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HomeMy WebLinkAboutVeterans_Sives APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS, 41 WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS State Form 12662(R13 I I-13) Prescribed by no 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 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 r L 02 ONT O ) MARCH 31 OF EACH YEAR FOR WHICH THE INDMDUAL MASHES TO OBTAIN THE DEDUCTION. ❑I Totally disabled veteran(or veteran at least age 52 teeth at least 10%disability)or surviving spouse-Not to exceed$12,480 Complete sections 1.V and VI. (IC 6-1.1-12-14) JUN II Partially service-connected disabled veteran or surviving spouse-Not to exceed 524,960 2 3 2014 Complete sections II,V and VI. (IC 6-1.1-12-13) ❑III Wald War I Veteran-Not to exceed S18,720 Complete sections III,V and VI. (IC 6-1.1-12-17.4) ❑IV Surviving spouse of World War l Veteran-Not to exceed$18,720 GIBBON COUNTY AUDITOR Complete sections IV,V,and VI. (IC 6-1.1-12-16) • Nyeu of app4unt Wert nsiddte,/asQ Aodnaa(nvma r end Weet.cog titer and ZIP code) Coin�. j L-4rbso4 Appicant (®does ❑does not) own property with another individuals)besides spouse and/or another veteran. This application is made for the purpose of obtaining S deduction from the assessed valuation of the totowing described taxable property for the year 20_ (It applicant desires that deduction be split among additional pmpertes,list those properties on additional sheet and attach it to this application.) Tad,q Diet-sot(coy,town,lownshap) I Is the properly in question: Parcel or Key number R40—19_ I S? -Z O l _n n n 7//0!� Property ❑Mobile Home(IC 6-1.1-7) I c'1-/y-/g- 20 /-Coo 7/(o -co 7 A❑Applicant was a member of the U.S.Armed Faces fa at least 90 days(not necessarily during wartime). B.❑Applicant was honorably 6srhat ed. C.❑Appicant is: ❑Totally disabled;or ❑Al least age 62 with at least 10%disabtty D.D Applicant's disability is evidenced by ❑CertScate of eligibility from the Indiana Department of Wterans Affairs; ❑Pension cerufirate: ❑Award of corpensaion torn Veterans Adninsba;bn or Department of Defense;or ❑Veterans Administration Form 20.5455-Tax Abatement Connate E.0 The assessed value of al of the tangible property the applicant owns does not exceed$143,160. Deductions claimed 5 F.0 Appicant is the suniying spouse of an indMdual who would have quaffed for the deduction under this section when he or she was Ow. (Age o/deceased veteran on date of death SECTION D -Partial Disability : -_ . .•Appicant was a member of the U.S.Armed Faces during any of its van, peca was honorably discharged. C. n Applicant has a service connected disability of at least 10% O.❑Applicant's disability is evidenced by: At Certificate of eligibility tran the Indiana Department of Veterans Affairs; ❑Pension certificate; ❑Award of compensation from Veterans Administration Of Department of Defense;or ❑Veterans Administration Fain 20-5455-Tax Abatement Certificate' E.D Appicant Is the surviving spouse of an Individual who would have qualbed for the deduction under this section when he or she was alive. (Age of deceased veteran on date of death SECTION III -Word War I Veteran - . A❑Appicant is a veteran of Wok War I. B.❑Applicants service is evidenced by ❑Letter horn Veterans Adnirist,a:ion or Department of Defense:or ❑Discharge documents C.❑The assessed vababn of the property for which the deduction is claimed(may not exceed 5206.500) $ D.❑The progeny is the appfona's principal residence. E.❑The applicant owned the properly(or was buying it under contract)for at least are year before the date of this appicetm. SECTIONS IV,V.ANDVIARE ON REVERSE SIDE - SECTION IV - Surviving Spouse of a Would War 1 Veteran &[] Applicant is the surviving spouse of an individual who served in the U.S.Amred 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 Recorders 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 cauny. ❑Yes ❑No Amount$ County Taxing*Ma Second county Taxing disTG 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 fled(no,xh,day read correct.The intentional inclusion of false information on this form is _z3 'J L a criminal violation under IC 6-1.1-37-3 or 4. sin�p�pun�� _ / aY of applicant or legal represent, Name of county auditor(typed or weden) '-d—(��JILL-( .,t,/!(C !✓- 7(�./jtL4! l-SAorrr VMt A VETERAN DEDUCTION WORKSHEET 20 20 I 20 1. Total Disability(512,480) 2. Partial disability(524,960) I3. WM Veteran(518,720) 4. NM1 surviving spouse(518,720) 5. Total deduction available(add tines 1,2,3 and 4) I 6. Amount applied to real estate key number 7. Amount applied to personal properly duplicate number 8. Amount applied to mobile home duplicate number I 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). For motor vehicles,the unused portion of the veteran deduction reduces the annual excise tax in the amount of two dollars (52.00)on each one hundred dollars(5100.00)of taxable value or major portion thereof. For aircraft,the credit equals the amount of the unused portion of the veteran deduction multiplied by 0.07. For more information,see IC 6-6-5-5 and IC 6-6-6.5-13. The information contained on this form is CONFIDENTIAL according to IC 6-1.1-35-9.