: DURING THE 12 MONTHS BEFORE MAY 11 OF THE YEAR THE DEDUCTION IS TO APPLY. MOBILE HOMES (Cr1.1-7): BETWEEN JANUARY 15 AMD MARCH 31 OF TFiE YEAR THE DEDUC��TIO�N ��IS TO BE EFFEC�� ❑ I Totally disabled veteran (or veteran af leasf age 62 wilh at least 70Y disability) or surv'rvlryq $poQse -��Not to �xceed e Complete sedions 1, V and VI. pC 6-1.1-12-14) g� g Fi � �Ft�Partialy service-conneGed disabled veteren OR survrving spouse - Not to exceed 512,000 Complete seGions tl, V and VI. (IC 6-1.1-72-73) ❑ III WoAd War I Veteran - Not to exceed 59,000 Complete sections III, V and VL (IC 6-1.1-12-17.4) ❑ IV Surviving spouse of World War I Veteran - Not to exceed 59,000 MAR � g 2UO3 /�� i r :/ c i �rnTf1P. Complete sections N, V, and VI. (IC 6-1.1-12-i6) �" v�eJV" """'-- --- Name of applicant (first, mid � �_ i Address (street an umber, " and sta ) `— ---� Zip code Coun LcJ ' � 70 Applipnt ( dces I does not ) own property with another individual(s) besides spouse andlor another veteran. This application is made tor the purpose of obtairiing S•�O�LClO dedudion hom the assessed valuation of the folowing described taxable property, for the year 20 � Ta �n isttid (city, town ownship) �` Is, –t,he �property in question: P.arcel.or y_number LI'�ceal Property ❑ Mobile Home pC 6-1.1-7) ��=: -= 0� g .3r�:�., _. �-. • . . � .. •' �'. . .. AppGnnt was a member of the U.S. Mred Forces for at leasi 90 days (rat necessany durirg irar 6me). B. ❑ Applipnt was honoraby d�arged. a, �p -( I��' ei. C7� '� � �� p 9 3 –O o� 0 C. ❑ Apptipnt is: ❑ TotaDy disabled; or - ❑ At least age 62 with at least 10% disability D. ❑ ApplicanPs disab8rty is evidenoed by ❑ Certifipte of elgibitiry 6om the Indiana Department of Veterans ARairs; ❑ Pensbn certificate; ❑ Award_of compensatan 6om Veterans Administration or DepaM�ent of Defense; or ❑ Veterans Adrttinistratio� Fortn 245455 Tax Abaternent Certifipte' E. � The assessed vad�afion (at 100°�) of the property for which the deduntion is dairt�ed (may rat exoeed 854,00� S F. � AppGpnt is Ne surv"Nirg spouse af an mdivkival who would have qualified for ihe dedudion under Nis sertion when he or she was alive. - (Age oldeceased veteran m date ol death ) • . � .. A❑ Appliqnt was a member of the U.S. Armed Forces during'any of its wars. � B. ❑ Applinnt was honorabry discharged. � �- - , – . �� G❑ Appiicant has a service-conneded disabiliy of at least 10°� D. es� p+ plicant's disabilily is evidenced by: �rtificate of eligibiliry from the Indiana Departrnent of Veterans Affairs; ❑ Pension certificate; ❑ Award of compensaGon hom Veterans AdminisVation or Departrnent of Defense; or ❑ Veterens Administration Fortn 20.5455'Tax Abatement Certificate' E. ❑ Appliqnt is the surviving spouse of an individual who would have qualified for the deduction under this section when he or she was alive. (Age ol deceased veteran on date oldeath 1 • . . �App6cafrt is a vete2n of World War I. � ApptiranYs disability is evidenced by ❑ Letter from Veterens Admin"sVation or Departrnent oi De(ense; or ❑ Discharge documenLs C. ❑ The assessed valuation (at 100°�) of the propery for which the deducation is daimed (may not exceed 478,OOOj S D. ❑ The propefty is the apptinrrt's prindpal residence. E. ❑ The appfrant avned the pmperty (or wds buy"vg d under contracQ for at least one year before the date of Nis application. • � � �