Form 50-135 - Application For Disabled Veteran'S Or Survivor'S Exemption Page 3

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P r o p e r t y T a x

A p p l i c a t i o n f o r D i s a b l e d V e t e r a n ’ s o r S u r v i v o r ’ s E x e m p t i o n

Form 50-135

Surviving Spouse or Child of an Armed Services Member Who Died on Active Duty



Check here if this exemption applies to you

You may qualify for this exemption if you are the surviving spouse or child of a person who died while on active duty with the U.S. armed services.

You must be a Texas resident. If you are a surviving child, you must be under 18 years old. Please give the information requested below, and attach

a letter or other document from the V.A. or service branch showing that the person died on active duty. Also attach a copy of a birth certificate or mar-

riage license showing your relationship to the armed forces member. A surviving spouse who claims this exemption may not also receive an exemp-

tion as the surviving child of a deceased disabled veteran or armed forces member killed on active duty.

____________________________________________________________

Veteran’s Name

__________________________________

_______________________

________

_____________________

Branch of Service

Disability Rating

Age at Death

Serial Number



Are you a Texas resident? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes



Are you a surviving spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes



Are you a surviving child? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes



If you are a surviving child:

are you under 18? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes



are you unmarried? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

____________

how many of the member’s children are under 18 and unmarried? . . . . . . . . . . . . . . . . . . . . .

STEP 4: Check if Late Application

If you were eligible for this exemption last year, check this box and enter the prior tax year. You must have met all of the qualifications above on January 1

of the prior tax year to receive the exemption for last year.



_________

Application for exemption for prior tax year,

STEP 5: Read, Sign, and Date

If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Section 37.10,

Penal Code.

By signing this application, you certify that the information provided in this application is true and correct to the best of your knowledge and belief.

_____________________________________________________________

____________________________

Authorized Signature

Date

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50-135 • 10-11/11 • Page 3