Form Ppb-8a - Disabled American Veteran Property Tax Relief Application Page 4
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4Part VIII. For Department Use Only
Geocode _________________________________
School District _____________________________
Assessment Code __________________________
Current Letter of Disability
q No
q Yes
Verification of Income
q No
q Yes
Granted
q No
q Yes
Applicants’ Income
Class Codes
Percent
Multiple
Reduction
Single
or
Surviving Spouse
Land
Imp
Mob
Head of Household
0 - $ 44,183 $
0 - $ 30,683
100
$
0 - $ 36,819
$
2140
3145
6245
80
$ 36,820 - $ 40,501
$ 44,184 - $ 47,865 $ 30,684 - $ 34,365
2141
3146
6246
$ 40,502 - $ 44,183
$ 47,866 - $ 51,547 $ 34,366 - $ 38,047
70
2142
3147
6247
50
$ 44,184 - $ 47,865
$ 51,548 - $ 55,229 $ 38,048 - $ 41,729
2143
3148
6248
PPB-8A
Rev. 10 12
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