HomeMy WebLinkAboutVeterans_Byerlyc �. s WWI V TEIRANS� ND SURVIVING SPOUSESI OF CER AEN VETERANS � I���
Steta Farm 12662 (RN / 10-06) AUG 16 2010
� �� Rasaibed by lhe DepaMCneM W Laal Gwemment Firtanm
�TRUCTIONS: Please check appropriate box(es) perfainiig to tax deduclion. (MOre than one box may be cherJred; however�;yrviving
spouse who receives a deductlon under Section IV may not receive a deduclion under Sec6on IL�� yU,
FILING DATES:
REAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT. �y��c p►� COUN7Y AUDITOR
MOBILE HOMES (IC 6-1.1-7) OR MANUFACTURED HOMES NOTASSESSEDAS REAL PROPERTY: DURINGTflETWELVE (12) MONTHS
BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION.
� 1 Totalty tlisabled veteran (or veteran at least age 62 with at least fOYo disebility) or surv'wing spouse - Nof to exceed $12,480
Complete sections I, V anE VI. (IC 6-1.1-72-14)
� 11 Partialty service-connected disaWed vete2n OR surviving spouse - Not to exceed 524,960 `-i /1 ,
Complefe sections II, V and VI. (IC G7.7-12-13) �y.�..{vj"v �/� i t�.C�%
❑ III Wodd War 1 Vete2n - Nof to ezceed 518,720 �
Complete sections III, V and VI. (IC 61.7-12-17.4)
❑ N Surviving spcwse of World War I Veteran - Not to exceed 518.720
Complete sections N, V, and VL (IC &1.1-12-i6)
((uN, middle, las�
Applicant Odces dloes not � own property with ano[her individual(s) besides spouse aM/or another veteran.
00
This application is matle for the purpose of obtaining S 3 7 y�� deduction from lhe assessed valuation of Ne fdlovnng described tazable
property far the year 20_
Ta�cirg District (city, fown, township) Is the pmpeRy in question: Parcel m Key umber
❑ Real Pmperty ❑ Mobile Home (IC 61.1-7) a� -(��a� � oa - ab.3�
'� AppGCant xas a member of Me u.s. Artned Forcas for at least 90 days (rrot newssany dunrg wer6me).
d. � App6can[ vras tionorably dischaiged.
C. �MP���'s: ❑ TohaAy disabled; or
�' At least age 62 wiUi at I�st 10% disabitity
D. � AppficanYs disab�Lty is evidenced by ,� Certficate of eJigibi6ty lrom ihe Indana Department of Vete2ns Aftairs;
❑ Pension ceAifi�ate:
❑ Award of arnpensatlm fran Veterans Administratim or Departmerd of Defense; or
❑ Vete2ns Administration Form 20.5455 Taz Abatement Certifirate'
E. ❑ me assessed van,a5on (at t00%) or me aoperry ror whia, me dern,aio� ls clmmed (may rror exceed s14$ �6� s
F. ❑Appfranl is �he surviving spouse of an cWividual vAw vrould have Qualified for the deduGion under ihis sec4on when he a she �vas alive.
(Age ddeceased vefe2n on date d death )
A� Applicant was a member of the U.S. Artned Forces during any of its wars.
B. � Applicant was honwably discharged.
C. �Applinnt has a service connected disability of at least 10%
D. AppGcant's disa6iliry is evidenced by � Cert�Scate af eligibility from the IrMiana Department of Veterans Aftairs;
❑ Pension rertifinte;
❑ Award of compensaeon from Veterans AdminisVa�on w Department of Defense; w
❑ Veterens Administration Fofm 20-5455'Tax Abatement Certificate
E. ❑ Applicant is ihe wrviving spouse of an individual who would have qualfied for the deductbn under this section vfien he a she was alive.
(Age o! deceased veferan on dafe ol dealh )
A QApp6[ant "s a ve;eran ot WoM War I.
B. ❑App6cznt's service is evidenced by ❑ Letter from Veterare Nlmciatration or Depariment oF Defense; w }
❑ Ds<i�argedavments
rr ❑ The asses»ed valuation (a1100%) af tlie pmperty for which iha dedutlirn is daimed (may rat exceed $206,500) S
�J. � The propeRy is ihe appGranPs prcidpal resid�ce.
E. ❑The aOPficant amed ihe pmpefty (w was 6uying if rarder mrr6ac� for at leasl one year beFOra the date of �his app6cation.