HomeMy WebLinkAboutVeterans_Downey�"' APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, �� `
� � WWI VETERANS AND SURVMNG SPOUSES OF CERTAIN VET�fQg$ �
4� w. f• State Fam 126fi2 (q9! SOG) . .. � ..
Presaibed by Ihe Department of local Govemment Finance n
��UCTIONS: Please check appropriate box(es) pertaining to tax deduction. (Mo�e than one box may h�c c�d��fl�ever, a surviving
spouse who receives a deduction under Secfion IV may nof receive a deduction unde��tion ll.)
FILING DATES:
REAL PROPERTY: DURING THE 12 MONTHS BEFORE JUNE11 OF THE YEAR THE DEDU' �T`,I ap
MOBILE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEARW�7�F ����FI�����-IES TO
OBTAIN THE DEDUCTION. Subject to fin�dejffi�
❑ 1 Totally disableC vereran (or veteren at least age 62 vnth atleast 70% disa6iliylg�Virtg ��ee 12,480
Complete sections I, V and VI. QC 6-i.t-12-14) ,/
❑ II Partially service-connected disabled veteran OR surviving spouse - Not to ex`��0 �iY� ��. Auditor
Complete seUions II, V and VI. (IC 6-1.1-12-73) U f:ihson CovotY
❑ 111 World War I Veteran - Not to ezceed 578.720
Complete sections-III, V and VL QC 6-1.1-12-17.4)
❑ IV Surviving spouse ot World War I Veteran - Noi to exceed 518,720
Parcel +�
Complete sections IV, V, and VL QC 6-7.1-12-16) ��
Name of applicant first, middle, last) � ,
r--- - - ---� � ,�
Address (st2ef and umber, city, state, ZIP code) • County
Appiiwn[ ( dces d not pmperty with another individual(s) besides spouse andlor anoMer veteran.
This application is made for the purpase of obtaining $,../_I �I ��� deducUon from the assessed valuation of the fdlaving described taxable
proper[y tor the year 20_
T'ng 4��a (�', to , township) Is the property in Question: Parcel or Key number
� eal Property ❑ MobOe Home (IC Cr1.7-7) �- -Q- _�� ^� -.-�a -0- - - 7
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A LJ AppGpnt was a member of ihe U.S. Artned Forces for at least 90 days (nat necessardy dunng war tirne�
B. � AppGnm vas haaraby disdiarged.
C. 0 APPfinrri is: ❑ TotaAy disahled; a ..
� At least age 62 wilh at least 10% disatzlity
D. � ApplicanCs duabifity is e�ridenced by: � Certificate d e6gibaity from the Indiana Departrnent of Veterans Aftairs;
❑ Perr.�m artfinte:
❑ A�reid of canpensatian from Veterans Admmistration or Depar6nent of Deferrse: a �
❑ Veterans Administrafion Fortn 20.5455 Tau Abatemerrt CerUficate' �
E. �� The assessed vah+ation (at 7009'0) of the property fa which the deduction is daimed (may not exceed 5773.000) S
F. � Appficant is tlie wrvivmg spouse W an irdividual who would have quaffied fa ihe deducGOn under tltis section when he a she �ras alive. �
(Age o/deceased oete2n on dafe o/death )
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A � Applicant was a member of the U.S. Armed Forces during any of its wars.
B. ❑ Applicant was honorably discharged.
C. � Applirant has a service-conneded disability of at least 70%
D. � Applinnt's disabiGry is evidenced by. ❑ Cerificate o( eligibiliry from the Indiana Departrnent of Veterans Aftairs;
❑ Penswn certificate;
❑ Award of compensation from Veterans Administration or Department of Defense; or
❑ Veterans AdminisVatlon Fortn 20-5455'Tax Abatement CeNficate'
E. ❑ Applitant is Ihe wrviving spouse ot an indivirfiial whn wn�d�f havn qualfied for ihe deduc6on under Nis seclion when he or she was alive.
(Age oI deceased veteran on date o/ death )
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�� Appfirarrt is a veteran of WoAd War I.
Applicant's disabdrty is eviderr.ed by ❑ Letter from Veterans Adrtdnistraum or Depamrrst d Defense; or
❑ Disci�arge dowments
C. 0 The assessed valuation (at /00%) of the property fa NAvdi ihe deduction is daimed (may nd exaeed 8163.000) S
D. � The pfoperty s ihe appGcarrt's prindpal residence.
E. � The appficant owned the property (w was biry'ug it urrder contraG) fw at leasi me year before ihe date of this appGcation.
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