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Home My WebLink AboutVeterans_McCarty;�� °� APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, i1 "' , I: WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS •�� i State Form 12662 (R8 / a-04) � ^ n Prescribed by ihe Depariment of local Govemment Finance INSTRUCTIONS: Please check appropriate box(es) pertaining to tax deducti. ,�.1ore than one 6ox may 6e checked; how�ver, a su��,,.,,,y spouse who receives a deduction under Section IV may not receive a deduction under Section II.J V .��G DATES: REAL PROPERTY: DURING THE 12 MONTHS BEFORE MAY 11 OF THE YEAR THE DEDUCTJ.;Ot�IStTO.APP� � MOBILE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FOf2 WF11CH THE I DI ID AL ISHES TO OBTAIN THE DEDUCTION. F ti p g �� 1L JL .�,/ ❑ I Totally disabled veteren (or veteran at leasf age 62 wiN at least 10% disabtiityJ or surviving spouse - Not to exceed 512,480 Complete sections I, V and VI. (IC &1.1-12-14) 0 C T 1 1 2005 ❑ II Partially service-connected disabled veteran OR surviving spouse - Not to exceed 524,960 Complete sections II, V and VI. (IC 6-1.7-72-13) ❑ III World War I Veteran - Not to ezceed 818,720 Complete sections III, V and Vi. (IC 6-1.1-12-17.4) ❑ IV Surviving spouse of Worid War I Veteran - Not to exceed 578,720 `p �ra«3 ,Q� ,.. GIBSON COU/NTY AUDITOR Complete seUions N, V, and VI. (IC &1.1-12-16) Name of applica first, idd/ I ^/ � • � ��, c'— ' � Address (street and number, c" , tate, ZIP code) h, Applicant ( does / does not ) own property with anoNer individual(s) besides spouse and/or a r veteran. This application is made for the purpose of obtaining 5 deductlon from the assessed valuaUon of the following described taxable pro rry for the year 20 ,�• T n 's city, to to sh' Is the property in question: Parcel K mber eal Property ❑ Mobile Home QC 6-1.1-7) ��__�=0�� p-�� .. •• ..• 1'� . .. J Applicanl was a member of the U.S. Armed Forces for at leazt 90 days (nof necessarify dunng war time). O/ /.�-y�,� �� —/m B. � Applicantwashonorablydischarged, co u_�.�J uv C.'�.�,Applipniis: ❑ Totallydisabled;or �A[ least age 62 vrith at least 10°/, disabilily D. � ApplicanPS disability is e enced by ❑ Certificate of etigibility (rom the Indiana Department of Veterans ARairs; ❑ Pension certifirate; ❑ Award of campensafion from Vete2ns Administration a Departrnent of Defense; or ❑ Veterans Admwstration Fortn 20.5455'Tax Abatem-e�nt C�ert�ificate' E. � The assessed valuation (at 100°h) of the property for which the deduction ��m not e SHJ,p9g1 5 F. � Applicant is the surv'rving spouse of an individual who would have qualified u n u '�;y�jN; en he w she was alive. (Age o/ deceased veteran on date ol death ) • A. ❑ Applicant was a member of the U.S. Artned Forces during any of its wars, n� �� B. ❑ Applipnt was honorably discharged. � C.`�. C. ❑ Applicant has a service-conneded disability of at least 10% 7y,p t�� D. ❑ ApplicanYs disability is evidenced by: ❑ Certifirate of eligibility frcg�gBmtCi�IA�parun�bTVeterans AHairs; . ❑ Pensian certifiwte; A�� 2. S Z��2 ❑ Award of compensatlon from Veterans AdminisVation or Department of Defense; or ❑ Veterans Administratlon Form 20-5455'Tax Abatement CerGficate'C-�•n� E. � Applicant is the surv'ning spouse of an individual who would have qualified for the deduction under this section when he or she s I e. (Age o/deceased veteran on date o/death 1 GIBSON COUNTY AUDITOR • . . A❑ AppGcant is a yeteran of yJOAd War I. �� AppGpnCs disabiGry is evidenced by: ❑ Letter trom Veterans AdminisGatlon or Department of Defense; or � Discharge documents C. � The assessed valuaUon (at 100%) of ihe pmperry for which the deducfion is daimed (may not exceed S 763,000) 5 D. ❑ The property is the applicanPs pdndpal residence. E. � The aPplicant owned the property (or was 6uying ft under conhact) for at least one year before the date of this application. � � • �