Form 82514B, Certification of Disability for Property Tax Exemption (printed as ADOR 82514B), is the medical certification an Arizona applicant uses to show a total and permanent disability when claiming a property tax exemption. It is one of the Mohave County property tax forms that the Mohave County Assessor publishes, and it is filed with the County Assessor of the county where the applicant's property is located, together with the ADOR 82514 affidavit. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original is published at the agency.
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What is ADOR 82514B?
Certification of Disability for Property Tax Exemption (Form 82514B) is the form on which an applicant and a competent medical authority certify that the applicant is totally and permanently disabled, for use only when filing for Arizona property tax exemptions.
The form is filed with the exemption affidavit, ADOR 82514, Affidavit of Individual Tax Exemption. It cites Article IX, Section 2 of the Arizona Constitution; A.R.S. Title 42, Chapter 11, Article 3, § 42-11111; and Article 4, §§ 42-11151, 42-11152 and 42-11153.
It has two parts. In the first, the applicant gives a name, address, email address, date of birth and marital status, and signs. In the second, headed Medical Certification for a Person with a Total and Permanent Disability, the examining medical authority marks YES or NO on whether the applicant is unable to engage in any substantial gainful activity, adds contact details and signs.
The form prints the definitions that apply. A "person with a total and permanent disability" is unable to engage in any substantial gainful activity, for pay or profit, because of a physical or mental impairment expected to last at least twelve months continuously or to result in death within twelve months, as certified by a competent medical authority. A "Competent Medical Authority" is a person licensed under Title 32, Chapter 8, 13, 14, 17, 19.1, 25 or 29 or comparable law of another state, a registered nurse practitioner as defined in Section 32-1601, or the United States Department of Veterans Affairs, as evidenced by a disability award letter.
Veterans are told on the form to contact their local County Assessor for disability filing requirements.
Who needs to file ADOR 82514B?
Applicants for an Arizona property tax exemption for a person with a total and permanent disability use Form 82514B. The applicant completes and signs the top section, and an examining medical authority completes the medical certification.
Conditions printed on the form:
- The form applies only to filing for Arizona property tax exemptions.
- It goes with the ADOR 82514 Affidavit of Individual Tax Exemption.
- It is filed with the County Assessor of the county in which the applicant's property is located.
- The certifier must be a Competent Medical Authority as the form defines it: a person licensed under the listed chapters of A.R.S. Title 32 or comparable law of another state, a registered nurse practitioner, or the United States Department of Veterans Affairs, as shown by a disability award letter. A footnote lists examples of licensed individuals: chiropractor, physician (allopath, homeopath, osteopath, naturopath), physician assistant and psychologist.
Veterans should contact their local County Assessor for disability filing requirements before relying on this form. The form does not say who may sign for an applicant.
When to file ADOR 82514B
File Form 82514B no later than the last business day in February if you hand-deliver it. If you mail it, it must be postmarked on or before the last business day of February. The form ties this date to the exemption affidavit: to have ADOR 82514 processed for the current Tax Year, the copy of Form 82514B with both the applicant's and the Medical Authority's signatures must be filed with the copy of ADOR 82514 by that date. Because the medical authority must certify and sign the form first, obtain that signature before the end of February. The form sets no separate processing time.
Documents you need
- A copy of ADOR 82514, Affidavit of Individual Tax Exemption, filed together with Form 82514B with the County Assessor.
- The copy of Form 82514B that carries both the applicant's signature and the Medical Authority's signature; the form requires this copy when you hand-deliver it.
- A Department of Veterans Affairs disability award letter, when the United States Department of Veterans Affairs is the competent medical authority certifying the disability.
How to fill out ADOR 82514B
Open the fillable PDF
Open Form 82514B (ADOR 82514B, Revised 10/2025) and complete it online; the form also allows printing and filling it in manually. Use the Print and Clear Form buttons at the top as needed.
Enter the applicant's name
Under Applicant's Name, type or print your name in the order Last, First and Initial.
Enter your address
Fill in Street Address and City, State, ZIP Code. Use the address of the applicant.
Add email, birth date and marital status
Enter your Email Address and Date of Birth, then mark Single or Married under Marital Status.
Review the printed definitions
Check the definitions of Competent Medical Authority and person with a total and permanent disability, so the person certifying qualifies under them.
Sign and date as applicant
Sign at Applicant's Signature and enter the Date Signed.
Pass the form to the medical authority
The examining Medical Authority marks YES or NO to the statement that the applicant is unable to engage in any substantial gainful activity and is totally and permanently disabled.
Enter the medical authority's details
The Medical Authority types or prints the name, business address, city, state, ZIP code and phone number.
Add the medical authority's signature
The Medical Authority signs and dates the certification. Both signatures must appear on the copy you file.
Review and download the completed PDF
Check every entry, then download or print the completed PDF from FillingPDF. Pair it with ADOR 82514 and file both as described under How to submit.
How to submit ADOR 82514B
You can file the certification by hand delivery or by mail with the County Assessor of the county where the applicant's property is located. The form names no online channel.
- Hand delivery: file the copy of Form 82514B that carries both the applicant's and the Medical Authority's signatures, together with a copy of ADOR 82514, Affidavit of Individual Tax Exemption, no later than the last business day in February.
- Mail: send the same two forms to the County Assessor. They must be postmarked on or before the last business day of February.
The form lists the address and phone number of every Arizona County Assessor. For Mohave County, it gives: Mohave County Assessor, 700 W. Beale Street, Kingman, AZ 86401, (928) 753-0703. For any other county, use the address printed in the County Assessors list at the end of the form.
Veterans should contact their local County Assessor for disability filing requirements. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Filing Form 82514B without the ADOR 82514 Affidavit of Individual Tax Exemption; the form is meant to be filed along with that affidavit.
- Missing the last business day in February, whether by hand delivery or by a postmark later than that day when mailing.
- Hand-delivering a copy that lacks the applicant's or the Medical Authority's signature; the signed copy must be the one filed.
- Filing with the wrong office; the form goes to the County Assessor of the county in which the applicant's property is located.
- Having the medical section completed by someone who is not a Competent Medical Authority as defined on the form.
- Filling in the YES/NO certification yourself; it is to be completed by the examining medical authority.
- Using the form for a purpose other than an Arizona property tax exemption; it applies only to those filings.
- Assuming this form covers veterans' disability filings; the form tells veterans to contact their local County Assessor for requirements.
Frequently asked questions
What is Form 82514B used for?
Form 82514B is the Certification of Disability for Property Tax Exemption. A competent medical authority uses it to certify that an applicant is totally and permanently disabled, and it applies only to Arizona property tax exemption filings. It is filed with the ADOR 82514 affidavit.
What is the deadline to file the Certification of Disability?
No later than the last business day in February if hand-delivered, or postmarked on or before the last business day of February if mailed. The form ties this date to getting ADOR 82514 processed for the current Tax Year.
Who can complete the medical certification on Form 82514B?
A Competent Medical Authority: a person licensed under A.R.S. Title 32, Chapter 8, 13, 14, 17, 19.1, 25 or 29 or comparable law of another state, a registered nurse practitioner, or the Department of Veterans Affairs, as shown by a disability award letter.
How does the form define a total and permanent disability?
A person unable to engage in any substantial gainful activity, for pay or profit, because of a physical or mental impairment expected to last at least twelve months continuously or to result in death within twelve months, as certified by a competent medical authority.
Where do I file the Mohave County property tax disability certification?
File it with the County Assessor of the county where your property is located. For Mohave County, the form lists the Mohave County Assessor, 700 W. Beale Street, Kingman, AZ 86401, (928) 753-0703. Send it with the ADOR 82514 affidavit.
Do I need to file ADOR 82514 with Form 82514B?
Yes. The form says the signed copy of Form 82514B must be filed along with the ADOR 82514 Affidavit of Individual Tax Exemption for the exemption affidavit to be processed for the current Tax Year.
Can veterans use Form 82514B?
The form tells veterans to contact their local County Assessor for disability filing requirements. Confirm with that office before using this form. The Department of Veterans Affairs may act as the certifying authority, as shown by a disability award letter.
Can I fill out Form 82514B online on FillingPDF?
Yes. You can fill out the fillable PDF online on FillingPDF and download or print it. FillingPDF is independent, is not connected to the County Assessor and does not file the form; you hand-deliver or mail it yourself.
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