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Home My WebLink AboutVeterans_Newton •si . rAPPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS State Form 12662(R11/10-08) • .-.1„..,,,- ri. -, Prescribed by the Department of Local Government Finance INSTRUCTIONS: 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) 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 PROPER F ULLEFE it%2)MONTHS BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION. ❑ I Totally disabled veteran(or veteran at least age 62 with at least 10%disability)or surviving spcs rN2IE ant 512.480 -hri/ Complete sections I,V and VI. (IC 6-1.1-12-14) LU IJ (�( 11 Partially service-connected disabled veteran OR surviving spouse-Not to exceed$24,I 0 ( ` Complete sections II,V and VI. (IC 6-1.1-12-13) ❑ III World War I Veteran-Not to exceed 518,720 GIBSON COUNTY AUDITOR Complete sections III.V and VI. (IC 6-1.1-12-17.4) ❑ IV Surviving spouse of World War I Veteran-Not to exceed 518,720 1 Complete sections IV,V,and Vi. (IC 6-1.1-12-16) i x atrt -4c- (6 >v> Ii °- -�APPL(CANT _ '= o•,_I#. ° ..a°Q. t k.:ifrzVi''T€ ._' .y X S; Name of applicant rst, � -r a- `' _- (,/ I Date of birth(month,day,year) l 11 L a _at Address(street and nu J•er,city,state,and ZIP code) County Applicant oes aloes not ) own property with another individual(s)besides spouse and/or another veteran. This application is made for the purpose of obtaining 5 deduction from the assessed valuation t of the following described taxable property for the year 20 /taxi tliict(city,town,township) Is the property in question: I Parcel or Key number p rL ..1 MI--: Property ❑Mobile Home(IC 6-1.1-7) a6•' I .. r D-00a• /80 oa y ,,., l � E .xi. .;:;..s SECTIO ,1 IS Total Disabili :OR at least a e 62 with at least 10%disabui ; ?.$ i F i .- . '� ^ a.( L,rc%' <-'°.';tra.1'a'-..s. . tY '�3 t..tv. :Lt'53.;. A-131,6lpplicant was a member of the U.S.Armed Forces for at least 90 days(not necessarily during wartime). B.❑Appbcant was honorably discharged. C.❑Applicant is: ❑Totally disabled;or �L CI At least age 62 with at least 10%disability D.lippicant's disability is evidenced by: ❑Certificate of eligibility from the Indiana Department of Veterans Affairs; ension certificate; ward of compensation from Veterans Administration or Department of Defense;or Veterans Administration Form 20-5455'lax Abatement Certiiifirate• E.❑The assessed valuation(at 100%)of the property for which the deduction is claimed(may not exceed SIC 160) S 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 or death ) I t e - `aa 1' .-:.,-,., y_'.sly SECTIONIII is Partial Disabili .r -.-•iY . y!S•g;k:::sg Si Wirer A°`>`e..:..,~ ,;.; 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.ptAppticanf'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 i don when he or she was alive. (Age of deceased veteran on date of death ) a w e`zkt,;_ _.. - ] 4 �,.,. - : A h� <;. ._ '-SECTION•111_.Wtirld F. .tom r1. ,.._rr. -':454, . r --Vim.... `. -' -A ❑Applicant is a veteran of World War I. B. ❑Applicant's services evidenced by ❑Letter from Veterans Administration or Department of Defense;or ❑Discharge documents • C.❑The assessed valuation(at 100%)of the property for which the deduction is claimed(may not exceed S206,500) 5 D.❑The property is the applicant's principal residence. I E.❑The applicant owned the property(or was buying it under contact)for at least one year before the date of this application. r. r,z;;.:r .Sr . . °-. ?A Y 1 `a,^•i SECTIONS IV"V,.AHD VI ARE ON REVERSE SIDE '-i", .!' '-*?• f , ,, �, `°; :°°`:=set., lk tv MY`',tv„_"4 F-`_SECTION og 4 Survivins:s'muse of a-World " ""'`- ='c y-.a_!5- yr; .c+yz=c A.❑Applicant is the surviving spouse of an individual who served in the U.S.Armed Forces before November 12,19181. 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. it rt:tr:t�s 'in.c`:4�` ,n + 5-? rLrig- ,.' '_�SECTIONn/ski/Additional lnformation'->-° 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!I another county. ❑ Yes ❑ No Amount$ County Taxing district Second county Taxing district 1-Nv 'y.. :"w� r :-.rr-,'�}tr2;.t _ -- L i_g . a i"SECTION VI a Application Verification and Auditor Sr nature=.�- .* • :#4"Y'i I certify that this application was filed in my office. I certify that the information provided in this application is true and Date filed(mogfh d -) /3 correcL The intentional inclusion of false information on this form is / a criminal violation under IC 6-1.1-37-3 or 4. Signature of auditor . / r' Signatu pbcant o r legal regetar Name of di[ar( _or f he- VETERAN'DEDUCTIONIWORKSHEET: '%tc-2 , y1 4.•_-ci_ 20 20 I 20 1. Total Disability(512,480) 2. Partial disability(524,960) 3. WWI Veteran(518.720) 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 lees 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.