Form Ptax-342 - Application For Disabled Veterans' Standard Homestead Exemption (Dvshe)
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1
2PTAX-342
Application for Disabled Veterans’ Standard Homestead Exemption (DVSHE)
Step 1: Complete the following information
6
Check
your
type
of
residence.
Single-family
dwelling
1
Duplex
________________________________________________
Property owner’s name
Townhouse
Condominium
________________________________________________
Other
___________________________________________
Street address of homestead property
IL
________________________________________________
Township:________________________________________
City
State
ZIP
7
Write the property index number (PIN) of the property for which
(_______)_______-____________
you are requesting the DVSHE. Your PIN is listed on your
Daytime phone
property tax bill or you may obtain it from the Chief County
Send notice to (if different than above)
Assessment Officer (CCAO).
2
________________________________________________
Name
a
PIN __ __ - __ __ - __ __ __ - __ __ __ - __ __ __ __
________________________________________________
Mailing address
b
Write the legal description only if you are unable to
________________________________________________
obtain your PIN. (Attach a separate sheet if needed.)
City
State
ZIP
______________________________________________
(_______)_______-____________
______________________________________________
Daytime phone
______________________________________________
3
Write the assessment year for
___ ___ ___ ___
which you are filing this form.
8
On January 1, did you occupy this property
Year
4
as your principal residence?
Did you receive the DVSHE for the
Yes
No
prior assessment year on this property?
Yes
No
a
If “No”, write the date you first occupied this
property (if applicable).
___ ___/___ ___/___ ___ ___ ___
a
If “YES”,
check the amount of the DVSHE.
Month Day Year
$2,500 EAV reduction
$5,000 EAV reduction
9
On January 1, was any portion of the property used
5
On January 1, were you liable for the payment
for commercial purposes or rented to another
of real estate taxes on this property?
person or entity for more than 6 months?
Yes
No
Yes
No
Step 2: Complete the disabled veterans’ eligibility information
1 0
1 2
Are you an Illinois resident?
Are you a veteran or the un-remarried surviving spouse of a
Yes
No
veteran with a service-connected disability as certified
1 1
Are you a veteran or the un-remarried surviving spouse of a
by the U.S. Department of Veterans’ Affairs?
Yes
No
disabled veteran who served as a member of the U.S. Armed
Note: You must provide documentation. See “Do I need to
Forces on active duty or state active duty, Illinois National
provide documentation?” on the back of this Form.
Guard, or U.S. Reserve Forces?
Yes
No
Step 3: Complete the following information
13
15
If you are the surviving spouse,
If you are the surviving spouse, a
re
were you remarried as of January 1?
you claiming this exemption on your
Yes
No
new primary residence for the first time?
Yes
No
14
If you are claiming the DVSHE on this property for the first
If “Yes”, complete Lines a through c.
time, check the type of documentation you are attaching as
a
________________________________________________
proof that you have a legal or beneficial title to the property.
Deceased disabled veteran’s name
Date of death
Deed
Contract for deed
b
Did you sell your spouse’s homestead
property that received the DVSHE?
Trust agreement
Other written instrument
Yes
No
Lease
Specify:____________________
c
Identify the disabled veteran’s homestead property. You can
a
Write the date the written instrument
obtain this information from the property tax bill or CCAO.
___ ___/___ ___/___ ___ ___ ___
was executed.
______________________________________________
Month Day Year
Property owner’s name
______________________________________________
b
If the instrument is recorded, complete the information below.
Street address of homestead property
IL
_______________________________________________________________
______________________________________________
Recorded document number
City
State
ZIP
___ ___/___ ___/___ ___ ___ ___
Date document recorded
PIN __ __ - __ __ - __ __ __ - __ __ __ - __ __ __ __
Month Day Year
If needed, attach a legal description of the property.
Step 4: Sign below
I state that to the best of my knowledge, the information on this application is true, correct, and complete.
____________________________________________________
___ ___/___ ___/___ ___ ___ ___
Month Day Year
Property owner’s or authorized representative’s signature
PTAX-342 (R-03/08) IL-492-4535
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