HomeMy WebLinkAboutVeterans_KinsallAPPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
� i,� � W�1(I,VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
;:_ �� �State Form 74fi62 (RB / 4-04)
�� Prescribed 6y the artment of Local Govemment Finance
i^�STRUCTIONS: Please check propriale box(es) pertaining to tax deduction. (More Ihan one 6ox may be checked; however, a surviving
spouse who recejves a deduction unde� Section IV may not receive a deduction under Section ll.)
. _ NG DATES: '
REAL PROPERTY: DURING THE 12 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 FOR WHICH THE INDIVIDUAL WISHES TO
OBTAIN THE DEDUCTION.
❑ I Totally disabled veteran (or veteran at least age 62 wifh af least f 0% disability) or surviving spouse - Not to exceed 572.480
Complete sections I. V and VI. (IC 6-7.1-12-i4)
❑ II Partially service-connected disabled veteran OR surviving spouse - Not to exceed 524,960
Complete sections II, V and VI. (IC 6-7.1-72-13)
❑ III WoAd War I Veteran - Not to exceed 518,720
Complete sections 111, V and VI. (IC 6-1.1-12-17.4)
❑ IV Surviving spouse of World War I Veteran - Not to exceed 518,720
last)
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V, and VI. (IC &1.1-
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( does / does not ) ovm property with another individual(s) besides spouse and/or another veteran.
This application is made for the purpose of obtaining S"� y 9� O deduc6on from the assessed valuation of the following described laxable
property for the year 20�. � '� I _ �� _ 1 1_'�r� , rYV� RU '] _ n �
r�I Is the�roperty in question: -° Parcel or'.
�� �ZI Property � Mobile Home (IC 6-1.1-7)
�� Appficant was a member of the U.S. Artned Forces for at least 90 days (not necessanty dudng� var fim . �
B. ❑ Applipnt vras honorably discharged. ,
C. ❑ Applicant is: ❑ Totally dsabled; or -
❑ At ieast age 62 wiN at least 10°/ disabiliry
D. O AppGpnYs disaWliry is evidenced by ❑ Cenificate of e6gibility from the Indiana Departrnent of A(fairs;
❑ Pension certifipte;
❑ Award of compensation from Vete2ns Administration w Departrnenf of Defense; or
❑ Veterans Administration Form 20.5455'Tau Abatement CerUficate'
E. ❑ The assessed valuation (at 100%) ot the property for vfiich ihe deduction is da"uned (may not exceed $113,000) $
F. � Applicant is the surviving spouse of an individual who vrould have qualified (or the deduction under this sedion when he w she was ative.
(Age oldeceased veteran m date of deafh 1
A. � Applicant was a member ot the U.S. Armed Forces during any of its wars.
B. ❑ Applicant was honorably discharged. '
C. 0 Applicant has a service-connected disabiliry of at least 70°/,
D. ❑ Applicanfs disability is evidenced by: ❑ Certificate of eligibility trom the Indiana Department of Veterans Atiairs;
❑ Pension certificate;
�❑ ward of compensaGOn from Veterans AdminisVation or Department of Oefense; or
eterans AdministraUon Form 20-5455'Taz Abatement Certificate'
E. 0 Applicant is the survrving spouse of an individual who would have qualified for 1he deduction under this sectlon when he or she was alive.
(Age o/deceased veteran on date o/deafh )
A LJ Applicant is a veteren of Wafd War I.
�7 AppticanYs dsabiGry is evidenced by. ❑ Letter from Vete2ns P.dm"vtistration or Department of Defense; w
❑ Disrharge documenls
C. ❑ The assessed valuation (at 100°/ ) of ihe pmperty for which the deduction is daimed (may nof exceed 3163,000) S_
D. ❑ The property is the appliqnt's prindpal residence.
E. � The applinnt owned the property (w was buyirg d under conbact) (or at least one year before the date of Nis application.