Application for Disabled Veterans Property Tax Credit
Disabled Veteran of United States Armed Forces with Service Connected Disability of 50 Percent or More
or Extra - Schedular Rating that Brings the Total Disability Rating to 100 Percent
This application must be fi led with the county auditor by February 1 of the fi rst year for which the credit is claimed. A person shall furnish
to the assessor or other assessment offi cials when requested to do so, any information which is believed will support the claim for credit for
any subsequent year. A qualifying disabled veteran who acquires the homestead during the year may apply for credit for the portion of the
year during which the veteran owns the homestead.
Property Number:
Legal Description
Property Owner:
Property Address:
Taxable valuation of fi xtures
Is this property the applicant’s homestead? Yes
No
buildings, and improvements: $ ___________________
Enter the percentage of the veteran’s disability compensation rating or unemployability rating for service-connected disabilities as certifi ed
by the Department of Veterans’ Affairs for the purpose of applying for a property tax credit. ________%
Unremarried surviving spouse of a disabled veteran
The applicant is a: Disabled veteran
Unremarried spouse receiving DVA dependency and indemnity compensation
(100 percent credit)
Which of the following would best describe the type of ownership of the homestead property (check only one):
A. Is recorded in your (and spouse’s) name as owner
D. Is held under a life estate in property
B. Is being purchased by you under a contract for deed
E. Is held in a revokable trust
C. Is held in joint tenancy with one other than spouse
Credit Claimed Pursuant to North Dakota Century Code Section 57-02-08.8
Instructions
Provide a copy of the DD Form 214 showing veteran’s honorable discharge from active military service if claiming credit for fi rst time.
(This document is confi dential.)
Provide a certifi cate from the Department of Veterans’ Affairs certifying to the percentage of service-connected disability or unemployability
rating when claiming credit for the fi rst time, or if the veteran receives a change in the percentage of certifi ed rated service-connected
disability. (This document is confi dential.)
I make application for real property tax credit for the year ________ on the property described above and, in compliance with North Dakota
Century Code § 57-02-14.1, certify the information is accurate to the best of my knowledge and belief.
Note: N.D.C.C. § 12.1-11-02 provides that making a false statement in a governmental matter is punishable as a Class A misdemeanor.
Application is: Approved
Disapproved
______________________________________________________
Applicant
Date
Percentage approved
_____________ %
______________________________________________________
x Eligible Taxable value $ _______________
Assessor or Director of Tax Equalization
Date
Taxable value of credit
$ _______________
24770 (Rev. 4/14)