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Home My WebLink AboutVeterans_McCandless�„ ., �_ �: '�� y �: � . �� ABPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, INWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS State Fortn 126fi2 (R8 / 4-04) Prescribed by the Department of Local Govemmeni Finance I�!57RUCTIONS: 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 deducfion under Section ll.) .JG DATES: REAL PROPERTY: DURING THE 72 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 F01iStT11IDH i#tE 1Id�1V�D�,4�MISHES TO OBTAIN THE DEDUCTION. {L Y Y � I Totally disabled veteran (or veteran at least age 62 wi�h at least f 0% disability) or Complete secfions I, V and VI. (IC 6-1.1-12-14) JUL 1 7 2007 � ❑ II Partially service-connected disa6led veteran OR surviving spouse - Not to exceed 524,960 � Complete secfions II, V and VI. (IC 6-1.1-12-13) ❑ III World War I Veteren - Not to exceed 518,720 �a� � Complete seclions III, V and VI. (IC 6-1.1-12-17.4) (/ �' ❑ IV Surviving spouse ot World War I Veteran - Not to exceed 518,720 ��BSON COUNTY AUDITOH secUons N, V, and VI. (IC G7.1-12-1 Name of applicant (first, �d e, lasf) n c� Address (st t and num r, cit�szt�te, ZIP co )' � d� a Ui� Applicant ( does / does not ) ovm property with another individual(s) besides spouse and/or anofher veteran. This application is made (or the purpose of obtaining 5�'S` (�!i deduction 6om the assessed valuatlon of ihe following desaibed laxable property forthe year 20 T' 'striy' (r�w r t n ip) Is the property in queslion: Parcel or Key numb ❑ Real Property ❑ Mobile Home (IC 6-1.7-7) , • . . � . . • • • . . . • . . - 1 ' . . � AppGcant was a member of the U.S. Armed Forces fw at least 90 days (not necessanly dunng war 6me). B. ❑ AppGcant vras honorably discharged. C. � Appticant is: � TotaOy disabled; a ❑ At least age 62 wiih at least 10% disability D. 0 AppipnYs disability is e�ridenced by ❑ Cenifinte of eligibiliry Gom the Indiana Department of Velerans Aftairs; ❑ Pension certifipte; ❑ Awart1 of mmpensation from Veterans Adminishation or Departrnent of Defense; or ❑ Veterans Administra6on Form 20.5455'Tax Abatement Certficate' E. 0 The assessed valuation (at 100%) o( ihe property for which ihe dedudion is daimed (may rrot exceed 5713,000) S F. � Applicant is the surviving spouse o( an individual who would have qualified (or the deduction under Utis section when he or she was alive. (Age of deceased veteran on date of death ) A. � Applicant was a member of the U.S. Armed Forces during any of its wars. 8. ❑ Applicant was honorably discharged. C. ❑ Applicant has a service-connected disability of at least 10°/a D. � ApplicanCs disability is evidenced by: ❑ Cedificate o( eligibiliry from the Indiana Department of Veterans A(tairs; ❑ Pension cerlificate: ❑ Award of compensation from Veterans AdministraGon or Department of Detense; or ❑ Veterans Administrafion Form 20-5455'Tax Abatement Certificate' E. � Applicanl is the surviving spouse of an individual who would have qualified (or Ihe deduction under this sectlon when he or she was alive. (Age o/deceased veteran on date oJdeath 1 A � Appticant is a veteran of Wwld War I. AppGpnPs disabifily is evidenced by ❑ Letter frwn Veterans AdministraGon or Departrnent o( De(ense; or ❑ Disrharge documents C. U 7he assessed valuation (at 100Y,) of the pmperty for which the deduc0on is daimed (may not exceed 5763.00� 5 �� 1Tie property is the applicanfs pAndpal residence. � - -- �. - E� � The applicant owned fhe property (a was buyirg d under confract) for at teast one year betwe the date of this appGption.