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Home My WebLink AboutVeterans_Weyer 1 APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, /,(,! 1 WWI VETERANS AND SURVMNG SPOUSES OF CERTAIN VETERANS Sate fan 126e2(R12,5-12) Presorted by the DepatM at to Goverment F �rn�•,1g�ppp—��(ps/ INSTRUCTIONS: spo ease check ecempdatdeduction under Se to fax may nt deduction.(More a than one box may be $��www��►eeBr,a spouse who receives a deduction order Section IV may not receive a deduction under J Y X FILING RATES: R Atl .J MEAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION ASSESSED SOUGHT. MOBILE HOMES 31 OF 6-1.1-7)H EAR FOR W NOT WIEST REAL PROPERTY:DURING THE TWELVE(12)MONTHS BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION. II II 9 ❑I Totally disabled veteran(or veteran at least age 62 with at bast 10%disebtty)or surviving spouse-Not to,LUBM513480 2013 Complete sections I.V and VI. (IC 6-1.1-12-14) aII PaNaly service-connected disabled veteran OR sure ving spouse-Not to exceed$24,960 Complete sections II.V and VI. (IC 6-1.1-12-13) y (lea- 0III World War IVeteran-Habexceed 518,720 GIBSON COUNTY AUDITOR Complete sections III,V and VI. (IC 6-1.1-12-17.4) ❑N Survg spouse of World War I Veteran-Not to exceed$18,720 Complete swats N,V.and VI. (1C 6-1.1-12-16) APPLICANT Name of eppicard(firs,middle,taw) JASON JOHN WEYER Applicant 4__tdoes adoes not) own property"nth another individual(s)besides spouse and/or another veteran. This application is made for the purpose of obtaining$ deduction lean the aceecced valuator,of the following described taxable property for the year 20 . '7 /� T township) Is the Property in queamn: Parcel oa�i/maynumd/Z 3 O �v+"15 /3_Va1 .� I❑Real Property ❑Maple Home DC 6-1.1-7)I (JC �-" /Q"J(j^. .) Z..W / A❑Appfrad was a mentor of ore U.S.Amend Fours for at least 90 days Mat necessarily dai9 we ens), B.❑Appfv1t eras horrrably d.aged. C.❑A1446oenti= ❑Tony SvbhS;a ❑Al least age tie with at least 10%6sstety D.❑Appfcarfs<haWys evidenced by ❑CertTrateo steady tom delydereDepatwitof Veterans Marc ❑Pasco mUlrtre: ❑Awed dwmpalsalOn from Veterans Atrrurstraton or Department of Defense;or ❑Veterans Atrms4 Form 20-5455 Tax Abatement Certificate' E. The assessed value dal d tie LTrgele property the/parent vine does not exceed 5143.1W.Dwda9oaa clamed 5 F. App♦cana 6 the arriving spouse of an m11 pal vita would Few qualified for the deduce=under this section when he or the was ewe. (Aged deceased Kaaren on date ddeath ) SECTION II -Partial Disability A.a Applicant was a merrier of the U.S.Armed Forces during any of its wars. B.a Applicant was honorably discharged. C.a Applicant has a service connected dainty of at least 10% D.a Appfrarlt's dsabSty is evidenced by. ❑Certscate of eigiblliy from the Indiana Department of Veterans Affairs: ❑Pension certi al% a Award of compensation from Veterans Adrtmristrabon or Department of Defense;or ❑Veterans Administration Pam 20-5455 Tax Abatement Certificate' E.❑Applicant is the surviving spouse of an individual who ward have quelled for the deduction under this section when he or she was ewe, (Age of deceased veteran on date of death ) SECTION III -World War I Veteran A❑Appbre is a veteran of World We L B.❑t4c6 lys service is evidenced by ❑Leta from Veterare A6tastratim or Dryaenad at Deena or ❑DsCVge moment C.0 The assessed vafetm of tie property kr whin the deduction is duped(nay not Meet 5206.500f$ D.❑The pnperty s the eppi®dt papal reside®. s E The appfceN deed Me property(a was buyr9,t nder nomad)for a lead one yea'before the as d Ps app(raton. SECTIONS IV.V.AND W ARE ON REVERSE SIDE RECEIPT FOR APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERAN,WWI VETERAN OR SURVIVING SPOUSE OF CERTAIN VETERANS I certify that the applicant Ned on this date an application for the following deductions described on State F or 2: ❑SECTION I ECTION II D SECTION III ❑SECTION N JUL 3 2013 Nave of applicant(Gsi,nacelle last) Na� IACDN IQHN WFVFR i PaatSgyPumq�s _.vG_ R Ce 1 3i g.0a f Date(malth.day.1-3e ON COU TY AUDITOR SECTION IV - Surviving Spouse of a World War I Veteran A❑App4ant is the surviving spouse of an indivickod wtno served in the U.S.Armed Forces before November 12,1918. B.❑The service of the deceased spwse is evidenced by ❑Letter from the Veterans Adninsaation or the Department of Defense:or ❑Honorable discharge documents C.❑The deceased apace received an honorable distltarge. A. Applicant owns the property on wHtlt the deduction is claimed or is buying it under contract that provides that the appicent is to pay be property taxes, which contract or a memorandum of the contract is recorded N the County Recorders office. Rend number page 8.❑Applicant has applied or intends to apply for one or more of Hesse detudaons on other property in this county or in another Monty. ❑Yes ❑No Amount S Canty Taxing dstd Second county Taxing dated SECTION VI • Application Verification and Auditor Signature I certify that this application was fled in my office. I certify that the infomtatiOn provided in this application is true and Data Ned((l4.4y, l correct.The intentional inclusion of false information on this form is //// a criminal vitiation under IC 6.1.1-37-3 or 4. Signature of Mu e f Q Sg re d t a legal representative Name W MyrRy/editor(typed / �--7� /U� VETERAN DEDUCTION WORKSHEET Cn.!/)Y l\ 20 20 20 1. Total Disability(512.480) 2. Partal dsab0ty(524.960) 3. WWI Veteran($18,720) 4. WWI savivng spouse(518,720) 5. Total deduction available(add b»s 1,2,3 and 4) 6. Annum applied to real estate key number 7. Mount applied to personal property duplicate number B. Mount applied to mobile home dupeceta number 9, Total deduction applied to taxable property(add fires 6.7 and 8) 10. Deduction available for excise'(suboact 6m 9 horn the 5) 11. Excise oath '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 5100.00 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.