Veterans_Banks�`""•.`� APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
-°',4.�.. ` WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
+�� l State Fortn 12662 (R72 / 5-12) .
�� ` PrescriDeE by the Department of Local Govemment Finance
INSTRUCTIONS: P/ease check appropriate 6ox(es) pertaining to tax deduction. (More than one 6ox may 6e checked;
spouse who �eceives a deduction under Section IV may not receive a deduction under Section ll.)
FILING DATES:
REAL PROPERTY: DURING THE YEAR FOR WHICH THE DEDUCTION IS SOUGHT.
MOBILE HOMES (IC 6-1.1-7) OR MANUFACTURED HOMES NOTASSESSED AS REAL PROPERTY: DURING THE P
BEFORE MARCH 31 OF EACH YEAR FOR WHICH THE INDIVIDUAL WISHES TO OBTAIN THE DEDUCTION���.{{{
❑ I Totally disabled veteran (or veteran atleast age 62 with at leasf 10% disability) or surviving s� -�oi� ex
Complete sections I, V and VI. (IC 6-1.1-12-14) lJ
❑ II Partially service-connected disabled veteran OR surviving spouse - Not to exceed 524.960
Complete sections II, V and VI. (IC 6-�.1-72-73)
❑ III Wodd War I Veteran - Not to exceed 518,720
Complete sections.11l, V and VI. (IC 6-1.1-12-17.4)
❑ IV Surviving spouse of World War I Veteran - Not to exceed 578,720
Complete sections IV, V, and VI. QC 6-1.7-72-7
DEC 2 9
GIBSON COUNI
Nam of a liwnt (first, middle, last) C � /
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Addre;s (qstreet and num er, c'' stat and ZIP co /��
(OO�S y7�7U
Applicanl (❑ does �does not) own property wiih anoiher individual(s) besides spouse and/or another vete2n.
taxable
3. isy-
alive.