provided by Maine Revenue Services, Property Tax Division, Tel: (207) 287-2011
Application For Exemption From Local Taxation
VETERAN
INSTRUCTIONS: All questions must be answered. Any person seeking exemption as a veteran of the armed services must make written application, and file written proof of entitlement on or before the first day of April in the year in which the exemption is first requested, with the assessors of the place in which the applicant resides. The local assessor shall thereafter grant such exemption while you are so qualified and continue a legal resident. This application must be accompanied by satisfactory documentary evidence to support answers to questions. If you are in doubt as to the way in which to answer any questions, or as to documentary evidence needed, consult your local assessor.
1 . Name__________________________________________
2. Mailing Address_______________________________________________________________________
3. Legal Residence_______________________________________________________________________
4. Telephone Number_____________________________________________________________________
5. Date of Birth_____________________
6. a) Date of Entry into Armed Forces___________________
b) Legal Residence on Date of Entry into Armed Forces_________________________
c) Date of Discharge or Separation from Armed Forces_________________________
7. Do you receive any pension or compensation from the United States Government as a Veteran for disability based on:
| a) Service in the Armed Forces of the United States during any Federally recognized War Period? | ___Yes | ___No |
| b) Injury or disease incurred or aggravated in the line of duty during active military service? | ___Yes | ___No |
| 8. Is Pension or Compensation for Total Disability? | ___Yes | ___No |
| 9. Did you receive a grant from the United States Government for Specially Adapted Housing as a Paraplegic? | ___Yes | ___No |
10. Veterans Administration Claim Number C-______________________________
11. Military Service Serial Number______________________________
I hereby apply for exemption from local taxation in accordance with Title 36, MRSA, section 653. No property upon which I claim tax exemption as a veteran was conveyed to me for the purpose of obtaining exemption other than from my spouse. The answers to the above questions are correct to the best of my knowledge and belief.
Date___________________
______________________________
Signature of Applicant
--------------------CERTIFICATE OF APPROVAL OF APPLICANT'S EXEMPT STATUS----------------------- Written proof of entitlement has accompanied this application which supports the statements here contained indicating that the applicant is entitled to exemption from property tax as indicated.
| ______ | $5,000 | Post W.W.I. |
| ______ | $7,000 | W.W.I. |
| ______ | $47,500 | Paraplegic |
In determining the local assessed value of the exemption, the assessor shall multiply the amount of the exemption by the ratio of current just value upon which the assessment is based.
| Date Approved___________________ | Approved by___________________ |
| Effective Date____________________ | Title__________________________ |
NOTE: Acceptable proof of entitlement is covered by, but not limited to, a certificate or V.A. Form 20-5455a when Item 15 Tax Code indicates Code 2 or 3 or a copy of the certificate or letter issued by the V.A.
NOTE: When this form is used by a municipality the ratio to be used is that which was reported to the State Tax Assessor on the annual Municipal Valuation Return.
PTF-307.1
11/95