The Caregiver Services Certification is the form the Loudoun County Office of the Commissioner of the Revenue uses to certify that an applicant for real estate tax relief needs a relative caregiver living in the home. It is one of the Loudoun County property tax relief forms, and it names the relative or relatives who provided care during the previous calendar year. On this page you can fill out the form online on FillingPDF and download or print the completed PDF. The county publishes the original PDF at loudoun.gov.
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What is TED28-1225?
The Caregiver Services Certification (subtitled "For Real Estate Tax Relief") is a Loudoun County form on which a property owner certifies to the Office of the Commissioner of the Revenue the need for caregiving services and identifies the relative who lived in the home to provide them during the previous calendar year.
The form belongs to the county's real estate tax relief program. The instructions explain the legal background: Virginia law (§ 58.1-3212) allows Loudoun County to provide tax relief to applicants who are eligible under net financial worth or annual income limits, and it provides that the income of relative caregivers, whether compensated or not, is excluded when income is computed.
The form has two blocks. The first collects the applicant's contact details and the name and relationship of up to three relative caregivers for the stated calendar year. The second is a certification with three boxes: that your health requires a person to live in your home to provide care so that you do not have to live full-time in a hospital, nursing home or other facility; that the listed caregivers are related to you and lived with you at the stated address to provide necessary care, with or without compensation; and that you understand giving false information is a Class 1 misdemeanor. You sign and date it.
The form is printed with the code TED28-1225. It is a certification only: the county's page on tax relief for older and disabled residents is where the other relief requirements are reviewed.
Who needs to file TED28-1225?
Property owners who are seeking real estate tax relief from Loudoun County and who need a Bona Fide Caregiver living in the home, as described in Virginia law, use this form. It is meant for applicants whose caregiver is a relative: the certification states that the people you list are related to you and lived with you at the address given to provide care.
By signing, the applicant certifies each of these points:
- Your health requires a person to live in your home so you do not have to live full-time in a hospital, nursing home or other facility.
- The listed caregivers are related to you and lived with you during the time and at the address given.
- You understand that giving false information is a Class 1 misdemeanor.
The form has a single signature line for the applicant, and the instructions do not describe anyone else signing on the applicant's behalf. The caregiving does not have to be paid: the form covers care provided with or without compensation.
If you need language assistance or a reasonable accommodation to use the form, contact [email protected] or 703-737-8557/TTY-711; the county asks for advance notice.
When to file TED28-1225
Submit this form annually when you are seeking real estate tax relief. It covers the previous calendar year, January 1 to December 31, and you enter that year on the form before listing your relative caregivers. The form prints no calendar due date of its own, so check the county's tax relief page at loudoun.gov/TaxRelief-Older-Disabled or contact the Tax Relief, Exemptions & Deferrals office at [email protected] or 703-737-8557 for the filing window that applies to your relief application.
County staff are available Monday through Friday during County business hours, 8:30 AM to 5:00 PM, and the county encourages scheduling an appointment to reduce your wait.
How to fill out TED28-1225
Enter the property owner's name
Under Applicant and Relative Caregiver Information, write the name of the property owner in the Property Owner field.
Add your phone and email
Enter your phone number in Phone and your email address in Email so the office can reach you.
Enter the property address
Fill in Address, Street and City & Zip with your address.
Enter the calendar year
In the line beginning "For the previous calendar year, January 1 to December 31," enter the year the care was provided.
List your relative caregivers
Give each caregiver's Name and Relationship to Applicant. The form has three lines for this.
Check the first certification box
Check the box stating that your health requires a person to live in your home to provide the care you need so you do not have to live full-time in a hospital, nursing home or other facility.
Check the caregiver and penalty boxes
Check the box confirming the listed caregivers are related to you and lived with you at the address and time given, then the box acknowledging that false information is a Class 1 misdemeanor.
Sign and date the form
Sign on the Applicant Signature line and enter the Date.
Review and download the completed PDF
Check the year, names, relationships and boxes, then download or print the completed PDF from FillingPDF and submit it through one of the channels described under How to submit.
How to submit TED28-1225
You can submit the form in person, by upload or by mail. The instructions say to submit it annually.
- In person: at the Leesburg office, 1 Harrison Street SE, 1st Floor, or the Sterling office, 46000 Center Oak Plaza. Both are open 8:30 AM to 5:00 PM, Monday through Friday during County business hours. The county encourages appointments.
- Upload: loudoun.gov/COR-Upload. The county's forms page says completed forms containing sensitive personal identifying information should be submitted through the secure Document Upload Portal.
- Mail: Tax Exemptions & Deferrals, PO Box 8000, Leesburg, VA 20177-9804.
Online versions of county forms are listed at loudoun.gov/COR-Forms. For help, call 703-777-0260 or, for tax relief questions, email [email protected] or call 703-737-8557. A filing fee is not mentioned on the form. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Leaving any of the three certification boxes unchecked; the form says you certify by checking each box and signing.
- Listing a caregiver who is not a relative; the second certification statement covers only persons related to you.
- Entering the wrong year; the form asks for the previous calendar year, January 1 to December 31.
- Submitting the form unsigned or without the date next to the applicant signature.
- Listing caregivers who did not live with you at the address and during the time stated, since the certification says they lived with you to provide care.
- Assuming one filing covers future years; the instructions say to submit the form annually.
- Giving false information, which the form says is a Class 1 misdemeanor and can mean losing the exemption, repaying taxes, penalties and interest, and no tax relief for two years.
Frequently asked questions
What is the Caregiver Services Certification in Loudoun County?
It is a Loudoun County Commissioner of the Revenue form for real estate tax relief. You use it to certify your need for caregiving services and to identify the relative who lived in your home and provided that care during the previous calendar year.
Who can be listed as a caregiver on the form?
A relative who lived with you at the stated address and time to provide necessary care. The certification says the listed caregivers are related to you, and that the care may be given with or without compensation. The form has room for three caregivers.
Do I have to submit the Caregiver Services Certification every year?
Yes. The instructions say to submit the form annually. Each time it covers the previous calendar year, January 1 to December 31, so enter that year at the top of the caregiver section.
Where do I send the Caregiver Services Certification?
Submit it in person at the Leesburg or Sterling office, upload it at loudoun.gov/COR-Upload, or mail it to Tax Exemptions & Deferrals, PO Box 8000, Leesburg, VA 20177-9804. The county encourages appointments for in-person service.
What happens if I give false information on the certification?
The form says false information is a Class 1 misdemeanor. If you knowingly file a false claim, you lose the exemption, must repay the full amount of taxes owed plus penalties and interest, and cannot apply for tax relief again for two years.
Does the caregiver's income count toward my income limit?
No. The instructions cite Virginia law § 58.1-3212, which provides that the income of relative caregivers, whether compensated or not, is excluded when income is computed for tax relief eligibility.
Can I fill out the Caregiver Services Certification online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of Loudoun County and does not file the form; you submit it to the Commissioner of the Revenue in person, by upload or by mail.
Who do I contact with questions about this form?
For tax relief questions, email [email protected] or call 703-737-8557 (TTY-711). General help is at 703-777-0260. Language assistance or accommodations for disabilities can be requested at the same contacts, with advance notice.
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