Form Otc998-A - Application For 100% Disabled Veterans Household Personal Property Tax Exemption

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OTC
Tax Year
State of Oklahoma
998-A
Application for 100% Disabled Veterans
Household Personal Property Tax Exemption
Revised 9-2010
Part One
County:
Account Number:
Name:
Daytime Telephone: (
)
Property Address:
Mailing Address:
School
Legal Description:
District
please mark the appropriate box...
Are you a legal resident of Oklahoma?
Y
N
Y
N
Do you currently, or did you in the previous year, reside in this State?
If so, list address
,
City
County
Part Two
please mark the appropriate box...
Were you occupying this property as your place of residence on January 1 of this year?
Y
N
NOTE:
The 100% disabled veterans cannot be approved if you do not own and occupy the homestead property as your place of residence
on January 1 each year the exemption is applied, including the year of application.
Part Three
please mark the appropriate box...
Y N
Is the applicant Head of Household?
Has the applicant been honorably discharged from the United States Armed Services?
Y N
Is the applicant certified by the U.S.D.V.A. to have 100% permanent disability sustained
Y N
through military action or accident?
Is the applicant receiving benefit compensation at the 100% rate?
Y N
Is the applicant the surviving spouse of such 100% compensated veteran?
Y N
The applicant must provide to the county assessor a current U.S.D.V.A. benefits award letter or such document that the U.S.D.V.A.
NOTE:
issues for qualification specific to this exemption that certifies the 100% service related disability, or the applicant is in receipt of
compensation at the 100% rate. The county assessor is authorized to request and verify any information from the applicant or the
U.S.D.V.A. they may feel is relevant.
Part Four
The applicant attests to the validity of the claim for exemption and shall notify the county assessor at such time when
the applicant or surviving spouse does not meet the qualifications as set forth by the above cited requirements.
Approved beginning
tax year.
Disapproved. Reason
Applicant’s Signature
Date
County Assessor or Deputy
Date

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