HomeMy WebLinkAboutVeterans_Coomer�" APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
` � WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
�, � f SWte Fortn 72662 (R9 7 5-08)
�...
Prescribed by the Depanment of Local Govemment Ffnance -�-1
�RUCTIONS: Please check appropriate box(es) pertaining to tax deduction. (More than on� �y e cheGKe�,� we r, a surviving
spouse who receives a deduclion under Section IV may not receive a deduc un r ecY ll.�
FILING DATES:
REAL PROPERTY: DURING THE 12 MONTHS BEFORE JUNE 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 FOR WF�(�TK�EgIJCJ1�I�UAL WISHES TO
OBTAIN THE DEDUCTION.
❑ I Totally disabled veteran (or veteran at least age 62 vnth at least 70% disabilityJ or surviving spppye - M��eed 512,48G
Complete sections i, V and VI. QC "0-7.1-12-14) ��� �
❑ II Partially service-connecied disabled veteran OR surviving spouse - Not to exceed 52q�lBSON COUN7Y AUDITOR
Complete sections II, V and VL QC 6-1.1-12-13)
❑ III Worid War I Veteran - Not to ezceed 578.720
Complete sections fll, V and VL QC 6-7.7-t2-77 4)
❑ IV Surviving spouse of World War I Veteran - Not to exceed 578.720
Complete sections IV, V, and VI. (IC 6-7.1-72-16)
Na e of � nt (first, mid /Y ,��
Address (st2et a number, cdy, state, IP e County
Appliwn ( does I does not ) own p vrith another individual(s) besides spouse andlor anoNer veteran.
This appliwuon is made for the purpose of obtaining E � deduction f�om the assessed valualion ot the following described taxable
property for the year 20_ �
T xin Di tri city, to , towns �) I th roperty in question: Parcel or Key number
� �al Properry ❑ Mobile Home (IC G7.1-7) a�, - � a_ �q -aoo .�. �� i 7
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A � Appficant �ras a member of ihe U.S. lvmed Forces for a[ least 90 days (not necessarily dunng war fime�
B. ❑ App6nnt vas haiaabiy disdiarged.
C. ❑ Apanrri is: ❑ Totapy disaded; w .
❑ At least age 62 with at leasl 10°,6 disabilily
D. ❑ ApplinnPs disability is eNdenced by � Certifxate of e6gib8iry from ihe Indiana Departrnent W Veterans ARairs:
❑ Pensim cettifinte;
� Avrard of canpensation (rom Veterans Adrtmiistration or Departrnent of Defense; w �
❑ Veterans Administra�on Form 20.5455'Tax Abatemerrt Certifiq[e'
E. ❑ The assessed valua�m (at 100 %) ot fhe property tor whi�h ihe deductim is dairt�ed (may �I exceed 5113.000) S
F. 0 Applican� is tlie survivuig spouse of an indi�ridual who would have qualified fw the deduction under this section when he or she was alive.
(Age of deceased veteran on date W dearii )
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A Applicant was a member of Ihe U.S. Artned Fwces during any of its wars.
B.,,G �Applicani vras hoirorably discharged.
C.�L�ppiicanl has a service-connected disability of at least 10%
D� ❑ Applicant's disability is evidenced by: ❑ Certifi�ate of eligibiliry from the Indiana Departrnent of Veterans Aftairs;
❑ Pension certificate; �
❑ Award of compensatlon from Veterans AdminisUatlon or Department of De(ense; or
❑ Veterans Adminisiralion Fortn 20-5455'Tax Abatement Certificate'
E. 0 Applicant is the wrviving spouse of an indiviAuai whn wnuki have qualified for the deduction under this section when he or she was alive.
(Age oI deceased veteran on date o1 deafh 1
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�Appficarri is a veteran ot World War I.
Appifc-arrt's disab3ity is evidenced by ❑ Letter from Veterans Adrtunistrauon a Department of Defense: or
❑ Disrharge dowments
C. ❑ The assessed valua6on (at 700°6) of Ne pmperty fa whu3� ihe deduc6on is daimed (may not exceed $163,000) S
D. ❑ The property is ihe applicant's prmdpal residr,nce.
E. � The appGcant wmed me property (w wds buying it urrdcr cormaa) fw at least «,e year eef«e me dace ot mis appicatim.
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