Disabled Veteran Exempt Form

Disabled Veterans Property Tax Credit

SFN 24770 (6-2021)
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 filed with the assessor every year by February 1 of the first year for which the credit is claimed.
For the Year:*
Owner Information
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Property Information
Property Number (Parcel #)
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Legal Description
Taxable valuation of the homestead
Enter the percentage of the veteran’s disability compensation rating or unemployability rating for service-connected disabilities as certified by the Department of Veterans Affairs for the purpose of applying for a property tax credit*
The applicant is a:*

Disabled VeteranUnremarried surviving spouse of a disabled veteranUnremaried spouse receiving DVA dependency and indemnity compensation (100 percent credit)
Marital Status*

MarriedSingle
Which of the following best describe the type of ownership of the homestead property?*

Is recorded in your (and spouse's) name as ownerIs being purchased by you under a contract for deedIs held in joint tenancy with one other than spouseIs held under a life estate in propertyIs held in a revocable trust
Signature*

Clear
Date*

MonthDayYear
Should be Empty:

Disabled Veterans Property Tax Credit

Owner Information

Property Information