For Oce Use Only
Approved
Name of applicant ______________________________ Assessment year ___________
Denied
Assessors signature ____________________________ Date _____________________
I have been cered by the United States VA as having 100% and permanent service-connected disability.
CR-HEV
Homestead Exclusion for a Veteran with a Disability
Applications are due by December 15. Read instructions before completing.
Sign Here
Check All That Apply
Type or Print
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
Check all boxes that apply. You 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 percent or more or a 100% and permanent
service-connected disability of 100 percent.
I have been cered by the U.S. Department of Veterans Aairs (VA) as having a service-connected disability of 70 percent or more.
I have aached the appropriate documentaon cerfying that I have been honorably discharged and verifying my disability status.
By signing below, I cerfy that the above informaon is true and correct to the best of my knowledge.
Signature of Applicant Signature of Spouse Date Dayme Phone
Please mail completed applicaon and required aachments to your county assessor.
Form CR-HEV Instrucons
Who is eligible?
You may be eligible for a market value exclusion of up to:
$150,000 if you are a United States military veteran with a service-connected disability of 70% or more
$300,000 if you are a United States military veteran with 100% and permanent service-connected disability
You must be able to verify honorable discharge 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 substitute for 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 (United States Government Form DD214 or other) to verify honorable discharge
Any forms that verify your service-connected disability status as certied by the VA
You may supply one letter provided by the VA containing all of the above information.
Use of Informaon
We use the information on this form to properly identify you and determine if you qualify for the 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 Assessors 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.