Form 453- Exemption Application For Honorably Discharged Disabled Veterans - Nebraska Department Of Revenue

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Exemption Application
To be Filed with
FORM
Your County
453
Assessor or
for Honorably Discharged Disabled Veterans
Treasurer
Applicant’s Name (Last)
(First)
(Middle Initial)
Type of Property
Mobile Home
(Filed with County Assessor)
Home Address (Number and Street or Rural Route)
Motor Vehicle
(Filed with County Treasurer)
City
State
Zip Code
County
Description of Motor Vehicle or Description and Location of Mobile Home
Under penalty of perjury, I declare that I have examined this application and
that it is, to the best of my knowledge and belief,
true, complete, and
correct. I also declare that I am entitled to the Nebraska property tax exemption in the county noted above and
have not applied for exemption elsewhere in this state.
sign
Signature of Applicant or Authorized Representative
Date
here
Print Name
Approved
Disapproved
Signature of County Assessor or County Treasurer
Title
Date
Instructions
Who May File. An exemption application may be filed by any veteran of the United States Armed Forces who was
discharged or otherwise separated with a characterization of honorable or general (under honorable conditions) and has a
service-connected disability as follows:
a.
A veteran who has lost the use of or has undergone amputation of, two or more extremities, or has undergone
amputation of one or more extremities and has lost the use of one or more extremities; or
b. A veteran whose vision is so impaired as to seriously limit his or her ability to engage in the ordinary vocations and
activities of life.
A certificate from the Department of Veterans Affairs stating that the applicant meets one of the above criteria and
that the disability is service-connected must be attached to this application.
When and Where to File. For mobile homes, application for exemption must be filed with the county assessor of the
county in which the mobile home is subject to tax on or before April 1 of every year.
For licensed motor vehicles, the initial application for exemption must be filed with the county treasurer in the county in
which the motor vehicle is subject to tax not more than 15 days before nor 30 days after the registration date of the motor
vehicle. A renewal application must be made annually not sooner than the first day of the last month of the registration period
or later than the last day of the registration period.
What Property is Exempt. Any veteran who qualifies may have the following exempted from property tax:
a.
One mobile home owned and occupied by the qualified veteran; and
b. One motor vehicle owned and used for personal transportation by the qualified veteran.
The completed Exemption Application, Form 453, must be retained by the appropriate county official.
Nebraska Department of Revenue
Authorized by
Neb. Rev. Stat. §
77-202.24 and 60-3,185
96-246-2005 Rev. 6-2013 Supersedes 96-246-2005 Rev. 8-2011
Please make a copy for your records.

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