Fillable State Form 46021 - Sales Disclosure Form (Page 12 of 13) in pdf

INDIANA SALES DISCLOSURE FORM INSTRUCTIONS

Page 9

APPLICATION FORM AND

RESTRICTIONS WHEN

DEDUCTION

MAXIMUM AMOUNT

VERIFICATION (PROOF)

COMBINING WITH OTHER

(Indiana Code)

ELIGIBILITY REQUIREMENTS

REQUIRED

DEDUCTIONS**

1) An individual is “disabled” if he is unable to engage in any substantial gainful activity by

reason of a medically determinable physical or mental impairment, which can be

State Form 43710

expected to result in death or has lasted or can be expected to last for a continuous

Proof of Disability: proof that

period of not less than 12 months;

applicant is eligible to receive

2) The real property or mobile or manufactured home is principally used and occupied by

disability benefits under the

PARTIALLY ‐ These

the individual as the individual’s residence;

federal Social Security Act

deductions may be claimed

Disabled

3) Individual must own or be buying on contract the real property or mobile or

constitutes proof for purposes of

$12,480

with all other deductions

manufactured home not assessed as real property on the date the application is filed;

this section; however, an

(61.11211; 12)

EXCEPT the Over 65

individual with a disability not so

4) Individual’s taxable gross income does not exceed $17,000;

Deduction.

covered must be examined by a

5) With respect to real property, file during the year for which the person desires to

physician under the same

obtain the deduction, and with respect to mobile or manufactured homes not assessed

standards as used by Social

as real property, file during the twelve months before March 31 of each year for which

Security Administration.

the deduction is sought (if mailed the mailing must be postmarked on or before the last

day for filing).

1) Individual must own or be buying on contract the real property or mobile or

manufactured home not assessed as real property on the date the application is filed;

2) Individual served in U.S. military service for at least 90 days and was honorably

discharged;

State Form 12662

PARTIALLY ‐ These

3) Individual is either totally disabled or at least age 62 with at least 10% disability;

Either VA Form 20‐5455 Code 1

deductions may be claimed

Disabled Veteran

In Item #15; Pension Certificate;

4) Assessed value of individual’s tangible property is not greater than $143,160;

$12,480*

with all other deductions

Award of Compensation from VA

(61.11214; 15)

5) With respect to real property, file during the year for which the person desires to

EXCEPT the Over 65

or DOD; or Certificate of

obtain the deduction, and with respect to mobile or manufactured homes not assessed

Deduction.

eligibility from IN Dept of VA.

as real property, file during the twelve months before March 31 of each year for which

the deduction is sought (if mailed the mailing must be postmarked on or before the last

day for filing);

6) Surviving spouse may apply if the individual would qualify if alive.

1) Individual must own or be buying on contract the real property or mobile or

manufactured home not assessed as real property on the date the application is filed;

2) Individual received an honorable discharge after serving in U.S. military or naval forces

State Form 12662

PARTIALLY ‐ This deduction

during any of its wars;

Either VA Form 20‐5455 Code 2

may be claimed with all other

Veteran with Service

3) Individual has service connected disability of at least 10%;

In Item #15; Pension Certificate;

deductions EXCEPT the Over

Connected

$24,960*

4) With respect to real property, file during the year for which the person desires to

Award of Compensation from VA

65 Deduction and Surviving

(61.11213; 15)

obtain the deduction, and with respect to mobile or manufactured homes not assessed

or DOD; or Certificate of

Spouse of WW I Veteran

as real property, file during the twelve months before March 31 of each year for which

eligibility from IN Dept of VA.

Deduction.

the deduction is sought (if mailed the mailing must be postmarked on or before the last

day for filing);

5) Surviving spouse may apply if the individual would qualify if alive.

State Form 46021 - Sales Disclosure Form Page 12

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