Montana Disabled Veteran Property Tax Relief Application - 2017

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CLEAR FORM
ASSESSMENT CODE:
Montana Disabled Veteran (MDV) Property Tax Relief Application for Tax Year 2017
15-6-311, MCA
Part I. General Information
● Apply by April 15.
● You have to meet income and property ownership/occupancy every year.
● The benefit only applies to your primary residence. For agricultural and timber parcels, the only eligible land is
the one-acre home site.
● Once you have applied for the program, we will notify you each year whether you qualify. You will be included in
the program’s annual income verification until you move from your residence.
Part II. Required Information
Property Owner Name
Spouse’s Name
q
q
q
q
Birth Date __________________
Male
Female
Birth Date __________________
Male
Female
Social Security Number _________ - _____ - _________
Social Security Number _________ - _____ - _________
Contact Phone Number __________________________
Contact Phone Number __________________________
County _______________________________________
Applicant’s Mailing Address
Applicant’s Primary Residence Physical Address
Did you file a Montana income tax return for tax year 2015? ...................................................................... q Yes
q No
Provide your 2015 Federal Adjusted Gross Income (FAGI), excluding capital and income losses.
Include your spouse’s income if you are married. (Spouses’ incomes are included regardless of
whether they are owners of the property.) ................................................................................................... $ ____________
If you are new to Montana, provide a copy of your 2015 federal income tax return.
Is your only income from social security, veterans’ benefits and/or other nontaxable sources? .................q Yes
q No
If yes, include a copy of your social security statement and/or other income documentation with this
completed application form.
If this application is for a mobile or manufactured home, do you own the land upon which your
home is located? .........................................................................................................................................q Yes
q No
Reminder! You must include your 100% disability letter from the U.S. Department of Veterans Affairs (VA) with this
application. (See Part III, Qualifying Criteria.)
Return your completed and signed application to your local Department of Revenue office. Your application must be
postmarked or hand-delivered by April 15. Go to revenue.mt.gov and click on Property Assessment, then Contact Us for
the mailing addresses of our 56 local county Department of Revenue offices or call us toll free (866) 859-2254 (in Helena
444-6900). (If you miss the deadline, apply as soon as possible to ensure you are included in the program’s verification
process for the following tax year.)
Important! Your signature is required in Part IV or Part V.

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