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Home My WebLink AboutVeterans_Robb (5)°��" APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, i� '_ : YVWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS " �� , State Form 72662 (R8 / 4-04) � � y � � Presaibed by the Department of Local GovemmeN Finance A '�RTRUCTIONS: 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 unde�,Se,ytio{� IlJ 2005 �JG DATES: � t �. j y REAL PROPERTY: DURING THE 12 MONTHS BEFORE MAY 11 OF THE YEAR THE DEDUCTION IS TO APPLY. MOBILE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FOR WHICkI J�JE IN��AL WISHES TO OBTAIN THE DEDUCTION. � a� ❑ I Totally disabled veteran (or veteren at least age 62 with a� least 10% disability) or survi�(d�lk�(IUdN��x��$1y1!480 Complete sections I, V and VI. (IC 6-1.1-12-14) ❑ II Partially service�-connected disabled veteran OR surviving spouse - Noi to exceed 524,960 Complete sections II, V and VI. QC 6-1.1-12-13) ❑ III WoAd War I Veteran - Not to exceed 518.720 Complete sedions III. V and VI. (IC 6-1.1-12-17.4) ❑ IV Surviving spouse of Worid War I Veteran - Not to exceed 578,720 sections N, V, and VI. (IC &1.1 Name of applicant (first, Fdw�d F v�eil �e ( does / does not ) own property with another individual(s) besides spouse and/or another veteran. Date of birth (month, day, year) I� �'� I application is made for the purpose of obtaining S d 7�(O o deduction from the asseued valuatlon of Ne tollovring descrtbed tauable year 20_ :iry, town, perty in Question: I Paroel o? _� _ u– - r-= Property ❑ Mobile Home pC 6-1.1-7) `-- �� —J �Applicant was a member of the�U.S. Armed Forces for at least 90 days (not necessanly dunng war time). B. ❑ Applicant was honorably discharged. C. 0 Applicant is: ❑ Totalty disabled; or ❑ At Ieast age 62 with at least 10% disability D. � P.pplinnPS dsab8ity is evidenced by ❑ CeRificate of eligibility from the Indiana Departrnent oi Veterans Afiairs; ❑ Pension certifipte; � ❑ Award of compensation (rom Veterans Administration or Department of Defense; w ❑ Veterans AdministraGon Fwm 20.5455'Tax Abatement Certificate' E. L7 The assessed vaNation (at 100%) of the properry for whirh the deduc6on is daimed (may rrot exceed 5713,000) S F. � Applicant is the surv'rving spouse of an individual who would have qualified for the deduction under ihis section when he or she was alive. (Age of deceased vetefan on date ol death 1 A. � Applicant was a member of the U.S. Artned Forces during any of its wars. B. ❑ Applicant was honorably discharged. C. � Applicant has a service-conneded disabiliry ot at least 10°/, D. � ApplicanCs disability is evidenced by: � Certificate of eligibility (rom the Indiana Depariment oi Veterans Aflairs; ❑ Pension certifcate; ❑ Award of compensa6on from Veterans AdminisVaGOn or DepaRment of Defense; or ❑ Veterans Administration Fortn 20-5455'Taz Abatement Certifiwte' E. pplicant is the survrvin9 spouse of an individual ho would h ve quali(ed (or Ihe deducGon under this sectlon when he or she was alive. (Age o/deceased veteran�on date ol death � D�� veteran of World War I. ApplipnPs disabiGry is evidenced by: ❑ Letter from Veterans Administratirn or Department of Defense; a ❑ �ischarae documents C. � The assessed valuation (at 100�,) of the pmperty forwhich fhe deduc6on is daimed (maynot exceed 3763,000) $_ D. 0 The property is the applipnfs principal residence. E. ❑ The applipnt amed the property (a was buying d under con6act) for at leasi one year before the date of tFils appGption.