No preview available
Veterans_Miller (2)�>�_ .,� , APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS State Form 12662 (R8 / 4-04) Prescribed by the Depariment of Local Govemment Finance Q� �� :�� �s o� INSTRUCTIONS: Please check appropriate box(es) pertaining to tax deduction. (Mo�e than one box may be checked; however, a surviving spouse who receives a deduction under Section IV may not 2ceive a deduction under Section ll.) �NG DATES: 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 WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION. t��j� rf� ,,,�-� �I� ❑ I Totally disabled veteran (or veteran at least age 62 with at least 10% disability) or surviving s��use+_Not t�� exceed 512�480 Complete sections I, V and VL QC 6-1.1-12-74) "" ❑ II Parlially service-connected disabled veteran OR surviving spouse - Noi to exceed S24,960 AUG � O?OO¢ Complete sections II, V and VL QC 6-1.1-12-13) , o( ❑ III Wodd War I Veteran - Not to exceed 518,720 / � � � Complete sections III, V and VI. (IC 6-1.1-72-17.4) '�� G!SSON ��/� ❑ IV Surviving spouse o( Wodd War I Veteran - Not to exceed 518,720 ��'���`�' Y<,Uu:T� Complete sedions N, V, and VI. (IC G7.1-12-16) ((rst, middle, last) _ _. - number city, state, ZlPcod —� Co • / does not ) own property vrith a other individual(s) besides spouse and/or another veteran. This application is made for the purpose of obtaining �j,� y q 6D •�eduction trom the assessed valuatio �of the follovring desmibed taxable y for the year 2C1� District (city, town, Is the property in question: ❑ Real Property ❑ Mobile Home (IC 6-1. .J Appficant was a member of fhe U.S. Armed Fwces fw at least 90 days (not necessady dunng war time). C. ❑ Appticant is: ❑ TotaOy dsabled; or ❑ At least age 62 vriN at least 10%, disabiLty D. � ApptipnPs disa6�ity is evidenced by ❑ Certificate of eligbiliry from the Indiana Departrnent of Veterans A(fairs; ❑ Pension certificate; ❑ Award of compensation from Veterans P,dministration or Department of Defense; or ❑ Veterans Pdministration Form 20.5455'Tax Abatement CeNficate' E. � The assessed valuation (at 100°/ ) of the property for which the deduclion is daimed (maynot exceed 5773,000) $ F. ❑ Applinnt is the surv'rving spouse of an individual who vrould have qualified for the deduction under this section when he or she vras alive. (Age of deceased veteran on date ol death � A R�,YApplicant was a member of Ihe U.S. Armed Forces during any of its wars. B. � Applicant was honorably discharged. C. � Applicant has a service-connec[ed disabiliry ot at least 10°/, D. ❑ Applicant's disability is evidenced by: ❑ Cenificate of igibility from the Indiana Depariment of Veterans Aflairs; ❑ Pen ' certificate; warC of compensation irom Veterans AdminisVation or Department of Defense; or ❑ Veterans Administratlon Fortn 20-5455'Tax Abatement Certificate' E. ❑ Applicant is ihe surviving spouse o( an individual who would have quali(ed (or the deduction under Ihis secfion when he or she was alive. (Age o7deceased vete2n on date ofdeath ) A LI AppGcant is a veteran of Worid War I. � AppfiranYs disabiGty is evidenced by: ❑ Letter Gom Veterans Administrafion or Department of De(ense; w ❑ Discharge documenfs C. � The assessed valuation (at 100°/,) of the pmperty for which the deduction is daimed (may not exceed $763,000) $_ D. ❑ The property is the applipnCs prinapal residence. E. 0 The applipnt owned ihe property (ol was buyirg it under contract) tor at least one year befae the date of this application.