Disability Exemption - Statement of Gross Income
Income is one of the criteria for qualifying for Civilian Total & Permanent Disabililty exemptions, therefore Florida law requires the applicant to file a Statement of Gross Income with the Property Appraiser's Office.
All sources of income must be reported on this form, including Social Security and veterans benefits from all persons residing on the property regardless of ownership. Statement of Gross Income form
If you receive a type of income listed, simply fill in all the annual income next to that item. If there is no specific source listed that fits your income source, then use the space that states "other (Specify)." If the income listed on the form does not pertain to you, leave it blank.
- The Statement of Gross Income must be notarized.
- Copies of your Federal Income Taxes must be included with your Statement of Gross Income.
- If you don't file Federal Income Taxes, you must include copies of income source documents such as SSA-1099, unemployment compensation benefits and veteran benefits.
- You must include the total household gross income. This means that all income must be listed for everyone residing in your household regardless of ownership.
If the applicant is not able to complete or sign the form, there are three options:
- The recipient may have a family member help them fill out the form.
- If the recipient is not able to sign their name, they may mark an "X" and have a family member sign as witness for that signature.
- You may take the form to your accountant and have them complete it. The recipient will then sign it.