Jackson County Assessor Office | Application for Military Exemption

Iowa Code Section 426A

This application must be submitted to your city or county assessor by July 1.

Applicant Contact Information

Name

Phone
()

Property Owner Name

Veteran Name

Address

Property Claimed for Exemption

Jurisdiction

Parcel Number

Legal Description

Status - Select One: I am a(n):
Honorably discharged veteran, who served for a minimum of 18 months, or for fewer than 18 months because of a service-related injury.Former member, or member who is currently serving, of Reserve Forces or Iowa National Guard who has served at least 20 years.Member of Reserve Forces or Iowa National Guard who was activated for federal duty, not including training, for a minimum of 90 days.Former member of the Armed Forces, whose enlistment would have occurred during the Korean Conflict but chose to serve 5 years in the Reserve Forces.Honorably discharged veteran who served in an eligible service period. (Select eligible periods below)Related to a qualified veteran as a Parent.Related to a qualified veteran as a Spouse.Related to a qualified veteran as a Minor Child.Related to a qualified veteran as an Unmarried Widower.

Military Record

My military service record is recorded in:

Volume

Page

County

I entered into the service on

I was released on

I Declare

I am a resident of and domiciled in the State of Iowa.
I am the equitable or legal owner of the property upon which I claim the exemption and this is the only claim I make in this state.
The information I have entered on this form is true and correct.

Signature of Claimant or Authorized Representative:
(Use your mouse or finger to sign below)

Date

Written notification must be given to the assessor upon conveyance of this property.