HomeMy WebLinkAboutVeterans_Huffmannu�
S
e �«
APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
WINI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
State Fwm 12662 (R7 / fi-03)
YmscnEed by Ne DepertmeM W Lacal Govemment Finance
��
INSTRt1CTIONS: 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 deduction under Section Il.)
�°1 ING DATES:
�L PROPERTY: DURING THE 12 MONTHS BEFORE MAY 11 OF THE YEAR THE DEDUCTION IS TO APPLY.
ILE HOMES (&1.1-7): DURING THE 12 MONTHS BEFORE MARCH 2 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO
OBTAIN THE DEDUCTION.
❑ I Totally disabled veteran (or veteran ai least age 62 w'rth et least f0% disabil'rty) or surviving.spouse - Not to exceed 56,000
Comp�ete seaions I, V and VI. (IC 61.1-12-14) � ��� �i �' � i �
�
❑ II Partialty service-connected disabled veteren OR surviving spouse - Not to exceed $12,000 ��. ,1� �; �'
Completa sections II, V and VL (IC 6-7.7-12-13) ��J �'�
❑ III WoAd War I Veteran - Not to exceed E9,000 MAR � � Z004
Complete sections III, V and VI. (IC 61.1-12-17.4)
❑ IV Surviving spouse ot Wodd War I Veteran - Not to exceed 39,000 ��, � �
Comolete sections IV, V, and VI. (IC 6-7 J-12-16) s.�-i� �„ �, p�
e t applicant (fi d, la 1) —"—_ �
��
Address ( e an�,pum er, city a sta Zip r,o�g� �� Counry
U �f� �
Applicant ( does I oes nat ) o property i another individual(s) besides spouse and/or another veteran.
This appliwUon is made for the purpose of obtaining S deduction trom the assessed valuatlon of the following described taxable
prope for the year 20
Tawng DisVict (city, lown, township) Is the property in quesUon: Parcel or Key number
❑ Real Property ❑ Mobile Home (IC 6-1.1-7) � -�
• . . � .. •' ..• 1', • .�
A � Applicant vras a member oi the U.S. {vmed Forces for at leasl 90 days (not necessafiy dunrg �rdr Uma).
Appipnt was honorably discharged.
. Applicant is: ❑ To ' d; ^�
At least age 62 wiM at least 10°,6 disab�
D. ❑ ApplicenYs disadlity is evidenced by te of eligibiliry Gom the Indiana Departrnent of Veterans ARairs;
❑ Pension cerOfinte;
❑ Award ot compensa6on from Veterens Administrafion or Department of Defense; or
❑� Veterans Administradon Fortn 20.5455 `fau Abatement Certificate'
E. � The assessed valuation (at 100%) of the property for whirh the deduGion is daimed (may rrot exceed 5113,000) 5
F. � Applicant is tha wrviving spouu of an individual who would have qualified for the deduction under this secaon when he w she was alive.
(Aga o7deceased veteran on date o(death )
• . � . .
A. ❑ Applicant was a member of the U.S. Artned Forces during any of its wars.
B. ❑ Applirant was honorably discliarged.
G�Applicant has a service-connected disability. ��o//f at least 10%
D. Appiicant's disability is evidenced by �I]C Certificate ot eligibility from the Indiana Department of Veterans Aftairs; '
�
LJ Pension certificate;
� Award of compensation from Veterans Administration or Department of Defense; or
❑ Vete2ns Administralion Fortn 20.5455'Tax Abatement Certificate' ��
E. C�J Applicani is the surviving spouse of an individual who would have qualified for the deduUion under this secUon when ha or she was alive. �
(Age o�deceased veteran on dete o! death )
• . .
A 0 Applkant is a veteran of World War I.
B. Q Applicant's disab0ity is evidenced by ❑ Letter Gom Veterans Administratlon a Departrnent of Defense; a
❑ Disrharge documents
� The assessed valuation (at 700�) of the property for which the deduction is davned (may not exceed 8763,000) 5
�D. � The properry is the apptipnYS prindpal residence.
E. ❑ The appGpnt owned the pfoperry (a was buyirg d under contraa) tw at least one year before the date of this appliption.
• � • �