Form C.O.E.D.V.S.S.E "Certification of Eligibility to Continue Receipt of Disabled Veteran's Real Property Tax Exemption" - New Jersey

What Is Form C.O.E.D.V.S.S.E?

This is a legal form that was released by the New Jersey Department of the Treasury - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the New Jersey Department of the Treasury;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form C.O.E.D.V.S.S.E by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

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Download Form C.O.E.D.V.S.S.E "Certification of Eligibility to Continue Receipt of Disabled Veteran's Real Property Tax Exemption" - New Jersey

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CERTIFICATION OF ELIGIBILITY TO CONTINUE RECEIPT
OF DISABLED VETERAN’S REAL PROPERTY TAX EXEMPTION
N.J.S.A. 54:4-3.30 et seq. N.J.A.C. 18:28-1.1 et seq.
IMPORTANT: File this completed certification with your municipal assessor.
1. CLAIMANT NAME
Name(s) of disabled veteran claimant owner (and spouse/civil union partner, as tenants by entirety, or domestic partner) or of
disabled veteran’s surviving spouse/surviving civil union partner/surviving domestic partner permanently residing in dwelling.
2. DWELLING LOCATION
Street Address of above claimant owner's principal residence
Phone #
Email
County
Municipality
Block
Lot
Qualifier
YES
NO
I am the Disabled Veteran exemption claimant and a legal resident of New Jersey and I occupy
the dwelling listed on this form as my principal place of residence.
YES
NO
I, as the Disabled Veteran exemption claimant, own the property as:
the sole owner.
the life tenant.
tenant-in-common with ______%
ownership.
the owner with my spouse as tenants by the
joint tenant with ______% ownership.
entirety.
the owner with my civil union partner as
the owner with my domestic partner.
tenants by the entirety.
YES
NO
My wartime service-connected disability, as declared by the United States Veterans’
Administration, remains 100% total and permanent.
YES
NO
I have not claimed, nor am I receiving any other Disabled Veterans’ Exemption under this act
(N.J.S.A. 54:4-3.30 et seq.) on any other property owned by me, or by me and my spouse/civil
union partner/domestic partner, that is located in New Jersey.
YES
NO
I am receiving another disabled veteran’s exemption on Block
Lot
Qual
Property located at
Address
YES
NO
I am the New Jersey resident surviving spouse/surviving civil union partner/surviving domestic
partner of a totally and permanently disabled war veteran as specified in N.J.S.A. 54:4-3.30 et
seq. and N.J.A.C. 18:28-1.1 et seq. and I occupy the dwelling listed on this form as my
principal place of residence.
YES
NO
I have not remarried nor entered into a new civil union/domestic partnership.
I, as the surviving spouse/surviving civil union partner/surviving domestic partner, own the
YES
NO
property as:
the sole owner.
the life tenant.
tenant-in-common with
joint tenant with
______% ownership.
______% ownership.
I certify the above declarations are true to the best of my knowledge and belief and understand they will be considered as
if made under oath and subject to penalties for perjury if falsified.
Signature of veteran claimant
Date
Signature of surviving spouse/surviving civil union partner/surviving domestic partner
Date
OFFICIAL USE ONLY - Block
Lot
Qual.
Approved
Disallowed
Assessor
Date
This form is prescribed by the Director, Division of Taxation, as required by law, and may not be altered without the approval of the Director.
Form: C.O.E.D.V.S.S.E.
Rev: Feb. 2018
Form pg 1 of 1
CERTIFICATION OF ELIGIBILITY TO CONTINUE RECEIPT
OF DISABLED VETERAN’S REAL PROPERTY TAX EXEMPTION
N.J.S.A. 54:4-3.30 et seq. N.J.A.C. 18:28-1.1 et seq.
IMPORTANT: File this completed certification with your municipal assessor.
1. CLAIMANT NAME
Name(s) of disabled veteran claimant owner (and spouse/civil union partner, as tenants by entirety, or domestic partner) or of
disabled veteran’s surviving spouse/surviving civil union partner/surviving domestic partner permanently residing in dwelling.
2. DWELLING LOCATION
Street Address of above claimant owner's principal residence
Phone #
Email
County
Municipality
Block
Lot
Qualifier
YES
NO
I am the Disabled Veteran exemption claimant and a legal resident of New Jersey and I occupy
the dwelling listed on this form as my principal place of residence.
YES
NO
I, as the Disabled Veteran exemption claimant, own the property as:
the sole owner.
the life tenant.
tenant-in-common with ______%
ownership.
the owner with my spouse as tenants by the
joint tenant with ______% ownership.
entirety.
the owner with my civil union partner as
the owner with my domestic partner.
tenants by the entirety.
YES
NO
My wartime service-connected disability, as declared by the United States Veterans’
Administration, remains 100% total and permanent.
YES
NO
I have not claimed, nor am I receiving any other Disabled Veterans’ Exemption under this act
(N.J.S.A. 54:4-3.30 et seq.) on any other property owned by me, or by me and my spouse/civil
union partner/domestic partner, that is located in New Jersey.
YES
NO
I am receiving another disabled veteran’s exemption on Block
Lot
Qual
Property located at
Address
YES
NO
I am the New Jersey resident surviving spouse/surviving civil union partner/surviving domestic
partner of a totally and permanently disabled war veteran as specified in N.J.S.A. 54:4-3.30 et
seq. and N.J.A.C. 18:28-1.1 et seq. and I occupy the dwelling listed on this form as my
principal place of residence.
YES
NO
I have not remarried nor entered into a new civil union/domestic partnership.
I, as the surviving spouse/surviving civil union partner/surviving domestic partner, own the
YES
NO
property as:
the sole owner.
the life tenant.
tenant-in-common with
joint tenant with
______% ownership.
______% ownership.
I certify the above declarations are true to the best of my knowledge and belief and understand they will be considered as
if made under oath and subject to penalties for perjury if falsified.
Signature of veteran claimant
Date
Signature of surviving spouse/surviving civil union partner/surviving domestic partner
Date
OFFICIAL USE ONLY - Block
Lot
Qual.
Approved
Disallowed
Assessor
Date
This form is prescribed by the Director, Division of Taxation, as required by law, and may not be altered without the approval of the Director.
Form: C.O.E.D.V.S.S.E.
Rev: Feb. 2018
Form pg 1 of 1