Fillable Form 54-146 - Application For Military Exemption

IOWA

Application for Military Exemption

Iowa Code Chapter 426A

This application must be filed or mailed to your city or county assessor by July 1. It must be postmarked no later

than July 1. Iowa assessors’ addresses can be found at the Iowa State Association of Assessors Web site.

Applicant Contact Information

PLEASE PRINT

Name: ________________________________________________________

Phone Number:___________________ eMail: ________________________

Property Owner Name: ______________________________________________________________________________

Address: _________________________________________________________________________________________

Veteran Name : ____________________________________________________________________________________

Property Claimed for Exemption

Jurisdiction: _______________________________________________ Parcel Number ________________________

Legal Description: ________________________________________________________________________________

Status: I am an (a)

 Honorably discharged veteran, who served for a minimum of 18 months, or for fewer than 18 months because

of a service-related injury.

 Former member, or member who is currently serving, of Reserve Forces or Iowa National Guard who has

served at least 20 years.

 Member of Reserve Forces or Iowa National Guard who was activated for federal duty, not including training,

for a minimum of 90 days.

 Former member, of the Armed Forces, whose enlistment would have occurred during the Korean Conflict but

chose to serve 5 years in the Reserve Forces.

 Honorably discharged veteran who served in an eligible service period.

 Spouse  Unmarried Widow(er)  Minor child

 Widowed Parent of a qualified veteran

Eligible Service Period(s)

 WW I - April 6, 1917: Nov. 11, 1918 = ($2,778)

 China service with Navy and Marines: 1937 - 1939 =

 Occupation of Germany: Nov 12,1918 - July 11, 1923 =

($1,852)

 WW II: Dec. 7, 1941 - Dec. 31, 1946 = ($1,852)

($1,852)

 American Expeditionary Forces in Siberia: Nov. 12, 1918 -

 Korean: June 25, 1950 - Jan. 31, 1955 = ($1,852)

 Vietnam: Feb. 28, 1961 - May 7, 1975 = ($1,852)

April 30, 1920 = ($1,852)

 Second Haitian suppression of insurrections: 1919 - 1920

 Lebanon or Grenada Service: Aug. 24, 1982 - July 31,1984

= ($1,852)

 Second Nicaragua Campaign with Marines or Navy

 Panama Service: Dec. 20, 1989 - Jan. 31, 1990 = ($1,852)

 Persian Gulf:: Aug. 2, 1990 to still open = ($1,852)

in Nicaragua or on combatant ships: 1926 - 1933 = ($1,852)

 Yangtze service with Navy and Marines in Shanghai or in Yangtze Valley: 1926 - 1927 & 1930 - 1932 = ($1,852)

Military Record

My military service record is recorded in Volume ___________ , Page __________ , in ___________________ county.

I entered the service on _____________________, and I was released on _____________________.

I Declare

 I am a resident of and domiciled in the State of Iowa.

 I am the equitable or legal owner of the property upon which I claim the exemption and this is the only claim I

make in this state.

 The information I have entered on this form is true and correct.

Signed: ____________________________________________ (Claimant or Authorized Representative)

Date: ______________

Written notification must be given to the assessor upon conveyance of this property.

Assessor or Authorized Representative

I recommend this application be  allowed  disallowed

Signed _____________________________________________ Date _________________________

 allowed  disallowed

Board of Supervisors

54-146 (03/07/12)

Form 54-146 - Application For Military Exemption - State Of Iowa Page 2

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