Application For Veteran Exemption Form 2005 printable pdf download

APPLICATION FOR VETERAN EXEMPTION

(Title 36 MRSA, Section 653)

Please refer to Bulletin #7 for additional information

All questions must be answered. Any person seeking exemption as a veteran of the armed services must make written

application, and file written proof of entitlement on or before the first day of April in the year in which the exemption is first

requested, with the assessors of the place in which the applicant resides. The application must be accompanied by

satisfactory documentary evidence to support answers to questions.

Name:________________________________________________________________________

a) If the property is in a Revocable Living Trust, are you the beneficiary of that trust?

Yes

Mailing Address:________________________________________________________________

Legal Address_________________________________________________________________

Telephone Number:_________________________________________________

Date of Birth:____________________________________________

a) Date of Entry into Armed Forces:___________________________________

b) Legal Residence on Date of Entry into Armed Forces:_______________________________

c) Date of Discharge or Separation from Armed Forces:________________________________

d) For military service between February 27, 1961 and August 5, 1964, please specify the

locations where you served*:___________________________________________________

e) Military Service Serial Number:__________________________________________

Do you receive pension or compensation from the United State Government as a Veteran for

100% disability?

Yes

No. If yes, is your disability based on:

a) Service in the U.S. Armed Forces during any Federally recognized War Period?

Yes

b) Injury or disease incurred in the line of duty during active military service?

Yes

c) Veterans Administration Claim Number: C-___________________________________

Did you receive a grant from the U.S. Government for Specially Adapted Housing as a

Paraplegic?

Yes

*Viet Nam War period – Veterans must have served for a period of more that 180 days, any part of

which occurred after February 27, 1961 and before May 8, 1975. Veterans claiming service after

February 27, 1961 and before August 5, 1964 must have served in the Republic of Vietnam. (Section

653.1, C(1))

(CONTINUED ON REVERSE SIDE)

Application For Veteran Exemption Form 2005