Form Idr 54-049 - Application For Disabled Veterans Homestead Tax Credit

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Application for Disabled Veteran’s
IOW
IOWA
Homestead Tax Credit
Iowa Code Section 425.15
Current decision letter and notification showing 100% disabled required. Permanent 100% disabled do not need to reapply annually.
Temporary 100% disabled as of July 1 must reapply annually .
Iowa assessors’ addresses can be found at the Iowa State Association of Assessors website.
Applicant Contact Information
PLEASE PRINT
Name: __________________________________________________ Phone Number___________________
Title: ____________________________________ eMail:____________________________________________
Jurisdiction:_______________________________ Taxing District: ____________________________________
I __________________________________________ swear or affirm that I am the owner of the following homestead property
described legally as: __________________________________________________________________________________
_________________________________________________________________________________________________________
Address: __________________________________________________________________________________________________
Check one and attach a copy of the letter from U.S. Department of Veteran Affairs indicating applicant meets eligibility
requirements pursuant to Iowa Code Section 425.15.
I am a veteran who acquired the property under the provision of United States code 38 U.S.C §21.801, §21.802 OR 38
U.S.C §2101, §2102.
I am a veteran as defined in Iowa Code Section 35.1 with a service-connected disability rating of one hundred percent.
I am a former member of the National Guard of any state who otherwise meets the service requirements of Iowa Code
section 35.1 subsection 2, paragraph “b”, subsection (2) or (7), with a service-connected disability rating of one hundred
percent.
I am a surviving spouse or child who is receiving dependency and indemnity compensation pursuant to 38 U.S.C §1301 et
seg.
I have not and will not claim during this calendar year, a military service tax exemption on any property located in Iowa.
Note: Any person making a false claim for credit or any persons who together act with fraudulent intent to obtain this credit shall be
guilty of a fraudulent practice.
Date property was acquired:____________ Method acquired:
Deed
Contract
Other _________________
(Explain)
Date: ___________________________
Applicant’s Signature: __________________________________________________
I certify that a smoke detector meeting the requirement of Iowa Code section 100.18
has been installed OR
will be installed within thirty days of the filing of this application.
Signed: ________________________________________________________________
Date: ___________________________
Written notification must be given to the assessor upon conveyance of this property
or its discontinued used as your homestead.
I recommend that this application be
allowed
disallowed
permanent
temporary
Assessor Use
Signed: ____________________________________________________________ Date: _______________________________
Only
Assessor (or authorized representative)
Parcel Number: _______________________________________________________________
Credit
Allowed
Disallowed
Board of
Supervisors Use
Signed: ____________________________________________________________ Date: _______________________________
Only
Representative of the Board of Supervisors
IDR 54-049 (06/03/14)

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