Fillable Homestead Exclusion for a Primary Family Caregiver of (Minnesota Department of Revenue)

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Homestead Exclusion for a Primary Family Caregiver of (Minnesota Department of Revenue)

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The Homestead Exclusion for a Primary Family Caregiver of (Minnesota Department of Revenue) form is 1 page long and contains:

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Country of origin: US
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Property Owner
Last Name First Name M.I. Social Security Number
Spouse’s First Name Spouse’s Last Name M.I. Social Security Number
Address (Cannot be a P.O. Box Number) Date of Birth
City State ZIP Code County
Property ID Number (from property tax statement)
Is this property your homestead?
Yes No
I am approved by the secretary of the United States Department of Veterans Aairs for assistance as the primary
provider of personal care services for the veteran listed on this applicaon who is an eligible veteran under the Program of
Comprehensive Assistance for Family Caregivers, codied as United States Code, tle 38, secon 1720G.
Yes No
(Rev. 8/19)
Homestead Exclusion for a Primary Family Caregiver of a Veteran with a Disability
Applications are due by December 15. Read instructions before completing.
Sign Here
CR-HEC
Veteran Informaon
Signature of Applicant Signature of Spouse Date Dayme Phone
I declare all informaon on this form is true, correct, and complete to the best of my knowledge and belief.
Veteran’s Last Name Veteran’s First Name M.I. Social Security Number
Address Date of Birth
City State Zip Code County
Check all boxes that apply. The veteran must have a U.S. Government Form DD214 or other ocial military discharge papers, and must
be cered by the U.S. Department of Veterans Aairs (VA) as having a service-connected disability of 70% or more.
The veteran has been cered by the United States VA as having service-connected disability of 70% or more. I have aached
documentaon supporng this statement.
The veteran has been cered by the United States VA as having a permanent service-connected disability of 100%. I have aached
documentaon supporng this statement.
I have aached the appropriate documentaon cerfying that the veteran has been honorably discharged.
I have aached the VA Caregiver Support Approval Leer verifying that I am the veteran’s Primary Family Caregiver.
Please mail completed applicaon and required aachments to your county assessor.
For Oce Use Only
Approved
Denied
Name of applicant
_________________________________Assessment year _____________
Assessor’s signature _______________________________Date ______________________
Who is Eligible?
You may be eligible for a market value exclusion of up to:
• $150,000 if you are the primary family caregiver of a United States military veteran with a service-connected disability of 70% or more
• $300,000 if you are the primary family caregiver of a United States military veteran with a 100% and permanent service-connected dis-
ability
You must be able to verify honorable discharge status of the veteran from the United States Armed Forces and be certied by the United
States Department of Veterans Aairs (VA) as having service-connected disability.
Homestead Property
This application is not a homestead application. You must apply for and be granted homestead on a qualifying property prior to applying for
this market value exclusion.
How to Apply
Mail the completed application with all required documentation to your county assessor by December 15 of the current year to be eligible for
the exclusion in the next payable tax year.
If you are married and you own your home jointly, both you and your spouse must sign the form.
Required Aachments
• Ocial military discharge papers (Form DD214 or other) to verify honorable discharge
• Any forms that verify your service-connected disability status as certied by the VA
• A letter from VA Caregiver Support documenting that you are the veteran’s primary family caregiver
Use of Informaon
We use the information on this form to properly identify you and determine if you qualify for this market value exclusion. Your Social Secu-
rity number is required. If you do not provide the required information, your application will be denied.
Penales
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 ne of up to $3,000 and/or up to one year in prison.
Addional Resources
Your county’s Veterans Service Oce and Assessor’s Oce can assist you with properly lling out this form. A fact sheet may be found on
the Department of Revenue’s website at www.revenue.state.mn.us.
Form CR-HEC Instrucons
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Homestead Exclusion for a Primary Family Caregiver of (Minnesota Department of Revenue)

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Completed 12 February 2022

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