Form Ncdva 9 PDF Details

In the heart of an apparatus designed to mitigate the financial strain on those who have served the United States with valor, the NCDVA-9 form emerges as a critical document. Functioning under the auspices of the State of North Carolina, this form facilitates a property tax exclusion for disabled veterans, extending this benefit to their surviving spouses, provided they remain unmarried. The essence of the form lies in its ability to certify an individual's eligibility by delving into the veteran's service record, disability status, and, crucially, the honorable nature of their discharge. Additionally, it serves as a conduit for the U.S. Department of Veterans Affairs to release pertinent disability-related information, thus ensuring the applicant's claim is substantiated. By stipulating conditions such as the veteran's permanent and total service-connected disability—or, in tragic circumstances, their death under conditions connected to their service—the form provides a framework through which tax relief can be both requested and justified. To navigate this process, the veteran or their surviving spouse is required to furnish detailed personal information, consent to the sharing of sensitive data, and ultimately obtain certification from the Department of Veterans Affairs. Through this meticulously outlined procedure, the NCDVA-9 form exemplifies a structured yet compassionate approach to acknowledging the sacrifices made by military personnel and offering tangible support in return.

QuestionAnswer
Form NameForm Ncdva 9
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesncdva 9 fillable, form ncdva9 fill out, ncdva 9 form, ncdva rev carolina

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NCDVA-9 For best delivery to USDVA, filing this form with your local veteran's service office is recommended. (Rev. 08-09)

 

 

 

State of North Carolina

 

 

 

 

 

Certification for Disabled Veteran's

 

 

COUNTY

 

 

Property Tax Exclusion (G.S. 105-277.1C)

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 1

 

TO BE COMPLETED BY THE VETERAN OR THE

 

 

 

 

 

SURVIVING SPOUSE WHO HAS NOT REMARRIED

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME (Print or Type)

 

 

 

DISABLED VETERAN'S FULL NAME (PRINT OR TYPE)

 

 

 

 

 

 

 

 

 

STREET ADDRESS OR P.O. BOX NUMBER

 

 

SURVIVING SPOUSE'S FULL NAME (PRINT OR TYPE)

 

 

 

 

 

 

 

 

(If Applicable)

 

 

 

 

 

 

 

 

CITY

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. DEPT. OF VETERANS AFFAIRS

 

 

 

 

 

 

 

 

FILE NUMBER

VETERAN'S SOCIAL SECURITY NUMBER

I am either (1) a veteran whose character of service at separation was honorable or under honorable conditions and who has a permanent and total service-connected disability or (2) the surviving spouse, who has not remarried, of a veteran whose character of service at separation was honorable or under honorable conditions and who had a permanent and total service-connected disability at death or veteran's death was the result of a service-connected condition. I request USDVA complete this certification in support of my separate application for the Disabled Veteran's Property Tax Exclusion to the Tax Assessor.

SECTION 2

 

 

Disabled Veteran's Signature

 

 

I authorize the U.S. Department of Veterans Affairs to release information regarding my disability as needed for this

certification.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISABLED VETERAN'S SIGNATURE

 

DATE

 

 

 

 

 

 

 

SECTION 3

 

Surviving Spouse's (WHO HAS NOT REMARRIED) Signature

 

 

I authorize the U.S. Department of Veterans Affairs to release information regarding my spouse's disability or death

as needed for this certification.

 

 

 

 

 

 

 

 

 

 

 

 

SURVIVING SPOUSE'S SIGNATURE

 

DATE

 

 

 

 

 

 

 

SECTION 4

 

To be completed by the U.S. Department of Veterans Affairs

 

 

A.

Veteran does not meet either B, C, D, or E of the below criteria.

 

B.

Veteran has a service-connected permanent and total disability that existed as of_____________________ .

Please

C.

Veteran received benefits on ______________________ from U.S. Department of Veterans Affairs for specially

 

check all

 

 

 

 

 

 

 

 

adapted housing under 38 U.S.C. 2101 for the veteran's permanent residence.

 

 

that apply:

D.

Veteran died on _______________________ and had a service-connected permanent and total disability at death.

 

 

E.

Veteran died on _______________________ and the death was either (1) the result of a service-connected condition or

 

(2) death occurred while on active duty in the line of duty and not due to service member's own willful misconduct.

 

 

 

 

 

 

 

Character of Disabled Veteran's

 

Honorable

 

Under Other than Honorable Conditions

Service at Separation: (DD-214)

 

Under Honorable Conditions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF USDVA CERTIFYING OFFICIAL

 

DATE

 

 

 

 

 

 

 

NOTE:

PRINTED NAME OF USDVA CERTIFYING OFFICIAL

Stamped Signature by USDVA Official on this form has been

 

 

 

 

 

authorized by Director, VA Regional Office,

TITLE OF USDVA CERTIFYING OFFICIAL

Winston-Salem, NC.

 

NC Division of Veterans Affairs authorizes the NC Department of Revenue and any County Tax Office to use this form as needed.

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