Form 46a - Application For Paraplegic Veteran Property Tax Exemptions - 2012
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SD EForm - 1292 V12
PT 46A - APPLICATION FOR PARAPLEGIC VETERAN
PROPERTY TAX EXEMPTIONS (SDCL 10-4-24.9, 10-4-24.10)
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Personal Information
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Last Name
First Name
Social Security Number
________________________________________________________________________________
Mailing Address
County
Telephone
___________________________________________________(month)_____(day)___(year)
City
State
Zip Code
Birth Date
Parcel Number _________________________
Legal description of property for which exemption is requested
_____________________________________________________
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ELIGIBILITY
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A. Are you a paraplegic or an individual with the loss or
loss of use of both lower extremities?
YES
NO
B. Is your home specifically designed as a wheel chair home?
YES
NO
C. Did you own and occupy your home during the entire year of 2012?
YES
NO
D. Are you the un-remarried widow or widower of a qualified veteran?
YES
NO
I have examined this claim and it is correct to the best of my knowledge.
Claimant's signature
Date
Preparer's signature
Address
City
APPLICATION MUST BE MADE ON AN ANNUAL BASIS
PT 46A (12/12)
PRINT FOR MAILING
CLEAR FORM
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Parent category: Financial