HomeMy WebLinkAboutVeterans_Kamman" APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, ��- ;
s, .__ � WINI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
State Form 726fi2 (R11 I 10-OB)
� Prascribad 6y lhe OepartmeM of Local Gwemment Finance
„JSTRUCTIONS: Please check appropriate box(es) peRainiig to tax deduction. (Moie than one box may be checked,� however, a surviving
spouse who reteives a deduction under Sectlon IV may not receive a deduclion under Sec6on ll.)
FILING DATES:
REAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT.
MOBILE HOMES (IC 6-1.1-7) OR MANUFACTURED HOMES NOTASSESSED AS REAL PROPERTY: I E EL 1 OPITHS
BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DED TI .
❑ I Tofaly disabled veteran (or veferan at leasf age 62 with at least 70% disebility) or surv'rving spous�,{Nd lqe�e�,2,480
Complete sections I, V and VI. QC 67.1-12-14) ivu v
❑ II Partially service-connected tlisaWed vete2n OR surviving spouse - Not to exceed 524,960 C.�,(v�
Complete sectbns 11, V and VL QC 6-1.1-12-13)
❑ III WMd War I Veteran-NOttoaxceed 518,720 GIBSON COUNTY AUDITOR
Complete sections III, V antl VL (IC 61.1-12-77.4)
❑ N Survivinq spouse of World War I Veteran - Not to exceed 518.720
Comolefe sections N. V, antl VI. (IC Cr1.1-72-16)
Applicant Odces dloes not � own property vrilh another individual(s) besides spouse andlor another veteran.
This application is made for tha purpose of obtaininf �,f / Z/_ (J duction (rom lhe assessed raluation of ihe fWbvring described taxable
��P� f��eY�2o �./� _ q-3 a�o /��o o a
Tacirg District (city, town, fownship) Is ��e property in ques[ion: Parcei w Key number
❑ Real Pmperty ❑ Mobile Home (IC 6-1.1-7)
� Q npp6cam was a memGer or the us. amed Forces for al teast 90 days (rror newsseny dunny wereme).
B. ❑ App&ant was honorady dischart�ed.
C. ❑ App6nrd's: ❑ ToFaEy d�sabletl; or
�A[ least age 62 with at I�st 10% disabiGty
D. � App6tanYs disabLry " evidenced by ❑ CeAificate of d"gid�ty from the Indiana Department of Vete2ns ARairs;
❑ Pension certifrafe;
❑ Awaid of compensafim from Veterans Administratim or DeparhneM of Defense; w
❑ Veterans AdrttinisVation Form 245455 "rax Abatemenf Certifirate'
E. Q The assessed valuation (at 100%) d Ne property for wtvch ihe dedudion is daimed (maY� exceed 5743,1fi0) S
F. ❑ FWpficant is the surviving spouse of an mdividual who vrould have quai'ified for ihe deduction under ihis section when he w she was alive.
(Age d demased veteran on date d deffih )
A�Applicant was a member of the U.S. Armed Forces during any of iis wars.
B. 0 Applicant was hmwabty disrharged.
C:,B Applicant has a seMce connected disabiliry of at least 10Y
D. Q ApplicanYs disability is evidenced by ❑ Certifirete of eligibiliry from the Indiana Department of Veterans ARairs;
❑ Pereion certifi�ate;
�,ward of compensation trom Veterans Administration or Department of Defense; a
❑ Veterans Administration Fortn 20-5455 Tax Abatement Certificate'
E. � Applica^t is ihe wrviving spouse of an indNidual who vrould have qualified for the deduc[ion under this seGion when he w she was alive.
(Age o7 deceesed veteren m dale W death )
A❑A{�p&ant a a veteran of Warld War I.
B. QAppfiranYs service is evidenced by ❑ Letter from Veterans Adrt�istration or Deperiment d Defaise; or
❑ Dis�iwgedacumenLs
�. ❑ The assessed �raNaOOn (at 10D%) a( ttie PmPaMY fw whirh ihe deducdm "s daimed (may rat exceed $276,500} 5_
D. Q The pmpelty's the app&anYs pmitipal residence.
E Q The appGmnt o.vned the pmpaty (w t+2s buying it uider cantrac� for af least one year befura the date of ihis app5ration.