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Home My WebLink AboutVeterans_Turpini__ __'__ ' _ _--�_'_-.-"`-.-��_'_` �.-..""___. '__ '" _ . ' _ "__"" - _Form Number 12 - Revi98d 1985 _ �;, �Prescribed by State Board of Tax Commissioners . VETERANS, OR THEIR WIDOWS, STATEMENT OF TOTAL DISABZ�LITY�' � and Application for Deduction From th�� Assessed Valuation of Taxable Property {*+ Qualifications on Sack *+* NOV 0 8 1996 STATE OF INDIANA ��/�y('m COUNTY�S�� . �� L i�_�"�� L_.. ,,.� , bein dul s��n�170n�oath sa s (Nzme; ��1.1A__ (t A-L� � 4 Y • y that (s)he is years of age; that (s)he resides at in County, Zndian ;`ftCat (s)he � �� Cl:eck One : was a nurse was a Member of the U.S. Armed Forces or the widow of a member of the U.S. Armed Forces and who served for ninety (90) days or more, not necessarily during the time of war, and has been honorably discharged therefrom and has a total disability and is entitled to this deduction as evidenced by: Pension Certificate or Awar3 of Compensation or Vete_�a:�s Adminis=r�tion Form 20-5455 "Tax Abatement Certificate" or L�tter statem�nt of Total Disabliity from the Departmen� of the Defense Disability Retiremen� Board or the appropriate branch of the armed forces exhibited to the County luditor. O�_4 _�� _ 1� IC 6-1. 1-12-14 and 6-1. 1-_2-1� That tk:is appli�ation is made for the purpose of obtaining $�� (nct to exceed two �housand do�lars) deductior: from the assessed valua- tion of t'�e follo:•ing described taxable prooerty for the year 19�, to wit: TA;{ING DISTRICT �CITY� TOWN, TOWNSHIP) PC.f�� _ . LEGAi, DESCRIPTZON OR KEY NUidBER That, in addition to the above amount of $�_ deduction applied for in this County, (s)he has or intends to apply for $ y� deduction in County, 1� Taxing District and that the to*.al assessed valua of all his/her taxable property as shown by the tax duplicates of all counties in which they o('w�n property is $� X' \ 1 1UlrRNA ��:"Ji1M� (A plicant/Guardian) Subscribec and sworn to before me, O day of ��, v , 19�. and disability verified this ,: Auditor �— FILED ttc,: ; APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, e WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANRPR 16 6 2013 ttit* State Form 12662(R11/10-08) -i. Prescribed by the Department of Local Government Finance • INSTRUCTIONS: Please check appropriate box(es)pertaining to tax deduction. (More than one box owever,a surviving spouse who receives a deduction under Section IV may not receive a dedu 4 3t r,i S NTK.)AUDITOR FILING DATES: REAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT. MOBILE HOMES(IC 6-1.1-7)OR MANUFACTURED HOMES NOT ASSESSED AS REAL PROPERTY:DURING THE TWELVE(12)MONTHS BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION. ❑ I Totally disabled veteran(or veteran at least age 62 with at least 10%disability)or surviving spouse-Not to exceed 512.480 Complete sections I,V and VI. (IC 6-1.1-12-14) [� i�II Partially service-connected disabled veteran OR surviving spouse-Not to exceed 524,960 Complete sections II.V and VI. (IC 6-1.1-12-13) ❑ III World War I Veteran-Not to exceed 518.720 Complete sections III,V and VI. (IC 6-1.1-12-17.4) ❑ IV Surviving spouse of World War I Veteran-Not to exceed 518.720 Complete sections IV,V.and VI. (IC 6-1.1-12-16) - ? .w. _�.t. x.-r'y' e �:s -. .. - _AP.PLICANT -_ _ t..rs.rc,?<�3,t'`-:.°4:E��'ii•'. y?. ,.,:�` a Name of ap leant(fi middl last) ` Address(street and nu er, state,and code) �n County tia � � L -i cszaa-trv,-c Applicant Odoes aloes not ) own property with another riindi V individual(l(1s)besides spouse and/or another veteran. This application is made for the purpose of obtaining S 0l'7"T 7 6" deduction from the assessed valuation of the following described taxable property for the year 20 . Taxing (city,towp, reship) Is he property in question: Parcel or Key number � :� Real Property 0 Mobile Home(IC 6-1 1-7) ■(o-/� Q�'AO/_t 00 3 374J 0-r -s- - ., t_a SECTION)] -_TotaliDisability liR-at!leasl;age 6ywth at least410%disability::-%CL 4'zF�tt.-t • k❑Applicant was a member of the U.S.Armed Forces for at least 90 days(not necessarily during wartime). B.❑Applicant was lxxuxady discharged. C.❑Applicant is: ❑Totally dsabled:or ❑At least age 62 with at least 10%disability D.❑Applicant's(Izabal/is evidenced by ❑Certificate of eligibility from the Indiana Department of Veterans Affairs; ❑Pension certificate; ❑Award of compensation from Veterans Administration or Department of Defense;or ❑Veterans Administration Form 20-5455'Tax Abatement Certificate E.❑The assessed valuation(at 100%)of the property for which the deduction is claimed(may not exceed$143,160) S F.❑Applicant is the surviving spouse of an individual who would have qualified for the deduction under this section when he or she was alive. (Age of deceased veteran on date of death ) `I t,;: .ad €F.'4='t 3.gaLk- itt _ .1,4s'•SECTION 11 PartialiDisabili z :, ,:'c..:r_ k�;'1 ,^'R'.Y'i.., . °" Y:4 ieeii A. Applicant was a member of the U.S.Armed Forces during any of its wars. B. Applicant was honorably discharged. C. Applicant has a service connected disability of at least 10% D. Applicant's disability is evidenced by: Certificate of eligibility from the Indiana Department of Veterans Affairs; Pension certificate; 51/Award of compensation from Veterans Administration or Department of Defense;or ❑Veterans Administration Form 20-5455'Tax Abatement Certificate E. ❑Applicant is the surviving spouse of an individual who would have qualified for the deduction under this section when he or she was alive. (Age of deceased veteran on date of death ) . 'r`aT- wlr:r zr ' ,ri ,;SECTION III„d World Wir I Veteran _- s 1 Y- y,: - ^,X;-',-'*,`ts''°-•_; A. ❑Applicant is a veteran of World War I. B. ❑App ant's service is evidenced by ❑Letter from Veterans Administration or Department of Defense:or ❑Discharge documents C.❑The assessed valuation(at 100%)of the property for which the deduction is claimed(may not exceed$206,500) S O.❑The property is the applicant's principal residence. E.❑The applicant owned the property(or was buying it under contract)for at least one year before the date of this application. ,,,••7%.r..'r_.`:*- wj,. ,tocc-s ;' e,,._, i-4 . SECTIONS IV,6 ANDIVIARE.ON•REVERSE SIDE -tr`„ l a ?!,'-li x'g'aiC'_ 'k r3s.'+''. - ,,}::SECTION�IV ,Surviving Spous�of�atWorld�War,liVeteran` F A S I a✓ - -- A.❑Applicant is the surviving spouse of an individual who served in the U.S.Armed Forces before November 12,1918. B.❑The service of the deceased spouse is evidenced by: ❑ Letter from the Veterans Administration or the Department of Defense;or ❑ Honorable discharge documents c ❑ The deceased spouse received an honorable discharge. id.->-�`; - "�" a'•':SECTIONaV - Additional,Information A.❑Applicant owns the property on which the deduction is claimed or is buying it under contract that provides that the applicant is to pay the property taxes, which contract or a memorandum of the contract,is recorded in the County Recorder's office. Record number page B. ❑Applicant has applied or intends to apply for one or more of these deductions on other property in this county or in another county. ❑ Yes ❑ No Amount S County Taxing district Second county Taxing district 't'-17: -`;*` `SECTIONtVI - ApplicationtVenf¢ahonrand!AuditorSignature t;jij�eir„res.°�`�6:.it I certify that this application was filed in my office. I certify that the information provided in this application is true and Date filed(month, day,ye r) correct The intentional inclusion of false information on this form is m / Co a criminal violation under IC 6-1.1-37-3 or 4. Signature of county auditor 7A€ e u 4 S Q Signs e applicant or legaI eprese We Name of county auditor(typed or written) .::•'',VETERAN DEDUCTIONIWORKSHEET Ti ', -.. Q�.° "-r , 20 20 20 1. Total Disability(512,480) 2. Partial disability(524,960) 3. WWI Veteran(518,720) 4. WWI surviving spouse(518.720) 5. Total deduction available(add lines 1, 2,3 and 4) 6. Amount applied to real estate key number 7. Amount applied to personal property duplicate number 6. Amount applied to mobile home duplicate number 9. Total deduction applied to taxable property(add lines 6, 7 and 8) 10. Deduction available for excise'(subtract line 9 from line 5) 11. Excise credit Way be used as an excise tax credit on either the Motor Vehicle Tax (IC 6-6-5-5)or Aircraft License Excise Tax(IC 6-6-6.5-13) calculated'at$2.00 per$100.00 for cars and for aircraft[see 6-6-6.5-13(e))of unused veteran's deduction. The information contained on this form is CONFIDENTIAL according to IC 6-1.1-35-9.