HomeMy WebLinkAboutVeterans_Kyle` ��'�" APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
;i `.: = WINI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS �
� �r SWte Fom 72662 (R8 / 4-04)
�u.
Prescribed by Ne Department of Local Govemment Finance
�TRUCTIONS: Please check appropriate box(es) pertaining to tax deduction. (More tha�b� �y be�ckBp; npyvever, a suiviving
spouse who receives a deduction under Section IV may not receive a degu�Ctio ur,�yer S tion I� y
NG DATES: 1 L JL.J
REAL PROPERTY: DURING THE 12 MONTHS BEFORE MAY 11 OF THE YEAR THE DEDUCTION IS TO �PPLY
MOBILE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FORMAMC `FLT8I��IVIDUAL WISHES TO
OBTAIN THE DEDUCTION.
❑ I Tolally disabled veteren (or veteran at least age 62 with at least 10% disabilityJ or survi �ruys�o�s��I�tct�o exceed 512,480
Complete sections I, V and VI. (IC 6-7.1-12-14) ,
❑ II Partialry service-connected disabled veteran OR surviving spouse - Not to excee6�3S�8bC0UN�Utjl �R ���
' I 1
Complete sections II, V and VL (IC 6-7.7-12-13) �
❑ III Wodd War I Veteran - Not to exceed 518,720 � {—}as �
Complete seclions III, V and VI. (IC 6-1.1-12-77.4) ^� /��.,
❑ IV Surviving spouse of Wodd War I Veteran - Not to exceed 518,720 /� 1 0)�� 1�'
Complete sections N, V, and VI. (IC 6-1.1-12-16) 7 � �N 0�vi �"''ia � � K
of applicant (first, midd/e, last)
( does / does not ) ovm property with
individual(s) besides spouse and/or another veteran.
This applicaGon is made for the purpose of obtaininq 5 deduction from the assessed valuatlon of the following described taxable
�mperty for the year 20_
faxin Di 'ct (ci town town ') Is the property in question: Parcel or Key number
eal Property ❑ Mobile Home (IC 6-1.1-7) �l� 3Q/�� C
• � .. •• 1'. . ..
App�fica t vras a member ot the U.S. nrmed Forces tw at �east 90 days (not necessany dunng war time).
B. �ticant �ras hono2bly discharged.
C. ❑ Applicant is: ❑ TotaDy disabled; w
� ❑ At �east age 62 vnN at t 10°/, disability
D. plipnfs disabiliry is evidenced by Cerlificate ot eligibility from the Indiana Department ot Veterans Aftairs;
❑ Pension certificate; �
❑ Award of compensation from Vete2ns Administration w Department of Defense; w
❑ Veterans P,dminishation Fortn 20.5455 "Tax Abatement Certificate'
E. 0 The assessed valuation (at 100%) of the property for which the deduction is daimed (may rrot exceed 5713,000)
F. ❑ Applicant is the surviving spouse of an individual who would have qualified for the deduction under llvs section when he or she was alive.
(Age of deceased veteran on date of deafh 1
A. U Applicant was a member of the U.S. Armed Forces during any of its wars.
B. � Applicanl was honorably discharged.
C. ❑ Applicant has a service-connected disabiliry of at least 10°/,
D. � ApplicanCs disabiliry is evidenced by: ❑ Certificate of eligi6ility from the Indiana Department of Veterans Aftairs;
❑ Pension certifiwte:
❑ Awartl o( compensatlon from Veterens AdminisUation or Department of Defense: or
� Veterans AdministraUon Form 20-5455'Tax Abatement Certificate'
E. 0 Applicant is Ihe surviving spouse of an individual who would have qualified for the deduction under this section when he or she was alive.
(Age ol deceased veteran�on date oldeath )
a veteran of Wodd War I.
� AppliqnYs disabiGry is evidenced by: ❑ Letter Bom Vete2ns Admwshafion or Department oi Detense; or
❑ Discharge documenLs
C. ❑ assessed valuation (at 100°h) of the properry for which ihe deduction is daimed (may not exceed 5763,000) 5_
D. The property is the applicant's pnndpal 25idence.
E. ❑ The applipnt owned the pmperty (or was buy'vg it urWer con6acf) (or at least one year be(we the date of this apptiption.