Annual Verification of Eligibility for Standard
Homestead Exemption for Veterans with Disabilities
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To continue to receive the Standard Homestead Exemption for Veterans with Disabilities (SHEVD), you must file Form PTAX-342-R each year
with your Chief County Assessment Officer (CCAO). Failure to do so may result in the termination of the exemption. Your service-connected
disability must be certified by the U.S. Department of Veterans’ Affairs.
Note: Only an un-remarried, surviving spouse of a veteran killed in the line of duty, or a veteran with a disability who previously received the
SHEVD can continue to receive the SHEVD provided the spouse has legal or beneficial title to the residential property. A surviving spouse that
remarries no longer qualifies for the SHEVD.
Last date to apply: ___ ___/___ ___/___ ___ ___ ___
Complete the following information
Assessment year for which
Property owner’s name
___ ___ ___ ___
you are requesting the SHEVD:
Street address of homestead property
Did you receive the SHEVD for the prior
assessment year on this property?
check the amount of the SHEVD.
$2,500 EAV reduction
$5,000 EAV reduction
Property tax exempt residence
Check one statement that applies.
a _______ Veteran with a disability who currently has a service-
Enter the property index number (PIN) of the property for which
connected disability of 30% or more but less than 50%.
you receive the exemption listed on your property tax bill. You
b _______ Veteran with a disability who currently has a service-
may obtain it from your CCAO. If you are unable to obtain your
connected disability of 50% or more but less than 70%.
PIN, write the legal description on Line b.
c _______ Veteran with a disability who currently has a service-
connected disability of 70% or more. If this is an increase from
b Enter the legal description only if you are unable to obtain
the prior year, you must submit documentation verifying the
your PIN. Attach a separate sheet if needed.
d _______ Un-remarried, surviving spouse who previously
received the SHEVD.
PIN is your parcel # which can be found on your tax bill - top right corner.
Complete the following as it applies to the property and assessment year you identified in Step 1
Is this the only property for which you have applied for a homestead exemption?
On January 1, were you the owner of the property?
If “No,” on January 1 did you lease the property?
On January 1, did you occupy this property as your principal residence?
If “No,” complete Lines a and b.
a Were you a resident of a facility licensed under the Nursing Home Care Act?
b Was this property occupied by your spouse or did it remain unoccupied?
On January 1, were you a resident of a facility licensed under the Nursing
Home Care Act or operated by the U.S. Department of Veterans’ Affairs?
If “Yes,” complete Lines a through c.
a Enter the name and address of the facility.
b Was your property occupied by your spouse?
c Did your property remain unoccupied?
Are you liable for the payment of real estate taxes?
I state that to the best of my knowledge, the information contained on this application is true, correct, and complete.
___ ___/___ ___/___ ___ ___ ___
Property owner’s or authorized representative’s signature