Form Ppb-8a - Disabled American Veteran Property Tax Relief Application
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4ASSESSMENT CODE:
Clear Form
Tax Year 2013
Disabled American Veteran Property Tax Relief Application
15-6-211, MCA
________________________County
Name _____________________________________________________________________________________
Mailing Address _____________________________________________________________________________
City, State and Zip ___________________________________________________________________________
Phone Number(s) ___________________________________________________________________________
Part I. General Information
Please return your signed and completed application with income documentation included to your local Department of
Revenue office by April 15, 2013. If we do not receive your application by April 15, 2013, you may not be eligible for
property tax relief.
If your application is approved, the property tax relief you receive will apply to your residential property which may include
land up to five acres. Once we have processed your completed application, we will send you a letter telling you whether
your application has been granted or denied, and describing your appeal rights.
Our Disabled American Veteran Property Tax Relief Application is in no way affiliated with the national organization,
Disabled American Veterans.
Part II. Qualifying Criteria
Please complete the affidavit section on page 2 that applies to you, either a disabled American veteran or surviving
spouse of a disabled American veteran. Page 2 must be signed and returned with the appropriate documentation or your
application may be denied.
If you file an income tax return, include a copy of your federal income tax return including all schedules C, D, E and F and
Forms 4797 and 8829, if they were included in your tax filing.
If you do not file an income tax return, include a copy of documentation that verifies your income, such as a social security
statement, W-2 form, 1099s etc.
If you are not required to file an income tax return, you need to determine and provide evidence of what your federal
adjusted gross income would have been had you been required to file. Use the Federal Adjusted Gross Income
Calculation Worksheet included with this document for that purpose.
If you qualify for a federal income tax filing extension, please place an X in the appropriate box in part V on page 2. You
must still return the signed application to your local Department of Revenue office by April 15, 2013.
● If you are filing an extension, you will need to provide a copy of your federal income tax return, including schedules
C, D, E and F and Forms 4797 and 8829, if they were included in your tax filing, to the local Department of Revenue
office, no later than October 25, 2013.
If you are a disabled veteran, you need to submit a letter from the U.S. Department of Veterans Affairs indicating that you
are currently rated 100% disabled, or are paid at the 100% disabled rate for a service-connected disability.
If you are applying as a surviving spouse, you need to submit a letter from the U.S. Department of Veterans Affairs
indicating that your spouse was rated 100% disabled, or was paid at the 100% disabled rate for a service-connected
disability at the time of his or her death, or that he or she died while on active duty, or as a result of a service-connected
disability.
If the disability rating is permanent and you have submitted a VA letter of eligibility in the past, please verify with your local
Department of Revenue office that your letter is on file.
PPB-8A
Rev. 10 12
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