County: Account Number:
Name: Daytime Telephone: ( )
Email Address:
Property Address:
Mailing Address:
Are you a legal resident of Oklahoma?
Do you currently, or did you in the previous year, have homestead exemption in this State?
If so, list address , City County
Part One
Part Two
Part Four
Applicant Ownership
(to be completed by applicant)
Assessor
Y
Y
please mark the appropriate box...
Did you own this property on or before January 1 of this year?
Were you occupying this property as your place of residence on January 1 of this year?
Will your deed or other evidence of ownership be of record with the County
Clerk’s Ofce on or before February 1 of this year?
The 100% disabled veterans cannot be approved if you do not own and occupy the homestead property as your place of residence
on January 1 each year the exemption is applied, including the year of application. Your deed or other evidence of ownership must
be recorded with the County Clerks Ofce no later than February 1 of the beginning year of the exemption.
Is the applicant Head of Household?
Has the applicant been honorably discharged from the United States Armed Services?
Is the applicant certied by the U.S.D.V.A. to have 100% permanent disability sustained
through military action or accident?
Is the applicant receiving benet compensation at the 100% rate?
Is the applicant the surviving spouse of such 100% compensated veteran?
The applicant attests to the validity of the claim for exemption and shall notify the county assessor at such time when
the applicant or surviving spouse does not meet the qualications as set forth by the above cited requirements.
Applicant’s Signature Date
County Assessor or Deputy Date
Approved beginning tax year.
Disapproved. Reason
(to be completed by applicant)
NOTE:
please mark the appropriate box...
Part Three
Qualification
The applicant must provide to the county assessor a current U.S.D.V.A. benets award letter or such document that the U.S.D.V.A.
issues for qualication specic to this exemption that certies the 100% service related disability, or the applicant is in receipt of
compensation at the 100% rate. The county assessor is authorized to request and verify any information from the applicant or the
U.S.D.V.A. they may feel is relevant.
NOTE:
Y
OTC
998
Revised 11-2019
Tax Year
State of Oklahoma
Application for 100% Disabled Veterans
Real Property Tax Exemption
Legal Description:
School
District
N
N
Y
Y
N
N
N
Y N
Y N
Y N
Y N
Y N
please mark the appropriate box...
✍
✍
2020