Form Pt 46c - Application For Disable Vetearn Property Tax Exemptions
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SD EForm - 1988 V6
PT 46C - APPLICATION FOR DISABLED VETERAN
PROPERTY TAX EXEMPTIONS (SDCL 10-4-40 & 10-4-41)
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PERSONAL INFORMATION
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Last Name
First Name
Middle Initial
________________________________________________________________________________
Mailing Address
County
Telephone
___________________________________________________(month)_____ (day)___(year)
City
State
Zip Code
Birth Date
Parcel Number __________________________
e-mail address
Legal description of property for which exemption is requested
_____________________________________________________
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ELIGIBILITY
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A. Are you a veteran who is rated as permanently and totally disabled
from a service connected disability?
YES
NO
OR
B. Are you the surviving spouse of a veteran who was rated as permanently
and totally disabled from a service connected disability?
YES
NO
C. Is the above described property classified in the county director of equalization
office as owner-occupied?
YES
NO
All applicants must provide proof of their eligibility for this exemption. Such proof can be obtained by
calling the Sioux Falls VA Regional Office at 1-800-827-1000 and asking them to send you a statement
verifying that you are permanently and totally disabled from service connected disability(ies).
I have examined this claim and it is correct to the best of my knowledge.
Claimant's signature
Date
Preparer's signature
Address
City
APPLICATION MUST BE MADE ON OR BEFORE NOVEMBER 1
TO BE COMPLETED BY DIRECTOR OF EQUALIZATION - REPORT OF INVESTIGATION
============================================================================================
I have investigated the statements made in this application as to the eligibility of the applicant as of November 1, 20____.
Based on the investigation it is my recommendation that the amount of value of this property to be exempt is
$ _______________ effective November first, following action by the county board of equalization.
__________________________________________________________________(Director of Equalization)
PT 46C (2/2012)
Original to Director of Equalization
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