Veteran's Tax Exemption Application

1

Applicant Information

 *

Applicant Information

Name

Residence Address

Phone

2

Location of Property OR Make/Model of motor vehicle

 *

Address OR Make/Model of vehicle

3

Do you reside at the above address for 12 months each year?

Do you reside at the above address for 12 months each year?

Yes

No (please explain in the field below) If other, type text here.

4

Are you a legal resident of Jamestown?

Are you a legal resident of Jamestown?

No

Yes

5

Are you registered to vote?

Are you registered to vote?

No

Yes

6

Have you ever applied for a Veteran’s Exemption in another community?

Have you ever applied for a Veteran’s Exemption in another community?

No

Yes (please list where in the field below) If other, type text here.

7

Are you married?

Are you married?

No

Yes (please list your spouse's name in the field below) If other, type text here.

8

Branch of military in which you served?

 *

Branch of military in which you served?

9

Date of Entry?

 *

Date of Entry?

10

Date of Discharge?

 *

Date of Discharge?

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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