HomeMy WebLinkAboutVeterans_WatsonAPPLICATION FOR TAX DEDUCTION FOR DISABLED VETERAN
AND SURVIVING SPOUSES OF CERTAIN VETERANS
* 6� State Form 12662 (R1917-25)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: Please check appropriate box(es) pertaining to the applicable tax deduction. (More than one (1) box may be checked; however, an
individual who claims a deduction under Section III may not claim a deduction under Section 1 or Section 11 for that same assessment
date. (IC 6-1.1-12-14.5))
FILING DATES:
calendar year in which the property taxes are first due and payable. File with the county
This form must be completed, signed, and filed by January 15 of the
auditor of the county where the property is located.
I Totally Disabled Veteran (or veteran at least age 62 with at least 10% disability) or Surviving Spouse - Not to exceed $14,000
Complete Sections 1, IV, and V. (IC 6-1.1-12-14)
❑ II Veteran with Service -Connected Disability or Surviving Spouse - Not to exceed $24,960
Complete Sections ll, IV, and V. (IC 6-1.1-12-13)
❑ III Deduction for Homestead Donated to Veteran
Complete Sections III, IV, and V. (IC 6-1.1-12-14.5)
Name of licant (first middle, last / j f t Date of BI (mont�hyday /ear)
Address (number end sstate, and I de) Coun
3 � rlq�llu
Applicant Odoes Ooes not) own property with another individuals) besides spouse andlor another veteran.
This application is made for the purpose of obtaining $ �JI deduction from the assessed valuation of the following described taxable
property for the year 20 . (If applicant desires that deduction be split among additional properties, list those properties on additional sheet and attach
it to this application.)
Taxing District (city, tawr, townships) �- Is the property in question: Parcel or Key Number / ` 1
1`� 11v � Real Property [-]Mobile Home (IC 6-1.1-7) p� � '�/�.—Q-e
A. Applicant served in the military or naval forces of the United States for at least ninety (90) days (not necessarily during wartime).
B&pplicant was honorably discharged.
C.E[Applicant: Has
a total disability; or t
Is at least age 62 with at (east 10% disability
D. gApplicant's disability is evidenced by: Certificate of eligibility from the Indiana Department of Veterans Affairs ("IDVA") after IDVA has
determined that the individual's disability qualifies the individual to receive a deduction under IC 6-1.1-
12-14;
❑ Pension certificate from the U.S. Department of Veterans Affairs; or
❑ Award of compensation from U.S. Department of Veterans Affairs
ElZiThe assessed value of the applicant's Indiana real property, Indiana mobile home /a'`s Teal property, and Indiana manufactured home not
assessed as real property does not exceed $240,000. Deductions claimed $ ��( t/ le)
r
F. ❑Applicant is the surviving spouse of an individual who: (1) would have qualified for the deduction under this section when he or she was alive; or (2) was
killed In action, died while serving on active duty, or died while performing inactive duty training. (Age of deceased veteran on date of death )
A. ❑Applicant served in the military or naval forces of the United States during any of its wars.
B. ❑Applicant was honorably discharged.
C.❑Applicant has a service -connected disability of at least 10% or more.
D.❑Applicant's disability is evidenced by: ❑Certificate of eligibility from the Indiana Department of Veterans Affairs ("IDVA") a as
determined that the individual's disability qualifies the individual to receive a dedu u I 1.1
12-13;
❑ Pension certificate from the U.S. Department of Veterans Affairs; or
❑Award of compensation or disability compensation check from U.S. Department of Veterans A.
E. ❑Applicant is the surviving spouse of an individual who would have qualified for the deduction under this section when he or she was alive.
(Age of deceased veteran on date of death M,4,Q
SECTIONSON
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CpUNry AVOI
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RECEIPT FOR APPLICATION FOR TAX DEDUCTION
FOR DISABLED VETERAN OR SURVIVING SPOUSE OF CERTAIN VETERANS
I certify that the applicant filed on this date an application for the following deduction(s) described on State Form 12662:
SECTION I [-]SECTION II []SECTION III
Nam o/Ap/plicant (first, middl€ lest) f 1f/
/ �Li)/ll� L�ij��L�
Na�rt{/(��o, i
Parcel or Key Number
02 rf
Date IT ,day, year)
m o �v�
E SPAT#
$ gib°t CERTIFICATE OF ELIGIBILITY
A'6 DISABLED VETERAN TAX DEDUCTION
wl' State Form 51186 (R6 / 7-20)
DEPARTMENT OF VETERANS AFFAIRS
777 North Meridian Street, Suite 300
Indianapolis, Indiana 46204-1421
Telephone: (317) 232-3910
Fax: 317 232-7721
* This agency is requesting disclosure of your Social Security Number in accordance with IC 4-1-8-1; disclosure is mandatory and
this record cannot be processed without it.
Name of veteran (last, first, middle)
WATSON RONALD CLAYTON
Date of Birth (month, day, year)
Is the Veteran Deceased?
Date of Death (month, day, year)
06/27/1946
Yes i4! No
Veteran's Social Security Number *
Veteran's Service / Serial Number
Veteran's VA File Number
317-44-5916
2316346
Name of surviving spouse (last, first, middle) (Required only if veteran is deceased.)
Telephone number E-mail address
(812) 385-9171
Property Mailing Address (number and street, city, state, and ZIP code)
3343 S. US HWY 41 PRINCETON IN 47670
Mailing address where form to be sent if different than property (i.e. CVSO, County Auditor/Assessor)
Signature of veteran / surviving spouse / authorized agent Date (month, day, year)
03/03/2026
In determining eligibility for the Disabled Veteran Tax Deduction benefit, the Indiana Department of Veterans'
Affairs (IDVA) verifies the veteran's period of military service, United States Department of Veterans' Affairs
disability rating, and date of birth. The County Auditor will determine further eligibility for this benefit based on
Indiana Code 6-1.1-12-13, 6-1.1- 12-14 or 6-1.1-12-15 and 6-6-5-5, 6-6-5-5.2. Once this form is complete with
IDVA verification, it must be taken to the appropriate County Auditor for final determination of benefit and
processing.
FOR ID
VA: VERIFICA
TION •
Veteran's beginning date of service (month, day, year)
Veteran's ending date of service (month, day, year)
10-14-1966
09-17-1970
Veteran's beginning date of service (month, day, year)
Veteran's ending date of service (month, day, year)
Veteran's beginning date of service (month, day, year)
Veteran's ending date of service (month, day, year)
Veteran's beginning date of service (month, day, year)
Veteran's ending date of service (month, day, year)
Type of service (check one)
VA disability rating
Veteran's date of birth (month, day, year)
Peacetime Service
06/27/1946
IDVA verificati si ' t r
Date (month, day, year)
03/03/2026
no]
Tax _du ion amount
For County Auditor Use Only
o31�ti�2L
Mary Jo Woehler
From: George Pickersgill
Sent: Friday, August 7, 2026 10:02 AM
To: Mary Jo Woehler
Subject: Re: Ronald Clayton Watson -- DOB 6/27/46
He is 100. Did we make a mistake?
From: Mary Jo Woehler <mwoehler@gibsoncounty-in.gov>
Sent: Thursday, August 6, 2026 3:22 PM
To: George Pickersgill <GPickersgill@gibsoncounty-in.gov>
Subject: Ronald Clayton Watson -- DOB 6/27/46
Can you please verify the disability percentage on the above referenced vet.
Thanks George!!
Mary Jo WoeWer
Property Tax & Exemption Specialist
Gibson County Auditor's Office
812-385-4927 (Phone)
812-386-1173 (Fax)