HomeMy WebLinkAboutVeterans_DrewAPPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
W1NI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
State Fortn 12662 (R7/6-03)
Prescnbed by the Department of Local Govemmen[ Finance
,INSTRUC NONS: Please check appropriate box(es) pertaining to tax deductlon. (MOre than one box may be checked; however, a surviving
- spouse who receives a deduction under Secfion IV may not receive a deduction under Section ll.)
�r"VG DATES: � y � �g"`+ �
PROPERTY: DURING THE 12 MONTHS BEFORE MAY 11 OF THE YEAR THE DEDUCTt IS,jTO';�APPLY-1 F
ti1CBILE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FO WHICH T,�lE�INOI.VJD ISHES TO
OBTAIN THE OEDUCTION. nn�
� 0 I Totally disahled veteran (or veteran at least age 62 with af least 70% disabiliry) or surviving s'pO�e �N�t t��i�ed 56,000
Complete sectlons I, V and VI. (IC 6-1.'I-12-14) // /�
❑ II Partially service-connected disabled vete2n OR surviving spouse - Not to excead $ 2 000 �� Y} � //
Complete sections II, V and VI. (IC 6-1.1-12-13) �'�' J'1�""`t ���
GBSON COUNl Y AUDITOF �
❑ III World War I Veteran - Not to exceed $9,000
Complete sections IIi, V and VI. (IC 6-1.1-72-17.4)
❑ IV Surviving spouse of WoAd War I Vete2n - Not to exceed $9,000
Comolete seaions IV, V, and VI. (IC 6-�.7-12-16)
((rst, middle,
and
�-��1D
not ) own proper�y�.vith another indi{�idual(s) besides spouse andlor anolher veteran.
applicatlo 'n is made for the purpose of obtaining $� (�Uv deduction from the assessed valualion of the following described taxable
for Ne year 20_
�i hict (city to n township) Ih property in question: Parcel or Kay number
��j,('p � Real Property ❑ Mobile Home (iC 6-1.1-7) �.. ��) �
Applipnt vras a member of the U.S. lvmed Forces fw at least 90 days (not necessa/dy dunrg vrar time).
�plipnt vras honoraby discharged.
�. plipnt is: ❑ Totally disaWed; or
N least age 62 with at least 10% disabiliry
D. � Applicanfs disaWily is e'denced by. � Certificate of eligibilily from Ne Indiana Departrnent of Veterens Affairs;
❑ Pension cerGfip[e;
❑ Avrard of compensation from Veterans Administra6on or Departrnent of Defense; or
❑ Veterans Administration Fortn 20-5455'Tax Abatement Certificate'
E. ❑ The assessed valuatlon (at 700Yo) of ihe property for which the deduction is daimed (may rro! exceed $113,000) $
F. 0 Applicant is the surviving spouse of an individual who would have qualified for the deducaon under this section when he w she was alive.
(Age o/deceased veteran on date of death 1
A. LJ Applipnt was a member of the U.S. Armed Forces during any of its wars.
B. � Applicani was honorabiy discharged.
C. ❑ Applicant has a service-connected disabiliry of at least 10% ,
D. 0 Applicant's disabiliry is evidenced by: ❑ Certificate of eligibility Gom the indiana Department of Veterans Aftairs;
❑ Pension certificate;
❑ Award of compensation from Veterans Administration or Department of Defense; or
❑ Veterans AdministreGon Form 245455'Tax Abatement Certificate'
E. ❑ Applicant is the surviving spouse of an individual who vrould have qualified tor the deduction under this section when he or she was alive.
(Age o/ deceased veteran on date
A � Applipnt is a veteran of World War I.
B. 0 ApplicanYs disab0ity is evidenrzd by ❑ Letter from Vete2ns Administratlon or Departrnent of Defense; or
❑ Disrharge documants
� The assessed valuabon (at 700�) of ihe property for which the deducUOn is daimed (mey not exceed 5763,000) 5_
D. � The property is the applicant's principal residence.
E. ❑ The applicani rnmed the property (or wds buyirn� d uMer con6ad) for at least one year betore the date of ihis application.