HomeMy WebLinkAboutVeterans_Lindauer�"' APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
'. WWI VETERANS AND SURVMNG SPOUSES OF CERTAIN VETERANS
S� 2 ' StateFortn12662(R9lSO6)
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Prescribed by ihe Departrnent of Local Govemment Fnance
�UCTIONS: Please check appropriate box(es) pertaining to tax deduction. (More than one box may be checked; however, a surviving
spouse who �eceives a deduction unde� Section IV may not receive a deduction under Section II.)
FILING DATES:
REAL PROPERTY: DURING THE 12 MONTHS BEFORE JUNE 11 OF THE YEAR THE DEDUCTION IS TO APPLY.
MOBIIE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO
OBTAIN THE DEDUCTION.
�� I Totally disabled veteran (or veteran a� /east age 62 vn(h at leas! 10% disabiliry) or surviving spouse - Not to exceed 572,480
Complete sections I, V and VI. QC 6-7.1-12-74) \;� ��
� II Partially service-connected disabled veteran OR surviving spouse - Not to exceed 524,960
Complete seUions II, V and VI. (IC 6-1.7-12-73)
❑ III Wodd War I Ve.eran - Not to ezceed 578.720
Complete sections III, V and VL (IC 6-7.7-12-17.4)
❑ IV Surviving spouse of World War I Veteran - Noi to exceed 518.720
Complete secuons IV, V, and VL QC 6-1.1-12-16)
Name of applicant (6rst, middle, last)
Address (street and number, ciry, state, ZIP code) County
30� ��1 ST, �er ,v / T . �7�y�
Applicant ( dces I dces not ) own property with another individual(s) be5'des spouse andlor another veteran.
This appliwlion is made for the purpose of obtaining 5 deduction from the assessed valuation of the fdlowing described ta�cable
property forthe year 20_
Taxing District (cify, town, township) Is e property in question: Parcel or Key number
Real Properry ❑ Mobile Home (IC 61.1-7) — _ � _ Q�, .�Qp?
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A� AppBcant vras a rtiember of tlie U.S. Armed Fwces for at leasl 90 days (rwt necessar'e'y dunng war time�
B. �7 Appfirant vas honorably disf3�arged.
�C. �-APdimnt is: � TotaOy disaded: a ..
��At leas[ age 62 with at least 10% disaltitity .
D. �1 AppGrenYS disabifrty is evidenced by � CeiOfuate d e5gibdiry Gom the Indiana Departrnent of Veterans Atfaits:
❑ Pertsiai �rtifinte;
❑ Avrard of mmpensation 6om Veterans AdminisUation or Departrnent of Deferrse; a '
❑ Veterans Admutistration Fomt Z(Y5455 Taz Abatemerrt CeNficate"
E. ❑ The assessed valuation (at 700%1 of the property for which the deduclion is daimed (may �rot ezcee�d S]73,000) S
F. 0 A{�lipnt is the surrivmg spouse of an individual who wwld have qualfied for the deducUOn under this section when he or she was alive.
(Age o7deceased veteran on date d dearii )
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A'� Applipnt was a member of the U.S. Artned Forces during any of its wars.
B. � Applicani was horrorably discharged.
C. � Applicanl has a service-connected disability o� at least 10 h �., n n
D.�Applirant's disabiliry is evidenced by: ,�Certifiwte of eligibiiity from the Indiana Departrnent of Veterai /P� i l�y
❑ Pension certificate;
❑ Award of compensation from Veterans Administration or Dep� � /,
❑ Veterans Adminisiration Fortn 20.5455'Tax Abatement Certif � S��// T'�
E. O Applicant is ihe surviving spouse of an indivirl�ial whn wrnd�i havn qualified for the deduction under this sectic �T
(Age o! deceased veteran on date o! death ) /„ U
U�il C
.
�Appficant is a veteran d World War I. nq�
Applicarrt's disabBiry is evidenced by ❑ Letter fran Veterans Adrtunistratan a Department of Defense: or GQ G�
❑ Disdiarge dowments
C. � The assessed ralua6on (at 100°.G) d ihe property for MTiich the deduction is daimed (may nd exoeed 8763,000) S_
D. � The property is the appficant's pvxipal resdence.
E. 0 The appficant a+med tlre qoperty (or wes buying it urMer corr6acf) fw at leasl me year before the date of this applia
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