Revised April 2008
Revised April 2008 DISABLED PERSONS HOMESTEAD TAX CREDIT FOR HOMESTEAD PROTECTION OF DISABLED PERSONS, THROUGH TAX CREDIT FROM THE PAYMENT OF REAL PROPERTY TAXES AS PROVIDED UNDER ACT 6991 TWENTY-SEVENTH LEGISLATURE OF THE VIRGIN ISLANDS OF THE U.S., APPROVED MARCH 10 , 2008. This form must be completed and returned to the Office of the Tax Assessor on or before January 1st of each taxable year. Name:………………………………………..…………………………………………………………….. Mailing Address…………………………………………………………………………………………… Parcel No:…………………………………………………………………………………………………. (Located on upper right hand of bill) Designate below the owner- occupied property on which you claim Disabled Persons Tax Credit pursuant to Act No. 6991 STREET NO. …
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Revised April 2008 DISABLED PERSONS HOMESTEAD TAX CREDIT FOR HOMESTEAD PROTECTION OF DISABLED PERSONS, THROUGH TAX CREDIT FROM THE PAYMENT OF REAL PROPERTY TAXES AS PROVIDED UNDER ACT 6991 TWENTY-SEVENTH LEGISLATURE OF THE VIRGIN ISLANDS OF THE U.S., APPROVED MARCH 10 , 2008. This form must be completed and returned to the Office of the Tax Assessor on or before January 1st of each taxable year. Name:………………………………………..…………………………………………………………….. Mailing Address…………………………………………………………………………………………… Parcel No:…………………………………………………………………………………………………. (Located on upper right hand of bill) Designate below the owner- occupied property on which you claim Disabled Persons Tax Credit pursuant to Act No. 6991 STREET NO. OF FOR OFFICE USE ONLY HOUSE AND/OR LOT NAME OF STREET OR ESTATE NAME OF QTR DO NOT WRITE IN THIS SPACE Assessment Taxes If not exempted Exempted Exempted State reason Did you receive income from the above property by rental, lease, or otherwise, between January 1st, 20___ to January 1st, 20___.......................................................................................................................... Is your total income from all sources more than $30,000 per year for individual’s gross income or more than $50,000 per household’s gross income?................................What is your total income?................... Have you been found to suffer a disability as determined by Social Security Administration? ......................Document verified………………………………. 555555555555555555555555555555555555555555555555555555555555555555555 I,…………………………………………………, being duly sworn, say that the foregoing statement is correct and that as Owner, Partner, Trustee, Administrator, Guardian or Agent, I have been residing in the above described property in the District of …………………………………………………………………. ………………………………………………… Signature Subscribed and sworn to before me this………….day of………………………………, 20……………… …………………………………………… Notary Public 666666666666666666666666666666666666666666666666666666666666666666 FOR USE BY THE OFFICE OF THE TAX ASSESSOR Verified By……………………………………….. Approved By…………………………………………