HomeMy WebLinkAboutVeterans_Frizzell,
'l `�' , APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
"� � WWI VETERANS AND SURVMNG SPOUSES OF CERTAIN VETE �^ �
`.: � State Form ,2662 (R8, 5-06) `� I � �
�«.
Prcunbed by the Departrne+rt of Local Govemment Finance
�RUCTIONS: Please check appropriate box(es) pertaining to tax deduction. (More than one box may be checked; hOkfdYer, a swviving
spouse who �eceives a deduction under Section IV may not receive a deduction under �j�n 8.)b LUU�
FI�ING DATES:
REAL PROPERTY: DURING THE 12 MONTHS BEFORE JUNE 11 OF THE YEAR THE DEDUCTION IS TO �PLY. /t
MOBILE HOMES (6-1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FOR WHICH T�jEyADifllVtD�WISHES TO
OBTAIN THE DEDUCTION. ��
CaIgSON COUNTY AUDITOR
❑ I Totaily disabled veteran (or veteran a(least age 62 vn(h a( least 10% disabiliry) or surviving spouse - Not to exeeeU"512:4
Complete sections I, V and VI. (IC 6-7.1-72-74) /� �
� II Partially service-connected disabled veteran OR surviving spouse - Not to exceed $24,960 /
Complete seUions 11, V and VI. (IC 6-7.7-72-73)
❑ IIl Wodd War i Veteran - Not to exceed 518.720
Complete sections III, V and VI. (IC 6-1.7-72-17.4) -
❑ IV Surviving spouse of Wortd War I Veteran - Not to ezceed 578,720
Complete sections IV, V, and VI. (IC 6-7.1-72-16)
Name of applicant (�rs4 middle, last)
C;Ni2/S% 0�HER J; F P� z Z E LL
Address (street arrd number, city, stafe. ZIP code)
'�i �'f l� IF_ S7 S%. ��F /-/A uR S iAd'i %. 1�1„ 4"
( dces / dces nM ) own property with arrother individual(s) besides spouse arW/or anoNe� veteran.
County�
�
)c1 C�/_n Co
applicalion is made for Ihe purpose o( obtaining S o( 7 /1U `'' deduUion from the assessed valuation of the following described taxabte
for the year 20_
Distrid (cily, tawn, township)
Is the property in question:
❑ Real Properry ❑ Mobile Home (IC 61.
App6cant xas a member of tlie U.S. Armed Faces for at least 90 days (rat necessarily during war 6me�
B. � AppGcant �ras honoraWy disdiarged.
�C. 0 AP7�itant is: ❑ TWaDy disaded; or
❑ At least age 62 wiih at least 10% di5abtliry
D. � AppticanYs disatvlily is evidencec —
E. O The ==^^"=" valuatim (at 1 W9',
F. 0 Applinnt is ttie surviving spouse �
(Age ol deceased vefe2n on date
A,�3 Applipnt was a member of the
8. �. Applicant was hono2bly discha
C. � Applipnt has a service-connec1
D. � ApplifanYs disability is evidencf
E. ❑ Applicant is the surviving spousf
(Age o7 deceased veteran on dal
�,����(l�iu� l�
�S ' �'`�
/� � �
G��_-/% �a'c�G�" �?�%�o _ p�/
�� ,. � 2�g��
G� �;.; �o
.. �, . ���' , e�,
��
Applicant is a veteran of Wald War I.
nppfinm's drsabddy is evrclenced by
/,d p'ca D9
abgindiana.com � 888-290-1206
number
❑ Letter fran Veterans Administration a Departrnerrt ot Delense; a
rs;
of Defense; or
� or she eras alive.
ftairs:
:nt of Defense; or
ien he or she was alive.
❑ D'6dialge doamenis
C. ❑ The assessed valuation (at 700°b) of the property fw which the deducfion is daimed (may not exceed 5763,000) S_
D. ❑ The propeity is the ap�cant's prvuipal residence. -
E. ❑ The ap�kant owned tlre poperry (or was buy'ux� it urder corr6-act) fw at leasl me year before the date oi ihrs appliw6or�