Form Ptax-342 - Application For Standard Homestead Exemption For Veterans With Disabilities (Shevd)
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1
2PTAX-342
Application for Standard Homestead Exemption for Veterans with Disabilities (SHEVD)
Step 1: Complete the following information
1
6
________________________________________________
Enter the property index number (PIN) of the property for which
Property owner’s name
you are requesting the SHEVD. Your PIN is listed on your
________________________________________________
property tax bill or you may obtain it from the Chief County
Street address of homestead property
Assessment Officer (CCAO).
IL
________________________________________________
a
___________________________________________
City
State
ZIP
PIN
(_______)______________ ____________________________
b
Enter the legal description only if you are unable to obtain
Daytime phone
Email address
your PIN. (Attach a separate sheet if needed.)
Send notice to (if different than above)
______________________________________________
PIN is your parcel # which can be found on your tax bill - top right corner.
2
______________________________________________
________________________________________________
Name
________________________________________________
7
On January 1, did you occupy this property
Mailing address
as your principal residence?
Yes
No
________________________________________________
City
State
ZIP
8
On January 1, was any portion of the property used
(_______)______________ ____________________________
for commercial purposes or rented to another
Daytime phone
Email address
person or entity for more than 6 months?
Yes
No
3
Enter the assessment year for
9
On January 1, were you a resident of a facility
___ ___ ___ ___
which you are filing this form.
licensed under the Nursing Home Care Act
Year
4
On January 1, were you liable for the
or operated by the U.S. Department of
Veterans’ Affairs?
payment of real estate taxes on this property?
Yes
No
Yes
No
If “Yes,” complete Lines a through c.
5
Check your type of residence.
a
Enter the name and address of the facility.
Single-family dwelling
Duplex
______________________________________________
Townhouse
Condominium
______________________________________________
Other ___________________________________________
b
Was your property occupied by your spouse?
Yes
No
c
Did your property remain unoccupied?
Yes
No
Step 2: Complete the disabled veterans’ eligibility information
12
10
Are you a veteran or the un-remarried surviving spouse of a
Are you an Illinois resident?
Yes
No
veteran with a service-connected disability as certified
11
Are you a veteran or the un-remarried surviving spouse of a
by the U.S. Department of Veterans’ Affairs?
Yes
No
veteran with a disability who served as a member of the U.S.
Armed Forces on active duty or state active duty, Illinois National
Note: You must provide documentation. See “Do I need to provide
Guard, or U.S. Reserve Forces?
Yes
No
documentation?” on the back of this form.
Step 3: Complete the following information
13
15
a
Are you the surviving spouse of a deceased
If you are the surviving spouse, are
veteran?
Yes
No
you claiming this exemption on your
new primary residence for the first time?
Yes
No
b
If “Yes,” were you remarried as of January 1?
Yes
No
If “Yes,” complete Lines a through c.
c
Was the veteran killed in the line of duty?
Yes
No
a
________________________________________________
d
Enter the veteran’s date of death.
____/____/_______
Name of veteran
Date of death
14
b
If you are claiming the SHEVD on this property for the first
Did you sell your spouse’s homestead
time, check the type of documentation you are attaching as
property that received the SHEVD?
Yes
No
proof that you have a legal or beneficial title to the property.
c
Identify the veteran’s homestead property that
Deed
Contract for deed
previously received the SHEVD. You can obtain this
information from the property tax bill or CCAO.
Trust agreement
Other written instrument
______________________________________________
Lease
Specify:____________________
Property owner’s name
a
Enter the date the written instrument
______________________________________________
______/______/____________
was executed.
Street address of homestead property
IL
Month
Day
Year
______________________________________________
b
If the instrument is recorded, complete the information below.
City
State
ZIP
PIN___________________________________________
_______________________________________________________________
Recorded document number
**If needed, attach a legal description of the property.
______/______/____________
Date document recorded
Month
Day
Year
Step 4: Sign below
I state that to the best of my knowledge, the information on this application is true, correct, and complete.
____________________________________________________
___ ___/___ ___/___ ___ ___ ___
Property owner’s or authorized representative’s signature
Month
Day
Year
PTAX-342 (R-08/15)
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