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HomeMy WebLinkAboutVeterans_Thompson �'""•.a APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, °�, 1 WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS \t- T State Form 12662(R12/5-12) \w:' Prescribed by the Department of Local Government Finance INSTRUCTIONS: Please check appropriate box(es)pertaining to tax deduction. (More than one box maybe checked;however, a surviving spouse who receives a deduction under Section IV may not receive a deduction under Section II.) FILING DATES: REAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT. ' MOBILE HOMES (IC 6-1.1-7)OR MANUFACTURED HOMES NOT ASSESSED AS REAL PROPERTY: DURING THE TWELVE(12)MONTHS BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION. Q I Totally disabled veteran(or veteran at least age 62 with at least 10%disability)or surviving s - t to 480 Complete sections I,V and VI. (IC 6-1.1-12-14) © II Partially service-connected disabled veteran OR surviving spouse-Not to exceed 524,960 Complete sections II,V and VI. (IC 6-1.1-12-13) MAY 1 6 2011 ❑ III World War I Veteran-Not to exceed$18,720 Complete sections III,V and VI. (IC 6-1.1-12-17.4) n, ID Surviving spouse of World War I Veteran-Not to exceed$18,720 JTwILI Complete sections IV,V,and VI. (IC 6-1.1-12-16) GIBSON COUNTY Name of applicant jl,-s�t,m�iddnle�,last) Address(street and nuCmber�,ci y,state,and code) ^ ,1 ,r / County �� � 5 7 i /.l�r.� 1�Li Q/Y/l/� �7�0� b Applicant (does ❑does not) own property with another individual(s)besides spouse and/or another veteran. This application is made for the purpose of obtaining$ 379 L1 / (Th deduction from the assessed valuation of the following described taxable property for the year 20 . Taxing District(city,town, township) Is the property in question: Parcel or Key number ❑Real Property ❑Mobile Home(IC 6-1.1-7) , 4,-O -03-900 ar) a O SECTION I - Total Disability OR at least age 62 with at least 10%disability .. A.Applicant was a member of the U.S.Armed Forces for at least 90 days(not necessarily during war time). B.❑Applicant was honorably discharged. C.❑Applicant is: otally disabled;or Al least age 62 with at least 10%disability D.❑Applicant's disability is evidenced by: Si'Certificate of eligibility from the Indiana Department of Veterans Affairs; /tension certificate; A Award of compensation from Veterans Administration or Department of Defense;or ❑Veterans Administration Form 20-5455'Tax Abatement Certificate' E.❑The assessed value of all of the tangible property the applicant owns does not exceed$143,160. Deductions claimed 5 F. ❑Applicant is the surviving spouse of an individual who would have qualified for the deduction under this section when he or she was alive. (Age of deceased veteran on date of death ) SECTION II - Partial Disability ' . • - . A. ❑Applicant was a member of the U.S.Armed Forces during any of its wars. B. ❑Applicant was honorably discharged. C.❑Applicant has a service connected disability of at least 10% D.❑Applicant's disability is evidenced by: ❑Certificate of eligibility from the Indiana Department of Veterans Affairs; ❑Pension certificate; ❑Award of compensation from Veterans Administration or Department of Defense;or ❑Veterans Administration Form 20-5455'Tax Abatement Certificate' E. ❑Applicant is the surviving spouse of an individual who would have qualified for the deduction under this section when he or she was alive. (Age of deceased veteran on date of death ) - - _ - SECTION III.' World War 1 Veteran • • - - - -A. ['Applicant is a veteran of World War I. B. ❑Applicant's service is evidenced by. ❑ Letter from Veterans Administration or Department of Defense;or ❑ Discharge documents . C.❑The assessed valuation of the property for which the deduction is claimed(may not exceed 5206,500) 5 D.One property is the applicant's principal residence. E. ❑The applicant owned the property(or was buying it under contract)for at least one year before the date of this application. • . . - SECTIONS IV,V,AND VI ARE ON REVERSE SIDE -- SECTION IV - Surviving Spouse of a World War I Veteran . . A. ❑Applicant is the surviving spouse of an individual who served in the U.S.Armed Forces before November 12, 1918. B. ❑ The service of the deceased spouse is evidenced by: ❑ Letter from the Veterans Administration or the Department of Defense;or ❑ Honorable discharge documents C.❑ The deceased spouse received an honorable discharge. SECTION V - Additional Information A. ❑ Applicant owns the property on which the deduction is claimed or is buying it under contract that provides that the applicant is to pay the property taxes, which contract,or a memorandum of the contract,is recorded in the County Recorder's office. Record number page B. ❑Applicant has applied or intends to apply for one or more of these deductions on other property in this county or in another county. ❑ Yes ❑ No Amount$ County Taxing district Second county Taxing district SECTION VI - Application Verification and Auditor Signature I certify that this application was filed in my office. I certify that the information provided in this application is true and Date filed(month, day,year) •correct. The intentional inclusion of false information on this form is -51/6—/ -7 a criminal violation under IC 6-1.1-37-3 or 4. Signature of county auditor S Age rri Srn b Signature of ppr nt or I al representative Name c my auditor(t reed or+vdtte VETERAN DEDUCTION WORKSHEET 20 20 20 1. Total Disability($12,480) 2. Partial disability($24,960) 3. WWI Veteran($18,720) 4. WWI surviving spouse($18,720) 5. Total deduction available(add lines 1, 2, 3 and 4) 6. Amount applied to real estate key number 7. Amount applied to personal property duplicate number 8. Amount applied to mobile home duplicate number 9. Total deduction applied to taxable property(add lines 6, 7 and 8) 10. Deduction available for excise(subtract line 9 from line 5) 11. Excise credit May be used as an excise tax credit on either the Motor Vehicle Tax (IC 6-6-5-5)or Aircraft License Excise Tax (IC 6-6-6.5-13) calculated at$2.00 per$100.00 for cars and for aircraft [see 6-6-6.5-13(e)] of unused veteran's deduction. The information contained on this form is CONFIDENTIAL according to IC 6-1.1-35-9. ""'� APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, ����� F WINI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS Slate FOrm 72662 (R11/70.08) � �, Preuribed by �he DepartmeM a( Loml Gwemment Finanoe DEC 1 3 2012 INS7RUCTIONS: Please check appropriafe box(es) pertainiiq to tax deduc6on. (More than one box may be cherked; however, a surviving spouse who receives a deduction under Section IV may not receive a deduction under Sectlo�lf�, Iv� FILING DATES: REAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT. MOBILE HOMES (IC Crt.t-7) OR MANUFACTURED HOMES NOT ASSESSED AS REAL PROPERTY: DU�2IA�QNL�PN�L��O�J�tT7@RTHS BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INJIVIDUAL WISHES TO OBTAIN THE DEDUCTION. � I Totalty disabled veteran (or veteran at least age 62 with at least f 0% dise6ifity) or surirving spouse - Not lo arzceed 512,480 Complete sections I, V anE VL (IC Gt J-12-14) �II Partially service-connected disaWed vateran OR surviving spouse - Not to ezceed 524.960 Complele sections II, V and Vi. QC G1.1-12-'13) �� ❑ III Wortd War I Veteran - Not to exceed 518,720 � Canplete sections III, V antl VL (IC 61.1-12-17.4) ❑ N Surviving spousa af World War I Veteran - Not to ezceetl 518,720 Complete sections N, V, and VI. (IC 61.7-12-16) Name of appGrant (firsf, middle, las� ' �� i %�/�'7 / ! Q � �"N� � Applicant ddoes Qdoes not � own praperty with another intlividual(s) besides spouse andlor anoNer vete2n. t� oa This application is made for the purpose of obtaining S�J�'� T�/ deduction from the assessed valuation o( ihe folbwing described taxable property fa Ne year 20_ Taxirg District (city, towq fownshiP) I Me pmperry in question: Parcel w Key number �i P�oaenr ❑ Mobile Hwne (IC 6-1.1-7) d, 65'- L- Li0 ��t59.3aad . � .- � A� App6cant xas a member af the U.S. Artned Fofces for at least 90 days (rrof necassanly during wer time} 8. �1-71App6cant vras honorady discha�ged. C. y�App5raM'a: ❑ TotaOy Qisabled: or � At laast age 62 wi�tah at I�st 10% disabi6ty D. � App6canYs dsabsty a evidenced by: n1 Certificate of tligibitiry from the Indiana Departrnent of Veterans Affairs; ❑ Pension certificate; ❑ Award of tanpensatlm from Veterans Administratim m Departmerri of De`ense; or ❑ Veterans Administratbn Fortn 265455 Tarz Abatemrnt Certficate' E. Q The assessed raWation (at 100%) af ihe properry for wlrich fhe deduction is daimed (may Irot exceed $143,16� S F. �AppGCant is tt�e wrviving spouse af an'uWividual who would have qualified fw the deCudion under iha section when he or she was alive. (Age d demased vBteran on date d deffih ) • . � . 0.,�Appiicant was a member of the U.S. Artned Forces durifg any of its wars. B. �Applirant was honwably discharged. C. �Applicant has a serrice connected disabiliry of at least 10% D. 7[�Applicant's disability is evidenced by �Certificate of eligibiliry from the indana Department of Ve[erans Aftairs; ❑ Pension certificate; ❑ Award of compensation from Veterans AdminisVafion or Departrnent of Defense; w ❑ Vetuans Administretion Fortn 20-SS55 "Ta�c Abatement Certiflcate' E. ❑ Applicant is the wrviving spouse of an individual who vrould have qualfied for the deduction under this sec[ion when he w she was alive. (Age o! deceasetl veteren on dafe d death ) • A❑P.pp&ant "s a veteran of World War 1. B. ❑App5canYs servim is evider�ced by ❑ �etter from Veterans Adminishztion or Departmanl d Defense; or ❑ Dadiargetlonimenis C. ❑ TTe assessed valuatlon (at 70096) ot ihe pmperty (or wluch the dedudion is daimed (may rm( exceed 8206,500) S D. ❑ The propefty is Nie appGranPs prvx�al residence. E. Q The app6nnt amed ihe pmpaty (a was buying if inder contrac� for al least one year before the date of tha app6cation. • � • �