HomeMy WebLinkAboutVeterans_Munro"'^ APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, .
c 4 WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
• . State Form 72662 (RN / 10-OB)
S Presaibed by Ihe DepaNnmit of Loml Gwemment Finance
�STRUCTIONS: Please check appropriate box(es) peRainim� to tax deduc6on. (More than one box may be checked,� however, a surviving
spouse wlro receives a deduction under Section IV may not receive a deduction under Secfion il.)
FILING DATES:
REAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT.
MOBILE HOMES (IC �1.1-7) OR MANUFACTURED HOMES NOTASSESSED AS REAL PROPERTY: DURING THE TWELVE (72) MONTHS
BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION.
� I Tofally disabled veteran (or veteran af least age 62 wAh at least 1� disa6ility) or surv'rving spouse - No[ to exceed 512,480
Complete sections I, V antl VI. QC 6-1.1-12-14)
❑ II Paroalry service-connected disabled veteran OR wrv"rving spouse - Not to exceed 524,960 �
Complete sections 11, V and VL QC G1.1-12-13)
❑ III World War I Veteran - Not to exceed 578.720
Complete sections III, V and VI. (IC G7.1-12-17.4)
❑ N Survrving spouse of Wortd War I Vete2n - Not to exceed 518.720
Complete sections N, V, and VI. (IC E1.1-12-16)
Name of applirant (9 , m' !e, la� �
Address (streetandnumber, d, state, eM IP � � � CoOunty ^ .
Q �jvi^� _ _ _
J O'r�
Applicant �dces �loes not ) own property vrith another individuat(s) besides spouse arW/or another veteran.
This application is made for the purpose ot oblaining S�y��__ deduction from the assessed valuation o( ihe tolbwing dascribed tanable
proPerty fw the year 20 °� �—�/ ' Q -36 QQ (p �°�
Taxing Oistrict (city, town, township) Is the property in question: Parcel w Key num�er
❑ Real Property ❑ Mobite Home (IC 6-1.1-7)
• � �" �' -•y. _
❑ Appficant was a memher d fhe U.S. Artned Forces fw at least 90 days (not rre[assanly dur"vx] war6me�
B. Q App&ant wa5 Mnaady distha�ged.
C. �%��rt's: ❑ TotaDy disabled: or
❑ At least age 62 wi�h at 1a35t 10% disabitity
D. ❑ AppfcanPs SisaWLH is e�ridenced by ❑ Cerlifimte of eligibitity from ihe Indana DeparVrrent of Vete2ns Aftairs;
❑ Pension c�rti&a�:
❑ Award of mmpensation from Vete(ans Adrrmiistraban m DePartmerd of De`ense: w
❑ Veterans Administration Fwm 265455 Tax A6atemrnl Certifipte'
E. Q The assessed valuation (at 100%) ot �he property for whid� fhe tleduction is claimetl (may irot exceed 5143,16� S
F. QAppGcant is ihe surviving spouu of an uidividual who xvuld have qualified fw the deducfion under this sedion when he w she was alive.
(Age d deteased veferan on date d death )
. . .
A. � Applicant was a member of the U.S. Artned Forces during any of its �ra2.
B. 0 Applirant was hrnorably discharged.
C. ❑ Applirant has a service conneded disabiliry of at least 10%
D. Q AppGcant's disabifity is evidenced by ❑ Certfrca:e of eligibility from the Indiana Department of Veterans Affairs;
�❑ P sion certificate;
rd of compensabon from Veterans Administra6on w Departrnent of Defense; or
❑ Veterans Administretion Form 20-%55 "Ta�c Abatement Certificate
E. ❑ Applirant is Ne wrv'rving spouse of an individual who would have qualified for the deductbn under this sec[ion when he w she was aiive.
(Age W deceaserl veferan m date W deafh )
- •
A❑App&ant is a veteran o( World War I.
B. ❑App6canPS service is evidenced by. ❑ Letter from Veterare Pdrtrinshation or Depariment o( Defaise; or
❑ Drsdiargedowmenfs
�. ❑ rne �essed �n,ano�, (ac i00%) of ine v�aeNr �r wrrid, me dea��or, a c�med (�yr,or a�d szo6,soo� 5
D. Q The pmperty is the appfiranYs pruxipal rnsitlence.
E. Q The app5nnt o.med the pmperty (or �ras buying it u�der oontrac� fw at least one year before the date of tha apptication. .
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