HomeMy WebLinkAboutVeterans_MartinAPPUCATION FOR TAX DEDUCTION FOR DISABLED VETERANS, /7
n E WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS � ��
� Stale Form 72662 (R71 / 70-0H) `�
Prewihed by ihe Oepariment of L�I Gwemmant Finanoe
�TRUCTIONS: Please check appropriate box(es) pertainirg to tax deduc6on. (More lhan one box may be checked; however, a surviving
spouse wFro receives a deduttion under Section IV may not receive a deduction under SecG'on Il.)
FILING DATES:
REAL PROPERN: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT.
MOBILE HOMES (IC 6-1.1-7) OR MANUFACTURED HOMES NOTASSESSED AS REAL PROPERTY: DURING THE IWELVE (12) MONTHS
BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION.
� I ToWlly disabled veteran (or veteran af leasf age 62 wdh af least f0Y disa6ilify) or surv"rv��e - ot to �j'ce�d SIQ3$p
Complete sections I, V antl VI. QC 6-1.1-12-14) 4"� p �
� II Partially service-connected EisaWed veteran OR surviving spouse - Not to ezceed 524. ���
Complete sectbns 11, V and VL (IC 6-7.1-12-13)
❑ III WMtl War I Vete2n - Not to exceed 5'18,720 A P R 9 Z U 1 U
Canplete sections III, V anC VI. (IC 61.1-72-17.4)
❑ N Surviving spouse of World War I Veteran - Noi fo exceed 518.720 ;n7aµ ��
Comolele sections N, V, and VL QC 61.1-12-16) �� �� �f
Applicent Odces Qdoes not ) own property with another individual(s) besides spouse and/or another veteran. 7 /�
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This apDliption is matle (or the purpose of abtaining Ss-3 (a - 7 deduction from the assessed valuafion of the folbwing described t�aDle
fw the year 20_
Is the property in puestion: Parcel w Key number
❑RealProperry ❑MobileHane(IC61.1-7) a�-Z3-,3-yoo-�i.oyz
AppGpnt Mas a member af Me U.S. Artned Forces fw at least 9D days (rrof necsssarily dunng xar time}
B. �Appficant vrds honaady dischaiged.
C. LJ AppticaM's: ❑ TotaOy 6sabled; w
❑ N least age 62 with at I�st 10% disabitiy
D. Q Appfrcant's dsab�Lty a evidenced by: ❑ Cerlifrate of digibitity from iha Indana Departrtrent of Vete2ns ARairs;
❑ Pension ceRi&ate;
� Award of canpensatim frdn Veterans Administratim or DepaAment of De`ense; w
❑ Veterans Administration Fortn 26:AS5 "Ta�c Abatement Certificata'
E. ❑ The assessed vaWation (at 100%) of iha properry for wltiU� Me deductbn a chaimed (may rrot exceed $143,160j S
F. ❑AppGrant is ihe siuviving spouse of an uidividual who xrould have qualificW fw the deduction under Hiis sedion when he or she was alive.
(Age ddecuased vstaan on date d death )
A � Applicant was a member of the U.S. Artned Forces durifg any of its wars.
B. ❑ Applicant was honorably discharged.
C. ❑ Applirani has a servke connected disabiliry of at least 10%
D. Q App6canYs disabiliry is evidenced by ❑ Certificate of eligibiliry from the IiMiana Department of Veterans Attairs;
❑ Pension certifirate;
❑ Award of compensation from Veterans Administrafion w Departrnent of Defense; or
❑ Veterans Administration Form 20-5455 "Taz Aba:ement Certifirate
E. ❑ Applicant is the surviving spouse of an individual who would have qualified for the deduction under this seabn vfien he w she vras alive.
(Age o7 deceazed veferan on date W deafh )
A �App&ant i5 a veteran af WoM War I.
B. ❑App&aM's service is evidenced by ❑ Letter 6om Veterars Adrtenatration cc DepartrnPnt d Defense: or
❑ Disd�arge da�uments
�❑'me assessed valuaGon (at'IO09G) of u,e proveAV ror wnlm um deducem is daimed (may nor ezceed sN1s.`.�Wi 5—
. ❑ The properiy is itre app6wnt's prcdpal residaxe.
E. ❑The app6ant wmed �he pmperiy (ur uas 6uy"mg it un�r oontrac� for at least one year b�o2 the date of tha app6ration.