Montana Disabled Veteran Property Tax Relief Application - 2017 Page 2

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Part III. Qualifying Criteria
A reduced property tax rate is available for 100% disabled veterans and the unmarried surviving spouse who qualify. You
must own or currently be under contract to purchase a home or mobile/manufactured home and live in the home as your
primary residence for at least seven months of the year.
Important: You must provide a letter from the U.S. Department of Veterans Affairs (VA) with this application verifying
that you are currently rated or paid at the 100% disabled rate for a service-connected disability. If your disability rating
is temporary, will periodically ask you to provide an updated verification letter from the VA. The VA cannot give your
information directly to us. Surviving spouses must provide letters from the VA verifying that their deceased spouses were
rated or paid at the 100% disabled rate at the time of their death or died while on active duty or as the result of a service-
connected disability.
For tax year 2017, the income guidelines are: A single applicant’s Federal Adjusted Gross Income (FAGI), excluding
capital and income losses, must be less than $49,157 and head of household and married applicants’ FAGI must be less
than $56,720. Spouses’ incomes are included regardless of whether they are owners of the property. Unmarried surviving
spouses’ FAGI must be less than $42,855.
You only need to report your income one time. In future years, we will determine your eligibility through our annual
verification process.
Part IV. Affirmation and Signature of Montana Disabled Veteran
I affirm that I have been honorably discharged from active service in the armed forces, and I am currently rated 100%
disabled or paid at the 100% disabled rate because of a service-connected disability.
Under penalty of law, I/we affirm that I/we are owners of the property on which we are applying for the property tax benefit,
that I/we occupied the property as my/our primary residence for at least seven months of a calendar year and that the
information provided in this application form is true and correct.
X Property Owner Signature ____________________________________________ Date ________________________
X Property Owner’s Spouse Signature ____________________________________ Date ________________________
X Signature of Person Completing this Form
(if other than applicant) _______________________________________________ Date ________________________
Printed Name ________________________________________________________ Phone ______________________
Relationship to Applicant ___________________Email or Other Contact Information _____________________________
Part V. Affirmation and Signature of Surviving Spouse of Montana Disabled Veteran
I affirm that I am the surviving spouse of a veteran who was rated 100% disabled or paid at the 100% disabled rate as
a result of a service-connected disability at the time of death, died while on active duty, or died as a result of a service-
connected disability, and I have remained unmarried.
Under penalty of law, I affirm that I am the owner of the property on which I am applying for the property tax benefit, that
I occupied the property as my primary residence for at least seven months of a calendar year and that the information
provided in this application form is true and correct.
X Property Owner Signature ____________________________________________ Date ________________________
X Signature of Person Completing this Form
(if other than applicant) _______________________________________________ Date ________________________
Printed Name ________________________________________________________ Phone ______________________
Relationship to Applicant ___________________Email or Other Contact Information _____________________________
Please let us know how you heard about the Montana Disabled Veteran Property Tax Relief Program (MDV).
________________________________________________________________________________________________
Questions or Need Help? Please call us toll free at (866) 859-2254 (in Helena, 444-6900) or visit our website
at revenue.mt.gov.

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