Form Ptax-342-R - Annual Verification Of Eligibility For Standard Homestead Exemption For Veterans With Disabilities
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1
2PTAX-342-R
Annual Verification of Eligibility for Standard
Homestead Exemption for Veterans with Disabilities
Read this first
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: ___ ___/___ ___/___ ___ ___ ___
07/01/2016
Step 1:
Complete the following information
1
_________________________________________________
3
Assessment year for which
Property owner’s name
___ ___ ___ ___
you are requesting the SHEVD:
Year
_________________________________________________
4
Street address of homestead property
Did you receive the SHEVD for the prior
IL
assessment year on this property?
Yes
No
_________________________________________________
City
State
ZIP
If “Yes,”
check the amount of the SHEVD.
______
_____________ _________________________
$2,500 EAV reduction
(
)
NOT NEEDED
Daytime phone
Email address
$5,000 EAV reduction
2
Property tax exempt residence
Check one statement that applies.
a _______ Veteran with a disability who currently has a service-
5
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-
PIN __________________________________________
a
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.
increase.
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.
Step 2:
Complete the following as it applies to the property and assessment year you identified in Step 1
6
Is this the only property for which you have applied for a homestead exemption?
Yes
No
7
On January 1, were you the owner of the property?
Yes
No
If “No,” on January 1 did you lease the property?
Yes
No
8
On January 1, did you occupy this property as your principal residence?
Yes
No
If “No,” complete Lines a and b.
a Were you a resident of a facility licensed under the Nursing Home Care Act?
Yes
No
b Was this property occupied by your spouse or did it remain unoccupied?
Yes
No
9
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?
Yes
No
If “Yes,” complete Lines a through c.
a Enter the name and address of the facility.
_________________________________________________
_________________________________________________
b Was your property occupied by your spouse?
Yes
No
c Did your property remain unoccupied?
Yes
No
10
Are you liable for the payment of real estate taxes?
Yes
No
Step 3:
Sign below
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
Month
Day
Year
PTAX-342-R (R-08/15)
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