HomeMy WebLinkAboutVeterans_ThackerAPPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
.� WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS ��
S�ala Form 72662 (R77 / 10.08)
S ��� Presuibed by the DepartmeM d L.omi Gwemment Finanre
INSTRUCTIONS: Please check appropriate box(es) pertaining to fax deduction. (More than one box may be checked,� however, a surviving
spouse who reteives a deduction under Section IV may not receive a deduction under Sectlon ll.)
FILING DATES:
REAL PROPERTY: DURING THE YFAR FOR WHICH THE DEDUCTION IS SOUGHT.
MOBILE HOMES (IC 6-1.1-7) OR MANUFACTURED HOMES NOTASSESSED AS REAL PROPERTY: DURING THE 1WELVE (72) MONTHS
BEFORE MARCH 31 OF EACH YEAR fOR WHICH THE INDIVIDUAL WISHES TO OBTAIN TH ON.���""'�lll �\
� I Tofally disabled ve;eran (or veteran af leasf age 62 with af least 10'/o disebility) or su e- N��ed �p2,480
Complete sectbns I, V and VI. QC 51.1-12-14) l�
� II Complete sectbns IInV a d Vla�(IC G7 ��p03)surviving spouse - Not to exceed 52a,960DEC 2 1 ZOI�
❑ 111 World War I Veteran - Not to exceed 518,720 ,,vv��--��°°----
Complete sectlons 111, V antl VI. (IC G7.1-12-17.4) C���• �-�c�-y
❑ N Survivin9 spouse of Worid War I Vate2n - Nof to exceed 578.720 U C\
sections N, V, and VI. (IC 61.1-12-
Name of �pyiicant (first, middle,
dty, state,
GIBSON
Applirant Qdces (]ioes not ) own property wifh another ifWividual(s) Desides spouse antllor another veteran.
(month,
This applicatbn is made (or the purpose of obtaining j� �7 G deduction from fhe assessed valuation of the fdlowing tlescribed t�able
fa Ne year 20�
stricl (city, fown, township) Is the propeRy in question: Pam.el o,pr Key number O?G�
�. �Y [�ea� ProPenY ❑ Mobile Home QC 6-1.1-7) c7%'�T'�aJ� '.� J� CY� � O(J 7' 009'
A❑ AppGCaM was a memher of the U.S. Artned Forces for at least 90 days (rrot ne�sseny dur'u�g wertlme).
B. QApp6cant vras honorady d"�scha�ged.
C. � App6rard "s: ❑ TotaAy Sisabled: or
❑ At least age 62 with at least 10% disabiGty
D. ❑ AppficanCs d�sabdry is evidenced by ❑ Certi('cate of dgihitRy hom ihe Ird'ana Departnrent of Vete2ns Af(airs;
❑ Pensbn earffirate:
❑ AwaN of mmpensatim frun Veterans Administratlm ot DepaAment of Defense; or
❑ Veterans Administration Fortn 20.5455 Taz Abatement Cerfifirate'
E. ❑ me assessed van,adon (a� 1oo5G) of ine properry tw wru�h me aern,aion is aaimed (may rrot exceed 8143,1 soj S
F.�pfrant is the survivug spousa of an'vdividual who� pwouldp have qualified fw the deduGion under ihis section whes he w she vras alive.
(Age d de�ased �steran ar date d death 7- I- �)g
A. � Applicant was a member ot the U.S. Artned Forces duriig any of its wars.
B. Q Applicant was honwably discharged.
C. ❑ Applicant has a servke wnneded disabiiiry of at least 10°k
D. ❑ AppGtanYs disabiGty is evidenced by ❑ Certifi[ate oi el'gibiliry fran Ihe Indana Department of Veterans Aftairs;
❑ Pension certifirate;
❑ Award of compensation trom Veterans Administration or Departrnent of Defense; or
❑ Veterans Administration Fortn 20-5455'Tax Abatement Certificate'
E.�pplirant is the survi�ring spouse of an individual o would have qualified for the deduction under this section when he or she was elive.
(Age o! deceased veteren m date W death � - Q g
A❑App6rant is a veteran of World War 1.
B. ❑App6canPs servite is evidenced 6y ❑ Letter from Veterare Atlmm'sVation a Departrnen� of Defense; or
❑ Disrharge tloruments
c. ❑ 7r,e assessed van,aoon (at �00%) of ihe croperry ror whid, tt,e em�dim is aaimed (rt,ay �ot ezceed szos,500) s_
D. 0 The pmperiy is tl�e appfcant's pr"vnipal msidence.
E. ❑ The app6cant wmed Na pmperty (or xas buy"mg it �r cmtrac� for at least one year befora the date af this app&ztbn.