State Tax Form 96 - Senior - Surviving Spouse Or Minor - Veteran - Blind - Application For Statutory Exemption - 2011 Page 2

Download a blank fillable State Tax Form 96 - Senior - Surviving Spouse Or Minor - Veteran - Blind - Application For Statutory Exemption - 2011 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete State Tax Form 96 - Senior - Surviving Spouse Or Minor - Veteran - Blind - Application For Statutory Exemption - 2011 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

B. EXEMPTION STATUS. Check each status that applies to you and complete the questions that follow.
BLIND PERSON
Were you legally blind as of July 1, ________? Yes
No
Are you registered with Mass. Commission for the Blind?
Yes
No
If yes, give Certificate Number
Date Registered
Attach copy of certificate.
If no, attach a letter from your doctor indicating status as of July 1.
IF NO OTHER STATUS APPLIES TO YOU, GO ON TO SECTION E
VETERAN
Veteran’s Name _____________________________________________
VETERAN’S SPOUSE
Was the property the veteran’s domicile as of July 1, ________?
Yes
No
If no, where does the veteran reside? _____________________________
Deceased Veteran’s Name
VETERAN’S SURVIVING SPOUSE/ PARENT
If first year of application, attach copy of death certificate.
If you are surviving spouse, have you remarried? Yes
No
Date Enlisted/Inducted
Date Discharged
Type of Discharge
If first year of application, attach copy of discharge papers.
Military Decorations or Awards
Did the veteran live in Massachusetts at least 6 months before entering the service?
Yes
No
If no, list places and dates where the veteran was domiciled during the last 6 years. (2 years if local option adopted - See Assessors)
Address
Dates
Continue list on attachment in same format as necessary.
Was the servicemember killed or presumed killed in a combat zone? Yes
No
If yes, date of death __________________
Was the servicemember’s/veteran’s death a proximate result of a combat injury or disease? Yes
No
If yes and first year of application, (1) attach documentation from U.S. Dept. of Veterans Affairs, branch of service or doctor and
(2) list above places and dates surviving spouse lived during the last 6 years (2 years if local option adopted – See Assessors)
Does the veteran have a service-connected disability?
Yes
No
If yes and first year of application, attach Certificate of Disability from U.S. Dept. of Veterans Affairs or branch of service.
If yes and exemption granted previously, attach certificate only if disability rating is 100% or has changed.
Has the veteran acquired “specially adapted housing?”Yes
No
Is the veteran a paraplegic? Yes
No
IF NO OTHER STATUS APPLIES TO YOU, GO ON TO SECTION E

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

State Tax Form 96-2 - Surviving Spouse Or Minor Application For Statutory Exemption - 2009 State Tax Form 96-2 - Surviving Spouse Or Minor Application For Statutory Exemption - 2009 Financial
State Tax Form 96-6 - Senior-surviving Spouse Or Minor Application For Statutory Exemption - 2009 State Tax Form 96-6 - Senior-surviving Spouse Or Minor Application For Statutory Exemption - 2009 Financial
State Tax Form 96-5 - Blind - Veteran Application For Statutory Exemption - 2011 State Tax Form 96-5 - Blind - Veteran Application For Statutory Exemption - 2011 Financial
State Tax Form 96-3 - Blind Application For Statutory Exemption - 2009 State Tax Form 96-3 - Blind Application For Statutory Exemption - 2009 Financial
State Tax Form 96-1 - Senior Application For Statutory Exemption - 2007 State Tax Form 96-1 - Senior Application For Statutory Exemption - 2007 Legal
State Tax Form 96-4 - Veteran Application For Statutory Exemption - 2005 State Tax Form 96-4 - Veteran Application For Statutory Exemption - 2005 Legal
State Tax Form 97 - Seniors 65 And Older Application For Property Tax Deferral - 2009 State Tax Form 97 - Seniors 65 And Older Application For Property Tax Deferral - 2009 Financial
Form 1b-3 - Application For Statutory Exemption Form 1b-3 - Application For Statutory Exemption Legal
Form 150-310-083 - Application For Proration Of Property Taxes Due To Damage By Fire Or Act Of God/application For Reassessment Of Values Due To Fire Or Act Of God Form 150-310-083 - Application For Proration Of Property Taxes Due To Damage By Fire Or Act Of God/application For Reassessment Of Values Due To Fire Or Act Of God Financial
Form Sdat - 4b1 - Application For Exemption For Surviving Spouses Of Disabled Veterans Receiving Dic Benefits Form Sdat - 4b1 - Application For Exemption For Surviving Spouses Of Disabled Veterans Receiving Dic Benefits Financial

Related Categories

Parent category: Financial
Download
Go
Page of 5