Free 50-135 Application for Disabled Veterans or Survivors Exemptions - Texas

50-135 (Rev. 11-05/9) [11.22 Rule 9.415]

APPLICATION FOR DISABLED VETERAN'S OR SURVIVOR'S EXEMPTION
Appraisal district name Address

YEAR

Phone (area code and number)

The application covers property you owned on January 1 of this year. You must file the completed form between January 1 and April 30 of this year. You may file a late exemption application if you file it no later than one year after the delinquency date for the taxes on the property. Be sure to attach any additional documents requested. If the chief appraiser grants the exemption, you do not need to reapply annually, but you must reapply if the chief appraiser requires you to do so, or if you want the exemption to apply to property not listed in this application. You must notify the chief appraiser in writing if and when your right to this exemption ends or your disability rating changes. Return the completed form to the address above.

Step 1: Name and address of owner

Name of owner Present mailing address City, town or post office, state, ZIP code

Driver's License, Personal I.D. Certificate, or Social Security Number*:

Phone (area code and number)

Step 2: Describe the property

Street address if different from above, or legal description if no address

Appraisal district account number (Optional): Mobile home: give make, model and identification number

· Check the exemptions that apply to you and answer the questions. · You may qualify for more than one exemption.

Disabled veteran's exemption Check here if this exemption applies to you

You qualify for this exemption if you are a veteran of the U.S. Armed Forces and your service branch or the Veteran's Administration has officially classified you as disabled. Your disability must be service related. You must be a Texas resident. Please give the information requested below, and attach a letter or other document from the V.A. or service branch giving your most recent disability rating.
Branch of service Disability rating Age Serial number

Are you a Texas resident? .......................................................................................................... Check the box if you: have lost the use of one or more limbs (service related). are blind in either or both eyes (service related).

Yes

No

Surviving spouse or child of a deceased disabled veteran Check here if this exemption applies to you

You qualify for this exemption if you are the surviving spouse or child of a deceased veteran of the U.S. Armed Forces and the veteran's service branch or the Veteran's Administration had officially classified the veteran as disabled before his/her death. The disability must have been service related. You must be a Texas resident. If you are a surviving spouse, you must not have remarried. If you are a surviving child, you must be under 18 years old and your disabled parent's spouse must not have survived your disabled parent. Please give the information requested below, and attach a letter or other document from the V.A. or service branch giving the veteran's most recent disability rating. Also attach a copy of a birth certificate or marriage license showing your relationship to the veteran.
Veteran's name Branch of service Disability rating Age at death Serial number

Check the box if the veteran:

had lost the use of one or more limbs (service related). was blind in either or both eyes (sevice related).

Are you a Texas resident? ........................................................................................................ Are you a surviving spouse? ...................................................................................................... If you are a surviving spouse, have you remarried? .................................................................. Are you a surviving child? ........................................................................................................ If you are a surviving child: are you under 18?...................................................................... are you unmarried? .................................................................... was your disabled parent married at the time he/she died? ............................................................ how many of your disabled parent's children are under 18 and unmarried? ...................................... Continue on Page 2

Yes Yes Yes Yes Yes Yes Yes

No No No No No No No

50-135 (Rev. 11-05/9) - Page 2

Surviving spouse or child of an armed forces member killed on active duty Check here if this exemption applies to you

You qualify for this exemption if you are the surviving spouse or child of a person who died while on active duty with the U.S. Armed Forces. You must be a Texas resident. If you are a surviving child, you must be under 18 years old. Please give the information requested below, and attach a letter or other document from the V.A. or service branch showing that the person died on active duty. Also attach a copy of a birth certificate or marriage license showing your relationship to the armed forces member. A surviving spouse who claims this exemption may not also receive an exemption as the surviving child of a deceased disabled veteran or armed forces member killed on active duty.
Veteran's name Branch of service Disability rating Age at death Serial number

Are you a Texas resident? ........................................................................................................ Are you a surviving spouse? ...................................................................................................... Are you a surviving child? ........................................................................................................ If you are a surviving child: are you under 18?...................................................................... are you unmarried? .................................................................... how many of the member's children are under 18 and unmarried? ......................................

Yes Yes Yes Yes Yes

No No No No No

Step 3: Check if late application

If you were eligible for this exemption last year, check this box and enter the prior tax year. You must have met all of the qualifications above on January 1 of the prior tax year to receive the exemption for last year. Application for exemption for prior tax year, _________ .

Step 4: Sign the application

I certify that the information in this document and any attachments is true and correct to the best of my knowledge and belief. Authorized signature Date

If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10.
* You are required to give us this information on this form, in order to perform tax related functions for this office. Section 11.43 of the Tax Code authorizes this office to request this information to determine tax compliance. The chief appraiser is required to keep the information confidential and not open to public inspection, except to appraisal office employees who appraise property and as authorized by Section 11.48(b), Tax Code.