HomeMy WebLinkAboutVeterans_Trautvetter� APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
Vj°VI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS ` � .
�, � � � State Fortn 12662 (R7 / 6-03)
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Prescribed by the Departrnent of Local Govemment Finance �'
INSTRUCTIONS: Please check appropriate box(es) pertaining to tax deduction. (More than one box may be checked; however, a surviving
spouse who receives a deduction under Section IV may not receive a deduction under Secfion II.)
�G DATES:
L 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.
❑ I Totally disabled veteren (or veferan at least age 62 with atleast 70% disabiliry) or surviving spouse - Not to exceed 56,000
Complete sections 1. V and VL (IC 6-7.1-12-14) —�.� 1�(' � �r–� Ta –��
❑ II Partialty service-connected disabled veteren OR surviving spouse - Not to exceed $12{�OOd � f, �i'"'� j ;'
Complete sections II, V and VL (iC 6-1.1-12-13) �1--% –�
❑ III World War I Veteran - Not to exceed $9,000 MAR 0 8 2004
Complete secUOns III, V and VL QC 6-1.1-12-17.4)
❑ IV Su�iving spouse oi World War 1 Veteran - Not to exceed 59,000 /� , /J ,
sections IV. V, and VI. (IC 6-1.1-12-16)
(first,
and number, city
tode
icaN ( does I does not ) own property with anoNer individual(s) besides spouse andlof/another veteren.
application is madeior t e p�rpo's� o obOmg $���i� � deduction from the assessed valuaGon of the following described taxable
y tor the year 20
District (city, town, township) Is the property in queslion:
❑ Real Property ❑ Mobile Home (IC 61.1-7)
was a member of the U.S. Armed Fo�ces ta at least 90 days (not necessa/dy dunrg war 6me).
.jd'A,pplipnt vras honaabty discharged.
C. ❑ Applipnt is: ❑ Totaly disabled; or
�R�least age 62 wit�h ,a/t least 10°/ disabiliry
D. 0 ApplicanYs disabiGly is evidenced by Ps C:ertficate ot eligibiliry from the Indiana Departrnent of Veterans Aftairs;
❑ Pension certifinte�
❑ Avrartf ot compensation trom Vete2ns Administrabon w Department of Defense; or
❑ Veterare Administration Fortn 20.5455 "Tax Abatement Certificate'
E: ❑ The assesud valuation (a[ t00Yo) of the property fw which the deduaim is daimed (may rrot exceed $173,000) $
F. � Applipnt is Ne surviving spouse of an individual who would have qualfied for the deduc6on under this section when he or she was ative.
(Age o/deceased vete2n on date o7death )
A. L�"i Applicant was a member of the U.S. Artned Forces during any of its wars.
B.�Applicant was honorably discharged.
C. �plicant has a service-connected disability of at least 10%
D. C� AppliranYs disabiliry is evidenced by. �rti5cate of eligibiliry from the Indiana Department of Veterens ABairs;
❑ Pension certificate;
❑ Award of compensation trom Veterans Administration or Department of Defense; or
❑ Vete2ns Administration Form 20.5455'Tax Abatement Certificate'
E. ❑ Applicant is the surviving spouse of an individual who vrould have qualified for the deduction under this section when he or she was alive.
(Age of deceased veteran on date of death )
A LJ Appliqnt is a veteran W World War �.
B. � ApplicanYs disah0ity is evidenced by ❑ Letter from Vete2ns Administration or Departrnent of Def�nse
❑ Discharge dowments
,� The assessed valuatbn (at 100�) of ihe property for whid� ihe deduction is daimed (may rwt exceed 8763,000)
or
S
D. ❑ The property is the apptipnYs prindpal residence.
E. 0 The appficant owned the properry (or Nas buying il urder con6aC) for at least one year befwe the date of this application.