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PTAX-342-R Annual Verification of Eligibility for Standard Homestead Exemption for Veterans with Disabilities

  1. PIN, Tax ID, Property Identification Number
  2. Is this the only property for which you have applied for a homestead exemption? *
  3. Are you liable for the payment of real estate taxes?*
  4. Did you receive the SHEVD for the prior assessment year on this property?*
  5. Check the statement that applies*
  6. If your disability percentage has changed, please submit a new awards letter.
  7. On January 1, were you the owner of the property?*
  8. On January 1, did you occupy this property as your principal residence?*
  9. If “No,” complete
    Select all that apply
  10. On January 1, were you a resident of a facility licensed under the Nursing Home Care Act or operated by the U.S. Department of Veterans’ Affairs?
  11. Enter the name and address of the facility.
  12. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  13. I state that to the best of my knowledge, the information contained on this application is true, correct, and complete
  14. Leave This Blank:

  15. This field is not part of the form submission.