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CR-DVHE100 Market Value Exclusion on Homestead of Disabled ..._1_


Market Value Exclusion on Homestead of Disabled Veterans with Total and
Permanent Disability
Provides for market value exclusion for homesteads of disabled veterans

Applications are due by July 1. Read instructions before completing. Please note that there is a
separate application for veterans who are 70 percent or more disabled (but are not totally and
permanently disabled).
                           First name and middle initial                                 Last name       Social Security number

                                                                                                                                                                                                                              Name of applicant
                           Spouse’s first name and middle initial                        Last name       Social Security number
 Type or Print

                           Address (cannot be a P.O. Box number)                                         Date of birth

                           City                                                  State                   Zip Code               County

                           Property ID number (from property tax statement):

                                                                                                                                                                                                                              Application is
                           Check one: Is this property your homestead?
                             Yes          No

                                                                                                                                         For office use only to be completed by the county assessor.
                           Check all boxes that apply. You must have a U.S. Government Form DD214 or other


                           official military discharge papers, and must be certified by the U.S. Veterans
                           Administration as having a permanent service-connected disability of 100 percent.

                                                                                                                                                                                                       for assessment year:
 Check all that apply

                           Check if:

                              I have been certified by the United States Veterans Administration as having
                           permanent and total service-connected disability.

                                                                                                                                                                                                                              Assessor’s Signature and Date
                           Check one:
                           I have attached the appropriate documentation certifying that I have been honorably
                           discharged and verifying my disability status.
                               Yes             No

                           Sign below:
                           By signing below, I certify that the above information is true and correct to the best of my
 Sign Here

                                                       Making false statements on this application is against the law
                                  Minnesota Statutes, section 609.41, states that anyone giving false information in order to avoid or
                                    reduce their tax obligations is subject to a fine of up to $3,000 and/or up to one year in prison.

                           Signature of applicant                    Signature of spouse                 Date            Daytime phone

                        Please mail completed application and required attachments to your county assessor.
Applying for the disabled veterans homestead market value exclusion
Form CR-DVHE100

  Who is eligible?                  How to apply                    Use of information
  You may be eligible for a         Complete the entire             The information on this
  market value exclusion of up to   application fully and           form is required by
  $300,000 if you are a United      legibly. Attach all proper      Minnesota Statutes, section
  States military veteran with      documentation. Mail the         273.13 to properly identify
  total (100 percent) and           application and the required    you and determine if you
  permanent service-connected       documentation to your           qualify for the market value
  disability.                       county assessor by July 1 of    exclusion. Your Social
                                    the current year to be          Security number is
  If you are not totally and        eligible for exclusion in the   required. If you do not
  permanently disabled but have     next payable tax year.          provide the required
  disability of 70 percent or                                       information, your
  more, then you may qualify for    For veterans with total (100    application may be delayed
  a $150,000 market value           percent) and permanent          or denied.
  exclusion. If this is the case,   disability, there is no need
  please complete form CR-          to reapply after you have       Penalties
  DVHE70 (Homestead of              been accepted.                  Making false statements
  Disabled Veterans with 70                                         on this application is
  Percent or More Disability).      If you are married and you      against the law. Minnesota
                                    own your home jointly,          Statutes, section 609.41,
  You must be able to verify        both you and your spouse        states that anyone giving
  honorable discharge from the      must sign the form.             false information in order
  United States armed forces as                                     to avoid or reduce their tax
  indicated by U.S. Government      Required attachments            obligations is subject to a
  Form DD214 or other official      Please attach official          fine of up to $3,000 and/or
  military discharge papers. You    military discharge papers       up to one year in prison.
  must also be certified by the     (United States Government
  United States Veterans            Form DD214 or other) to         Additional resources
  Administration as having          verify that you have been       Your county’s Veterans
  service-connected disability.     honorably discharged from       Service Office and
                                    the United States Armed         Assessor’s Office should be
  Homestead Property                Forces. Please also attach      able to assist you with
  This application is not a         any forms that verify your      properly filling out this
  substitute for a homestead        service-connected disability    form. A fact sheet may be
  application. You must apply       status as certified by the      found on the Department of
  for and be granted homestead      United States Veterans          Revenue’s website at
  on a qualifying property prior    Administration.       
  to applying for this market
  value exclusion.                  It is acceptable to supply
                                    one letter provided by the
                                    Veterans Administration
                                    containing all of the above

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