Elderly Rental Assistance

Size: px
Start display at page:

Download "Elderly Rental Assistance"

Transcription

1 OREGON m x»m* STATF UBrtAHT Elderly Rental Assistance Oregon Department of Revenue JR R. 8EL ERA program NOT FOR LOAN

2 Elderly Rental Assistance (ERA) Program The Homeowner and Renter Refund Program (HARRP) has not been funded for However, the Elderly Rental Assistance (ERA) program has been expanded. Elderly Rental Assistance is for low-income senior citizens who rent. You must file Form 90R to receive an ERA renter refund. Form 90R is on pages 7-10 of this booklet. The ERA refund is based on your income and the amount of rent, fuel, and utilities you paid. To qualify for the refund: You or your spouse must be age 58 or older on December 31, Your household income must be less than $10,000. You pay more than 20 percent of your household income for rent, fuel, and utilities. f you and your spouse are under 65, the value of your household assets must not exceed $25,000. You rented an Oregon residence in Your rented Oregon residence was subject to property tax. You lived in Oregon on December 31, You didn t own your residence on December 31, But you didn t have to be renting on that date to qualify for a 1991 rent refund. Household income includes all taxable and nontaxable income of both spouses in the same household. This includes income you received before you became an Oregon resident. See pages 4-6 for how to figure your household income. Fuel and utilities include the amount you paid in 1991 for lights, water, garbage, sewer, and heating. Household assets include the assets of both spouses in the same household, as shown on the Household Assets Checklist, pages 8 and 10. This requirement doesn t apply if you or your spouse are age 65 or older. See pages 6, 8, and 10 for how to figure the value of your household assets. Special rules apply to some types of households. W hen should file Form 90R? File by April 15, W here do send Form 90R? Mail Form 90R with your 1991 Oregon income tax return. But don t staple Form 90R to your tax return. f you don t file an Oregon income tax return, mail your Form 90R to: REFUND PO B ox Salem OR When will g e t m y check? The Oregon Department of Revenue will send out checks in late October Fraudulent claim s Filing a fraudulent claim is against the law. f you file a fraudulent Form 90R, you could be charged with a class C felony. You could be fined up to $100,000, serve a jail sentence, or both. n addition, you would have to pay back twice the amount of the claim, plus interest. Special cases Roomm ates. Each eligible renter in a household must file a separate Elderly Rental Assistance refund Form 90R and complete a Household Assets Checklist. Each renter s refund must be based on his or her own household income. Complete the rent schedule on Form 90R. Show in column 7 the total rent paid for the shared address(es) while you lived there and the total rent you actually paid in column 5. You must report all the rent you paid during the year. List the name(s) of the other renter(s) on the rent schedule. Don t list roommates who didn t contribute to the rent. Ju st m arried? Did you marry during 1991? f so, you must file Form 90R and complete the Household Assets Checklist with your spouse. Your household income includes both incomes for the entire year. nclude the total rent you and your spouse paid during 1991 on the rent schedule. This includes rent for places you rented separately and places you rented together. Filing for deceased persons. You can t file Form 90R for a deceased person. Clergy. Members of the clergy who live in housing provided by the church may be eligible for a refund. You may claim a refund if (1) you paid rent for the use of the housing, and (2) the property was subject to Oregon property tax. Your minister s rental allowance must be included in household income even though excluded from federal gross income. A partm ent m anagers. On the rent schedule on Form 90R, include only the rent you actually paid. Don t include the value of rent provided by your employer. Special living places Your Elderly Rental Assistance refund may depend on the kind of housing you live in. Q ualifications for ERA refund/3

3 Low incom e housing. You can claim a refund only on the rent you actually paid. Nursing hom e residents. f you lived in a nursing home, you may file for a renter s refund. Nursing home payments include medical care, however, not just rent. Generally, 20 percent of your total payment is considered rent, and 3 percent is considered fuel and utilities. We will accept a higher percentage only if you can show the higher percentage is correct. f you lived in a nursing home on December 31, 1991, while your spouse rented, each of you can file a separate Form 90R for a refund. You would file for a refund based on your nursing home rent. Your spouse would file a separate refund claim. You need only to show your own household income on the claim you file. f you lived in a nursing home on December 31, 1991 while your spouse owned a home, you would file for a refund based on your nursing home rent. Your spouse would not qualify for a refund. Room and board. Generally, 60 percent of your total payment is considered rent, and 10 percent is considered fuel and utilities. Retirem ent (re st) hom e o r cen ter. Generally, 60 percent of your total payment is considered rent, and 10 percent is considered fuel and utilities. Group hom es. Does your group home pay full property taxes? f so, usually you may claim 60 percent of your total room and board as rent, and 10 percent as fuel and utilities. s your group home exempt from property taxes? n that case, you can t file for Oregon s ERA refund program. Licensed trailers. f you lived in a licensed travel trailer that wasn t on the county property tax rolls, and you rented the land, you may claim the refund on the rent you actually paid. f you need help, see page 11 for numbers to call. You don t qualify for an ERA refund if you live in any of the following places: Cooperative housing corporation. Nonprofit home for the elderly. Mobile home you owned but you rented the land. Mobile home you rented but you owned the land. f you live in one of the above types of housing, you re considered a homeowner, not a renter. Form 90R instructions Address section Labels. f you received a label with this booklet, please use it on the ERA return you mail to the department. This will speed processing your return. Don t attach the label to your return until the return is completed. f som eone else p rep ares y o u r retu rn, ask them to use you r label. Make sure the label is correct. f it isn t, mark through the label and make corrections on it. f you don t have a label, print or type your name, address, and Social Security number on your return. Complete the address section even if Form 90R is being filed with an income tax form. f your address changes between the time you file and October 1992, please notify the Department of Revenue. See page 11 for numbers to call. Social Security number. The request for your Social Security number(s) is authorized by Section 405, Title 42, of the United States Code. You must give us this information. t will be used to establish your identity. Please send a copy of your Social Security card if your Social Security number or name has changed. Age. We need each spouse s age as of December 31, 1991, to check if you qualify for the Elderly Rental Assistance program and to see if you need to complete the Household Assets Checklist. Total household income Household incom e. Household income is the taxable and nontaxable income of husband and wife who live in the same household. t doesn t include your spouse s income if you were permanently living apart at the end of the year. t doesn t include income of your children, roommates, or any other person living with you other than your spouse. You can find some of your household income items on your federal return. Other amounts will come from your personal records. N onresidents and p art-year residents w ho lived in O regon in nclude all taxable and nontaxable income for the en tire year. nclude income from Oregon sources and income from sources outside of Oregon. Line instructions Note: nstructions are for lines not fully explained on the form. Work and investment income 1. W ages, salaries, and oth er pay for w ork. Fill in your total wages, salaries, commissions, tips, barter income, fees, and other pay for work. 2. nterest and dividends. Fill in your total taxable and nontaxable interest and dividends. Don t include return of capital dividends. Also don t include insurance policy (return of premium) dividends. 4/Living places, Form 90R instructions

4 3. Business n et incom e.* Fill in your net profit. Net profit is the combined income and losses on all your business schedules. This includes business partnerships and S corporations. Did you have a net business loss? f so, you can subtract up to $1,000 of the loss in figuring household income. Net operating loss carryovers and carrybacks can t be used to reduce household income. Refigure your Oregon income using Oregon depreciation, if necessary. 4. Farm n et incom e.* Fill in your net farm profit. Net farm profit is the combined income and losses on all your farm schedules. This includes farm partnerships and S corporations. f you had a net farm loss, you can subtract up to $1,000 of the loss in figuring household income. Net operating loss carryovers and carrybacks can t be used to reduce household income. Refigure your Oregon income using Oregon depreciation, if necessary. 5. Total gain on p rop erty sales. Fill in your total gain from any property sales: stocks, bonds, land, or other property. f you had a net loss, you can subtract up to $1,000 in figuring household income. Don t include any gain you deferred or excluded from the sale of your house. Did you sell property you placed in service after December 31, 1980, and before January 1, 1985? f so, you may need to refigure your gain for Oregon. Did you take the federal investment tax credit? f so, you may have a difference between Oregon basis and federal basis. You will need to refigure your gain or loss for the assets, using the Oregon basis. See page 11 for help. 6. Rental n et incom e.* Fill in your rental net income. Rental net income is the combined income or losses from all your rentals. This includes rental partnerships and S corporations. f you had a net loss, you can subtract up to $1,000 in figuring household income. Refigure your Oregon income using Oregon depreciation, if necessary. * Note for lines 3, 4, and 6: Does the combined total of your depreciation, depletion, and amortization deductions from all businesses exceed $5,000? f so, you must refigure these items, limiting your total deduction to $5,000. Exam ple: Manuel has a business which had gross income of $26,000 in He had a $9,000 depreciation deduction and other business expenses of $20,000. He reported a business loss for federal purposes of $3,000. The loss is limited to $1,000 for ERA purposes. nstead of adding the $4,000 excess depreciation back to his $1,000 ERA loss, he recomputes his business income for ERA. With a depreciation deduction of $5,000, the business income he reports for ERA purposes is $1,000 ($26,000 - ($20,000 + $5,000) = $1,000). 7. O ther ncom e from you r federal retu rn. Fill in any other taxable income you received in 1991 that is on your federal return. This includes: Alimony received (Form 1040, line 11). Bonuses, prizes, lottery winnings (including Oregon lottery winnings), and other income from federal Form 1040, line 22. dentify the other income. Don t include your: State income tax refund. Oregon property tax refund. Unemployment benefits. Your unemployment benefits go on line 13- Retirement income 9. Social Security, Supplem ental Security ncom e (SS), and Railroad R etirem ent. Fill in the total Social Security (taxable and nontaxable), SS, and Railroad Retirement you got in nclude Medicare premiums for Don t include reimbursed medical expenses. nclude any amounts you received in your name from Social Security for the benefit of a minor child Pensions and annuities. Fill in the total pension and annuity income you got in Don t include your contribution to the plan. You should have a statement (1099-R) from the payer that shows your contribution. Other income 1 2. Adult and Fam ily Services (w elfare). Fill in the total amount of welfare you received. nclude aid to the blind and disabled and old age assistance. Also include Aid to Dependent Children (but not the Special Shelter Allowance). You should have received a notice from Adult and Family Services that shows the amount you received. Don t include: Amounts for food stamps or surplus foods. Payments for medical care, drugs, medical supplies, and services related to medical care for which you received no direct payment. n-home services approved by the Department of Human Resources. Reimbursement of expenses from participating in work or training programs Unem ploym ent benefits. Fill in your total unemployment benefits for V eteran s and m ilitary benefits. Fill in your veteran s benefits, G Bill benefits, family allowances, and educational allowances Gifts and gran ts. Add together all of your gifts, grants, and scholarships. Fill in the total in excess of $500. This also includes gifts and grants from a foreign country. Don t include federal grants to improve your home. ERA line instructions/5

5 Exam ple: You receive a $600 gift and a $300 state grant during the year. You must include $400 in your household income: Gift $600 Grant 300 Total received $900 Less nclude in household income $ O ther sou rces. Fill in amounts from any other sources of household income, including: Child support. Minister s rental allowance. Foreign earned income. Disability pay. Life insurance proceeds. Personal injury damages. Strike benefits. Workers compensation. Accident and health insurance payments. Total inheritances. Anything that changed owners because of death. t may be cash or the value of property. Figure the value as the amount you d get if the property were sold on the date of death. Don t include property you received because of the death of your spouse. 19. Adjustments to incom e. Did you file federal Form 1040? f so, fill in the amount from line 30. f you filed federal Form 1040A, fill in the amount from line 15c. f you filed federal Form 1040EZ, fill in -0-. Total household assets 2 1. Household assets. f you and your spouse are both under age 65, you must meet the household assets test. The total value of the household assets of both you and your spouse must not exceed $25,000 to qualify for an ERA refund. This is true even if you meet the household income test. You m ust com plete the Household Assets Checklist on th e back o f your Form 90R. Household assets defined Household assets include the fair market value (as of December 31, 1991) of the following items: Real property. Tangible p erson al p rop erty used in a trade or business in which you are an owner. Examples are an automobile used in your business or your office equipment. Examples of tangible personal property to be included on the others line are inventory and your percentage of partnership assets. ntangible personal property, such as money on hand, shares of stock, money owed to you by others, and funds on deposit. Don t include the value of retirement plans. f the total fair market value of these assets as of December 31, 1991, exceeds $25,000, you don t qualify for an ERA refund. However, if you or your spouse are age 65 or older, you aren t required to meet the household assets test. Qualifying rent 2 2. Total Oregon ren t you paid for Complete the rent schedule on the form. Fill in the Oregon rent you paid in nclude all rent you paid for each residence rented in Rent doesn t include advance rent or deposits for keys, cleaning, or security. f you are a mobile home renter, claim rent actually paid for both your mobile home and space. 23. Total O regon ren t paid by the household for Fill in the total household rent. nclude rent for each residence rented in Rent doesn t include advance rent or deposits for keys, cleaning, or security. 24. Special Shelter Allowance (ADC). Did you get a Special Shelter Allowance from Adult and Family Services (welfare)? f you did, you ll get a card showing the amount of your Special Shelter Allowance. Fill in the amount from the card on this line. This allowance is the ERA refund amount you ve already received as welfare. 25. Fuel and utilities. nclude the amount you paid in 1991 for lights, water, garbage, sewer, and heating. Don t include telephone or cable television as utilities. Nursing hom e, retirem ent hom e, o r group hom e. f you paid rent to a nursing home, retirement (rest) home, or group home, check the box that applies. Generally, a nursing home provides medical care. Retirement and group homes don t. Refund w orksheet. The Oregon Department of Revenue will figure your refund for you. We ve included an ERA refund worksheet if you want to figure what your refund will be. The worksheet is on page 11. Your refund will be on line 9 of the worksheet. Sign the form Be sure to sign and date Form 90R on the back. Both spouses must sign the form when a joint claim is filed. Remember... to g e t your refund You or your spouse must be age 58 or older on December 31, You m ust completely fill in the rent schedule. f you and your spouse are both under age 65, you m ust also complete the Household Assets Checklist. Always fill in your age and your spouse s age at the top of the form. f your return is incomplete, it will be sent back to you. 6/H ousehold assets

6 FORM 90R OREGON RENTAL USE LA B E L Last name r ELDERLY ASSSTANCE First name and initial 1991 n For o ffice use only Date received Social Security number (SSN) Your age Spouse s last name if different Spouse s first name and initial Spouse's Social Security number Spouse s age Otherwise, please print or type. Mailing address Check here if this address is different from the one shown on your 1990 HARRP return. city _ State ZP Code Telephone number For office use only WORK AND NVESTMENT NCOME Wages, salaries, and other pay for work nterest and dividends (total taxable and nontaxable) Business net income (loss limited to $ 1,0 0 0 ) Farm net income (loss limited to $ 1,0 0 0 ) Total gain on property sales (loss limited to $1,000) Rental net income (loss limited to $ 1,0 0 0 ) Other income from your federal return. d e n tify Add lines 1 through RETREMENT NCOME 9 Social Security, Supplemental Security ncome (SS), Railroad Retirement (total for ) Pensions and annuities (total taxable and nontaxable received during 1991) Add lines 9 and OTHER NCOME 12 Adult and Family Services (w e lfa re ) Unemployment benefits Veteran's and military benefits Gifts and grants: Total amount m inus $ Other sources: dentify Add lines 12 through Add lines 8,11, and Adjustments to income from federal Form 1040, line 30 or federal Form 1040A, line 1 5 c YOUR TOTAL HOUSEHOLD NCOME. Line 18 minus line 19. f your household income is $10,000 or more, STOP HERE! You don t qualify for an ERA refund YOUR TOTAL HOUSEHOLD ASSETS. See checklist on the back of this form. f your household assets exceed $25,000, and you are under age 65, STOP HERE! You don t qualify for an ERA refund QUALFYNG RENT 22 Total Oregon rent you paid for 1991, from column 5 of rent schedule (see back of fo rm ) Total Oregon rent paid by the household, from column 7 of rent schedule (see back of form).. 24 Special Shelter Allowance (Aid to Dependent Children)...* 25 Total fuel and utilities only (not telephone). DON T NCLUDE RENT HERE Check the box if you paid rent to a: CD nursing home [H retirement (rest) home CD group home RENT SCHEDULE List the places vou rented in Oregon and the rent you paid for Attach additional schedules if necessary. Your address: Street, City, State, ZP code A (1) First and last name of each roommate at this address (2) Landlord s name, address, and telephone B (9-91) NOW GO TO THE BACK OF THE FORM

7 Page 2 - Form 90R 1991 RENT SCHEDULE (Continued from Page 1) (3) 1991 Rental period for each (4) (5) (6) (7) address listed on page 1 Rent you paid per month Total rent you paid Household rent per month Total rent paid by household A From / To B From / To TOTAL RENT FOR Fill in the total here.. (5) (7) 1991 HOUSEHOLD ASSETS CHECKLST Complete this checklist if you and your spouse are both under age 65. Use Fair Market Value as of December 31,1991. *12345 A. Real property B. Tangible personal property used in a trade or business in which you or your spouse have an ownership in te re s t... ] 1 1 t A t ti y c tl F h F C. ntangible personal property. ncludes but isn t limited to: 1. Money owed to you: a. personal or business notes receivable b. others (identify) 2. Funds on deposit: a. funds accruing due to death of the insured where withdrawal is at your o p tio n... b. funds accruing due to original maturity of a policy contract where withdrawal is at your option 3. Money on deposit: a. checking or savings account... b. certificates of d e p o s it... c. others (identify) 4. Money on hand: a. currency and bills of exchange... b. others (identify) 5. Shares of stock: a. capital, common, and preferred... b. shares in mutual funds and investment trusts... c. others (identify) TOTAL HOUSEHOLD ASSETS (add together all boxes) Enter here and on line 21 Under penalties for false swearing, declare that have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. f prepared by a person other than taxpayer, this declaration is based on all information of which the preparer has any knowledge. SGN HERE Your signature Date Signature of preparer other than taxpayer License No. Spouse's signature (f filing jointly, BOTH must sign) Address 6 Mail your 90R to : REFUND, PO BOX 14700, Salem, OR REFUNDS WLL BE MALED N OCTOBER 1992

8 FORM 90R OREGON RENTAL USE LA B E L Last name T ELDERLY ASSSTANCE First name and initial 1991 n For o ffice use only Date received Social Security number (SSN) Your age Spouse s last name if different Spouse s first name and initial Spouse s Social Security number Spouse's age ) j Otherwise, please print or type. Mailing address " Check here if this address is different from the one shown on your 1990 HARRP return. Q ] C ity L State ZP Code j Telephone number For office use only WORK AND NVESTMENT NCOME 1 Wages, salaries, and other pay for work... 2 nterest and dividends (total taxable and nontaxable) 3 Business net income (loss limited to $ 1,0 0 0 )... 4 Farm net income (loss limited to $ 1,0 0 0 )... 5 Total gain on property sales (loss limited to $1,000) 6 Rental net income (loss limited to $ 1,0 0 0 )... 7 Other income from your federal return. dentify 8 Add lines 1 through RETREMENT NCOME 9 Social Security, Supplemental Security ncome (SS), Railroad Retirement (total for 1991)...» 9 10 Pensions and annuities (total taxable and nontaxable received during 1991) Add lines 9 and OTHER NCOME 12 Adult and Family Services (w e lfa re ) Unemployment benefits Veteran's and military benefits Gifts and grants: Total amount m inus $ Other sources: dentify Add lines 12 through : Add lines 8,11, and Adjustments to income from federal Form 1040, line 30 or federal Form 1040A, line 1 5 c YOUR TOTAL HOUSEHOLD NCOME. Line 18 minus line 19. f your household income is $10,000 or more, STOP HERE! You don t qualify for an ERA refund YOUR TOTAL HOUSEHOLD ASSETS. See checklist on the back of this form. f your household assets exceed $25,000, and you are under age 65, STOP HERE! You don t qualify for an ERA refund QUALFYNG RENT 22 Total Oregon rent you paid for 1991, from column 5 of rent schedule (see back of fo rm ) Total Oregon rent paid by the household, from column 7 of rent schedule (see back of form).. 24 Special Shelter Allowance (Aid to Dependent Children) Total fuel and utilities only (not telephone). DON T NCLUDE RENT HERE Check the box if you paid rent to a: EH nursing home d l retirement (rest) home CH group home RENT SCHEDULE List the places you rented in Oregon and the rent you paid for Attach additional schedules if necessary. Your address: Street, City, State, ZP code A (1) First and last name of each roommate at this address (2) Landlord s name, address, and telephone B (9-91) NOW GO TO THE BACK OF THE FORM

9 Page 2 - Form90R 1991 RENT SCHEDULE (Continued from Page 1) (3)1991 Rental period for each (4) (5) (6) (7) address listed on page 1 Rent you paid per month Total rent you paid Household rent per month Total rent paid by household A From / To B From / To TOTAL RENT FOR Fill in the total here ^ (5) (7) 1991 HOUSEHOLD ASSETS CHECKLST Complete this checklist if you and your spouse are both under age 65. Use Fair Market Value as of December 31,1991. *12345 A. Real property... B. Tangible personal property used in a trade or business in which you or your spouse have an ownership in te re s t... C. ntangible personal property. ncludes but isn t limited to: 1. Money owed to you: a. personal or business notes receivable... b. others (identify) 2. Funds on deposit: a. funds accruing due to death of the insured where withdrawal is at your o p tio n... b. funds accruing due to original maturity of a policy contract where withdrawal is at your option 3. Money on deposit: a. checking or savings account... b. certificates of d e p o s it c. others (identify) 4. Money on hand: a. currency and bills of exchange b. others (identify) 5. Shares of stock: a. capital, common, and preferred... b. shares in mutual funds and investment trusts... c. others (identify) TOTAL HOUSEHOLD ASSETS (add together all boxes) Enter here and on line 21 Under penalties for false swearing, declare that have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. f prepared by a person other than taxpayer, this declaration is based on all information of which the preparer has any knowledge. SGN HERE Your signature Date Signature of preparer other than taxpayer License No. Spouse's signature (f filing jointly, BOTH must sign) Address Mail your 90R to : REFUND, PO BOX 14700, Salem, OR REFUNDS WLL BE MALED N OCTOBER 1992

10 ERA Refund Worksheet 1. Rent. 2. Fuel and utilities. 3. Total. Add lines 1 and Limit. 2, Lesser of line 3 or Household income. 7. Percentage. 20% 8. Multiply line 6 by line 7. Enter here. 9- ERA refund. Line 5 minus line 8. Taxpayer assistance The Oregon Department of Revenue will provide you with forms. But we can t fill out your forms for you. To get forms, write to: Forms, Oregon Department of Revenue, PO Box 14999, Salem OR Addresses Oregon Department of Revenue offices that provide forms and answer questions: Main Office, Salem* Revenue Building First floor, Room Center St. NE Salem OR Portland** Federal Building Lobby 1220 SW Third Ave. Portland OR a.m. - 4:45 p.m. Monday-Friday, except holidays. "W e ll provide walk-in help on the same schedule as the nternal Revenue Service. January 2-April 15 only. Printed inform ation (free) (Check individual boxes to order. Clip on the dotted line, then mail in the entire list with your return address.) Art Contribution Subtraction Computing nterest: Tax You Owe Credit for ncome Taxes Paid to Other States Crop Gleaning Credit and Oregon Seafood Credit Estimated Tax Health nsurance Home Care for the Elderly Credit Married Persons Filing Separate Returns Military Personnel Filing nformation Oregon ncome Tax Withholding: Some Special Cases Telephone numbers H ours: 8 a.m. - 4 :4 5 p.m. Monday-Friday, except 9 a.m. - 4:45 p.m. Wednesday. Closed on holidays. Questions? For assistance, call the Oregon Department of Revenue. These numbers are toll-free from January 2, 1992, to April 30, From Portland numbers From Salem numbers From elsewhere in Oregon After April 30, call Salem There will be no toll-free number after April 30. From outside o f O regon, call Salem (503) at all times (not toll-free). H earing o r speech im paired? We have a separate number, (503) , that you may use if you have a TDD. This number is answered only by machine and is not for voice use. n Political Contributions (limit 100) Retirement ncome Your Rights as an Oregon Taxpayer Send to: Please print Your name Address City State Form s O regon D epartm ent o f Revenue PO B ox Salem OR ZP (12-91) ERA refund w o rksh eet/11

11 O regon D epartm ent of Revenue 955 Center St. NE Salem OR BULK RATE U.S. POSTAGE PAD SALEM. OREGON PERMT NO. 55 Contains Recycled Material

ERA Elderly Rental Assistance Program Form 90R and Instructions. Where do I send Form 90R? When will I get my assistance check?

ERA Elderly Rental Assistance Program Form 90R and Instructions. Where do I send Form 90R? When will I get my assistance check? 2011 Elderly Rental Assistance Program Form 90R and Instructions ERA Elderly Rental Assistance (ERA) is for low-income people age 58 or older who rent their home. ERA is based on your income, assets, and

More information

2015 Elderly Rental Assistance Program Form 90R and Instructions

2015 Elderly Rental Assistance Program Form 90R and Instructions 2015 Elderly Rental Assistance Program Form 90R and Instructions ERA Elderly Rental Assistance (ERA) is for low-income people age 58 or older who rent their home. ERA is based on your income, assets, and

More information

Property Tax Refund (Credit) Claim. You must file this form, or Arizona Form 204, by April 17, 2018.

Property Tax Refund (Credit) Claim. You must file this form, or Arizona Form 204, by April 17, 2018. DO NOT STAPLE ANY ITEMS TO THE CLAIM. Arizona Form 140PTC You must file this form, or Arizona Form 204, by April 17, 2018. 82F Check box 82F if filing under extension 95 Check box 95 if amending claim

More information

City of Detroit City of Detroit. Forms and Instructions. Filing Due Date: April 18, 2016

City of Detroit City of Detroit. Forms and Instructions.  Filing Due Date: April 18, 2016 City of Detroit 2015 City of Detroit aa aa Income Tax Returns Forms and Instructions Starting with tax year 2015, the Michigan Department of Treasury will begin processing City of Detroit Individual Income

More information

2017 City of GraylinG individual income tax returns (Resident and Nonresident)

2017 City of GraylinG individual income tax returns (Resident and Nonresident) CITY OF GRAYLING 2017 City of GraylinG individual income tax returns (Resident and Nonresident) This booklet contains the following forms and instructions: GR-1040 Individual Income Tax Return GR-1040ES

More information

Arizona Form 2012 Property Tax Refund (Credit) Claim 140PTC

Arizona Form 2012 Property Tax Refund (Credit) Claim 140PTC Arizona Form 2012 Property Tax Refund (Credit) Claim 140PTC NOTICE: If you are age 70 or over and meet certain tests, you may be able to defer the payment of your property taxes on your home. You should

More information

Property Tax Deferral for Disabled and Senior Citizens

Property Tax Deferral for Disabled and Senior Citizens As a disabled or senior citizen, you can borrow from the State of Oregon to pay your property taxes to the county. How does the program work? If you qualify for the program, the Oregon Department of Revenue

More information

Homestead Refund or Property Tax Refund

Homestead Refund or Property Tax Refund 2012 Homestead Refund or Property Tax Refund Get a faster refund file electronically! Try one of the simple, secure electronic filing options for an accurate claim that is processed quickly. See back cover

More information

Arizona Form 2011 Property Tax Refund (Credit) Claim 140PTC

Arizona Form 2011 Property Tax Refund (Credit) Claim 140PTC Arizona Form 2011 Property Tax Refund (Credit) Claim 140PTC NOTICE: If you are age 70 or over and meet certain tests, you may be able to defer the payment of your property taxes on your home. You should

More information

Arizona Form 2016 Property Tax Refund (Credit) Claim 140PTC

Arizona Form 2016 Property Tax Refund (Credit) Claim 140PTC Arizona Form 2016 Property Tax Refund (Credit) Claim 140PTC NOTICE: If you are age 70 or over and meet certain tests, you may be able to defer the payment of your property taxes on your home. You should

More information

2007 KANSAS Homestead Claim Booklet

2007 KANSAS Homestead Claim Booklet 2007 KANSAS Homestead Claim Booklet Forms and Instructions www.ksrevenue.org Page 1 What s Inside: General Information 3 Important Information WHAT S NEW FOR 2007 What is the Homestead Refund? 3 What is

More information

ONLINE TAX PREPARATION TOOL

ONLINE TAX PREPARATION TOOL CITY OF GRAND RAPIDS 2008 NONRESIDENT INCOME TAX FORM AND INSTRUCTIONS, FORM GR-1040NR USE OF MAILING LABEL: Do not use the label on computer prepared tax forms. Use the label on manually prepared tax

More information

Above lists are not all-inclusive. For more information, contact (937)

Above lists are not all-inclusive. For more information, contact (937) In this packet you, will find general tax information about the City of Springboro Income Tax Return. We encourage you to bring your income tax information to our office and we will gladly prepare your

More information

GENERAL INSTRUCTIONS FOR PREPARING 2015 CITY OF XENIA INDIVIDUAL RETURNS *

GENERAL INSTRUCTIONS FOR PREPARING 2015 CITY OF XENIA INDIVIDUAL RETURNS * Who must file? It is mandatory that you file an annual City of Xenia tax return EVEN IF NO TAX IS DUE: All Xenia residents and partial year residents between the ages of 18 and 65. All Xenia residents

More information

2017 FLINT INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS

2017 FLINT INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS City of Flint Income Tax Department 1101 S Saginaw St Flint, Michigan 48502 Form F-1040 2017 FLINT INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS For use by individual residents, part-year residents and

More information

ONLINE TAX PREPARATION TOOL

ONLINE TAX PREPARATION TOOL CITY OF GRAND RAPIDS 2008 RESIDENT INCOME TAX FORMS AND INSTRUCTIONS FORM GR-1040R USE OF MAILING LABEL: Do not use the label on computer prepared tax forms. Use the label on manually prepared tax forms.

More information

Form 1040-V. Department of the Treasury. Internal Revenue Service $ 3, Dave Dave Sarah Sarah Terrace Glenview, IL 60001

Form 1040-V. Department of the Treasury. Internal Revenue Service $ 3, Dave Dave Sarah Sarah Terrace Glenview, IL 60001 2006 Form 040-V Department of the Treasury Internal Revenue Service For Privacy Act and Paperwork Reduction Act tice, see separate instructions. DETACH HERE Form 040 (2006) Department of the Treasury Internal

More information

CITY OF HAMTRAMCK INCOME TAX 2014

CITY OF HAMTRAMCK INCOME TAX 2014 City of Hamtramck Income Tax Department P.O. Box 209 Eaton Rapids, MI 48827-0209 Form H-1040 2014 HAMTRAMCK INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS For use by individual residents, part-year residents

More information

2011 CITY OF GALLIPOLIS BUSINESS AND INDIVIDUAL TAX FORM

2011 CITY OF GALLIPOLIS BUSINESS AND INDIVIDUAL TAX FORM FRENCH CITY PRESS GALLIPOLIS OH 45631 3182675 FROM: City of Gallipolis Income Tax Department Location: 848 Third Avenue Mail To: PO Box 339 Gallipolis, Ohio 45631 Telephone: 740-441-6009 FAX: 740-441-2062

More information

FYI General 7 Property Tax Rebates and Deferrals for the Elderly and Disabled

FYI General 7 Property Tax Rebates and Deferrals for the Elderly and Disabled Colorado Department of Revenue Taxpayer Service Division 12/10 FYI General 7 Property Tax Rebates and Deferrals for the Elderly and Disabled PROPERTY TAX/RENT/HEAT REBATE If you are a full-year Colorado

More information

2018 CITY OF GRAYLING INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, part-year residents and nonresidents

2018 CITY OF GRAYLING INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, part-year residents and nonresidents City of Grayling Income Tax Department 1020 City Blvd PO BOX 549 Grayling, Michigan 49738 Form GR-1040 2018 CITY OF GRAYLING INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, part-year

More information

Instructions for Forms 40N and 40P

Instructions for Forms 40N and 40P Instructions for Forms 40N and 40P Step 1: Select the appropriate form. Please determine which form was designed for your situation. This will help ensure the proper calculation of your Oregon income,

More information

MISSOURI 2011 PROPERTY TAX CREDIT CLAIM FINAL CHECKLIST BEFORE MAILING YOUR CLAIM. PLEASE NOTE!

MISSOURI 2011 PROPERTY TAX CREDIT CLAIM FINAL CHECKLIST BEFORE MAILING YOUR CLAIM. PLEASE NOTE! MISSOURI PROPERTY TAX CREDIT CLAIM FINAL CHECKLIST BEFORE MAILING YOUR CLAIM. THE INSTRUCTIONS AND FORM ITSELF WILL LIST BACK-UP INFORMATION NEEDED. DID YOU NEED TO ATTACH ANY OF THESE? MO -CRP RENT RECEIPTS

More information

5 Qualifying widow(er) (see instructions) 6a Yourself. If someone can claim you as a dependent, do not check box 6a...

5 Qualifying widow(er) (see instructions) 6a Yourself. If someone can claim you as a dependent, do not check box 6a... Form 1040 Department of the Treasury Internal Revenue Service (99) US Individual Income Tax Return OMB No 1545-0074 IRS Use Only Do not write or staple in this space For the year Jan 1 Dec 31,, or other

More information

GENERAL INSTRUCTIONS FOR PREPARING 2017 CITY OF XENIA INDIVIDUAL RETURNS *

GENERAL INSTRUCTIONS FOR PREPARING 2017 CITY OF XENIA INDIVIDUAL RETURNS * Who must file? It is mandatory that you file an annual City of Xenia tax return EVEN IF NO TAX IS DUE: All Xenia residents and partial year residents between the ages of 18 and 65. All Xenia residents

More information

COUNTY OF KANE. Supervisor of Assessments Geneva, Illinois Holly A. Winter, CIAO/I (630)

COUNTY OF KANE. Supervisor of Assessments Geneva, Illinois Holly A. Winter, CIAO/I (630) COUNTY OF KANE COUNTY ASSESSMENT OFFICE Mark D. Armstrong, CIAO 719 Batavia Avenue, Building C Supervisor of Assessments Geneva, Illinois 60134-3000 Holly A. Winter, CIAO/I (630) 208-3818 Chief Deputy

More information

TAX PRIMER FOR PARENTS COMPLETING A PFS

TAX PRIMER FOR PARENTS COMPLETING A PFS TAX PRIMER FOR PARENTS Use this primer to get an understanding of which few tax forms will be most helpful to you as you complete your PFS. This primer doesn t provide an overview of every possible tax

More information

2009 Instructions. Filing paper? There are changes that affect YOU! KANSAS Homestead Claim. and Property Tax for Low Income Seniors

2009 Instructions. Filing paper? There are changes that affect YOU! KANSAS Homestead Claim. and Property Tax for Low Income Seniors 2009 Instructions KANSAS Homestead Claim and Property Tax for Low Income Seniors Filing paper? There are changes that affect YOU! As you know, Kansas government has been negatively affected by our economy.

More information

VILLAGE OF NEW LONDON, OHIO INCOME TAX RETURN AND DECLARATION

VILLAGE OF NEW LONDON, OHIO INCOME TAX RETURN AND DECLARATION VILLAGE OF NEW LONDON Return Service Requested TO: INCOME TAX DEPARTMENT 115 EAST MAIN STREET NEW LONDON, OHIO 44851 PRE-SORTED FIRST CLASS MAIL U.S. POSTAGE PAID NEW LONDON, OHIO Permit No. 5 VILLAGE

More information

TAX PRIMER FOR PARENTS COMPLETING A PFS

TAX PRIMER FOR PARENTS COMPLETING A PFS FOR PARENTS Use this primer to get an understanding of which few tax forms will be most helpful to you as you complete your PFS. This primer doesn t provide an overview of every possible tax form you might

More information

INSTRUCTIONS FOR 2017 PIT-RC NEW MEXICO REBATE AND CREDIT SCHEDULE

INSTRUCTIONS FOR 2017 PIT-RC NEW MEXICO REBATE AND CREDIT SCHEDULE INSTRUCTIONS FOR 2017 PIT-RC NEW MEXICO REBATE AND CREDIT SCHEDULE GENERAL INFORMATION You can find general information about Form PIT RC, New Mexico Rebate and Credit Schedule, on this page and the next

More information

MISSOURI 2012 PROPERTY TAX CREDIT CLAIM. New Missouri Refund Debit Card FINAL CHECKLIST BEFORE MAILING YOUR CLAIM.

MISSOURI 2012 PROPERTY TAX CREDIT CLAIM. New Missouri Refund Debit Card FINAL CHECKLIST BEFORE MAILING YOUR CLAIM. MISSOURI PROPERTY TAX CREDIT CLAIM FINAL CHECKLIST BEFORE MAILING YOUR CLAIM. THE INSTRUCTIONS AND FORM ITSELF WILL LIST BACK-UP INFORMATION NEEDED. New Missouri Refund Debit Card DID YOU NEED TO ATTACH

More information

The IRS Will Figure Your Tax

The IRS Will Figure Your Tax Department of the Treasury Internal Revenue Service Publication 967 Cat. No. 22402M The IRS Will Figure Your Tax Introduction You can have the IRS figure your tax on Form 1040EZ, Form 1040A, or Form 1040

More information

Bob Smith Betty Smith Home address (number and street). If you have a P.O.box, see instructions. J Important!

Bob Smith Betty Smith Home address (number and street). If you have a P.O.box, see instructions. J Important! Presidential Lakeview WA 99999 Election Campaign Note: Checking Yes will not change your tax or reduce your refund. You Spouse (See instructions.) A Do you, or your spouse if filing a joint return, want

More information

2016 IONIA INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS

2016 IONIA INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS City of Ionia Income Tax Division PO Box 512 Ionia, Michigan 48846 For use by individual residents, part-year residents and nonresidents Form I-1040 ALL PERSONS

More information

Worksheet for Amending a 2011 Individual Income Tax Return

Worksheet for Amending a 2011 Individual Income Tax Return Staple All Pages of Your Amended Return Here D-4X-WS Web Your First Name (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS) If a Joint Return Spouse s First Name Address 1 Enter the income tax from D-4 Line

More information

GENERAL INSTRUCTIONS - ALL FILERS

GENERAL INSTRUCTIONS - ALL FILERS GENERAL INSTRUCTIONS - ALL FILERS WHO MUST FILE A RETURN Everyone who has income that is subject to City tax must file a return. You do not have to file a return if your total income subject to tax is

More information

CHAPTER 2 GROSS INCOME AND EXCLUSIONS

CHAPTER 2 GROSS INCOME AND EXCLUSIONS Solutions for Questions and Problems Chapter 2 39 CHAPTER 2 GROSS INCOME AND EXCLUSIONS Group 1 - Multiple Choice Questions 1. C (Section 2.1) 8. C (Section 2.6) 2. C (Section 2.1) 9. B (Section 2.7) 3.

More information

If a joint return, spouse s first name and initial Last name Spouse s social security number

If a joint return, spouse s first name and initial Last name Spouse s social security number Form Department of the Treasury Internal Revenue Service 1040A U.S. Individual Income Tax Return (99) 2016 Your first name and initial Last name IRS Use Only Do not write or staple in this space. OMB No.

More information

COVER PAGE. Filing Checklist For 2008 Tax Return Filed On Standard Forms. Prepared on: 01/13/ :55:49 am

COVER PAGE. Filing Checklist For 2008 Tax Return Filed On Standard Forms. Prepared on: 01/13/ :55:49 am COVER PAGE Filing Checklist For 28 Tax Return Filed On Standard Forms Prepared on: 1/13/29 12:55:49 am Return: C:\Documents and Settings\Owner.gateway\My Documents\TaxCut\Donna Harp 28 Tax Return.T8 To

More information

MISSOURI. Form MO-PTC. Property Tax Credit Claim. Final Checklist Before Mailing Your Claim

MISSOURI. Form MO-PTC. Property Tax Credit Claim. Final Checklist Before Mailing Your Claim MISSOURI 2 0 Form MO-PTC Property Tax Credit Claim 1 7 Final Checklist Before Mailing Your Claim The instructions and form itself will list back-up information needed Did you need to attach any of these?

More information

2003 RI-1040NR. GET YOUR REFUND FASTER E-FILE! eturn

2003 RI-1040NR.   GET YOUR REFUND FASTER E-FILE! eturn 2003 RI-1040NR Rhode Island Nonresident Individual Income Tax ReturR eturn This booklet contains: RI-1040NR RI Schedule D RI Tax Tables RI Schedule EIC RI-6251 RI Tax Rate Schedules RI-8615 RI Deduction

More information

INSTRUCTIONS FOR 2009 PIT-RC SCHEDULE NEW MEXICO REBATE AND CREDIT SCHEDULE

INSTRUCTIONS FOR 2009 PIT-RC SCHEDULE NEW MEXICO REBATE AND CREDIT SCHEDULE INSTRUCTIONS FOR 2009 PIT-RC SCHEDULE NEW MEXICO REBATE AND CREDIT SCHEDULE GENERAL INFORMATION SECTION I The questions in SECTION I must be answered to claim any of the rebates or credits reported in

More information

2018 IONIA INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, partyear residents and nonresidents

2018 IONIA INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, partyear residents and nonresidents City of Ionia Income Tax Division PO Box 512 Ionia, Michigan 48846 Form I-1040 INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, partyear residents and nonresidents ALL PERSONS HAVING

More information

Earned Income Table. Earned Income

Earned Income Table. Earned Income Includes Taxable wages, salaries, and tips Union strike benefits Taxable long-term disability benefits received prior to minimum retirement age Net earnings from self-employment Gross income of a statutory

More information

Your first name and initial Last name Your social security number

Your first name and initial Last name Your social security number Form 1040 Internal Revenue Service (99) U.S. Individual Income Tax Return OMB. 1545-0074 IRS Use Only Do not write or staple in this space. Filing status: Single Married filing jointly Married filing separately

More information

Fellowship/Assistantship only - Example A Explanation of Information

Fellowship/Assistantship only - Example A Explanation of Information Example A Page 1 of 12 Fellowship/Assistantship only - Example A Explanation of Information U.S. (or resident alien for tax purposes) graduate student has 6000 and/or 6002 fellowships/ assistantships for

More information

2017 Ohio IT 1040 Individual Income Tax Return

2017 Ohio IT 1040 Individual Income Tax Return Do not staple or paper clip Rev 9/17 2017 Ohio IT 1040 Individual Income Tax Return Use only black ink and UPPERCASE letters 17000102 1 Check here if this is an amended return Include the Ohio IT RE (do

More information

Filing status: Single Married filing jointly Married filing separately Head of household Qualifying widow(er)

Filing status: Single Married filing jointly Married filing separately Head of household Qualifying widow(er) -Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return 018 IRS Use Only-Do not write or staple in this space. Filing status: Single Married filing jointly Married filing separately Head

More information

Hickman & Hickman, PLLC 1248 Freiheit Rd, #200, New Braunfels, TX 78130

Hickman & Hickman, PLLC 1248 Freiheit Rd, #200, New Braunfels, TX 78130 Hickman & Hickman, PLLC 1248 Freiheit Rd, #200, New Braunfels, TX 78130 This organizer is designed to help clients identify items needed to thoroughly prepare individual income tax returns. Please check

More information

SALLY W EMANUEL If a joint return, spouse's first name M.I. Last name Suffix Spouse's social security number

SALLY W EMANUEL If a joint return, spouse's first name M.I. Last name Suffix Spouse's social security number Department of the Treasury Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31, 2011, or

More information

Form OR-W-4 Oregon Employee s Withholding Allowance Certificate. Social Security number (SSN) City

Form OR-W-4 Oregon Employee s Withholding Allowance Certificate. Social Security number (SSN) City Page 1 of 4, 150-101-402 (Rev. 12-18) 19611901010000 Important information Complete Form OR-W-4 if: You re a new employee. You filed a 2018 or 2019 federal Form W-4 with your employer and didn t file a

More information

2017 BUSINESS & TAX CONSULTANTS, INC.

2017 BUSINESS & TAX CONSULTANTS, INC. 2017 BUSINESS & TAX CONSULTANTS, INC. Questionnaire 2017 Please check the appropriate box and include all necessary details When in doubt, please check the Not Sure box so that we can discuss the issue

More information

Prepare, print, and e-file your federal tax return for free!

Prepare, print, and e-file your federal tax return for free! Prepare, print, and e-file your federal tax return for free! www.freetaxusa.com Form 1040 Department of the Treasury Internal Revenue Service (99) U.S. Individual Income Tax Return 2017 OMB No. 1545-0074

More information

State Tax Preparation Training Tax Year 2017

State Tax Preparation Training Tax Year 2017 State Tax Preparation Training Tax Year 2017 (From VITA WestMI modified by VITA UWWC) (Updated from TaxWise to TaxSlayer) Who Must File A State of Michigan Tax Return? Refer to the federal information

More information

Form MO-PTC. Property Tax Credit Claim. Final Checklist Before Mailing Your Claim

Form MO-PTC. Property Tax Credit Claim. Final Checklist Before Mailing Your Claim Form MO-PTC Property Tax Credit Claim 2 0 18 Final Checklist Before Mailing Your Claim Instructions and form itself will list back-up information needed Did you need to attach any of these? MO-CRP Verification

More information

City of Northville POVERTY EXEMPTION GUIDELINES AND APPLICATION

City of Northville POVERTY EXEMPTION GUIDELINES AND APPLICATION 215 W. Main Street Northville, Michigan 48167-1540 Phone: (248) 349-1300 FAX: (248) 349-9244 City of Northville Pursuant to Public Act 390 of 1994, the City of Northville has established its own criteria

More information

You Spouse 1 Single. name here.. G 5 Qualifying widow(er) with dependent child

You Spouse 1 Single. name here.. G 5 Qualifying widow(er) with dependent child ' Form 1040 U.S. Individual Income Tax Return 2014 IRS Use Only ' Do not write or staple in this space. For the year Jan 1 - Dec 31, 2014, or other tax year beginning, 2014, ending, 20 See separate instructions.

More information

INVOICE. PN 501 E 38th Erie, PA Phone: (207) Date: 12/07/2017 Invoice Number: Service Description

INVOICE. PN 501 E 38th Erie, PA Phone: (207) Date: 12/07/2017 Invoice Number: Service Description INVOICE PN 501 E 38th Erie, PA 16546 Phone: (207)590-6223 Email: pasha@gmail.com Date: 12/07/2017 Invoice Number: 1004 Client: Pavel Nayda, Service Description Amount 12/07/17 08:41 PM December 7, 2017

More information

Kansas department of revenue Homestead WEBFILE Instructions

Kansas department of revenue Homestead WEBFILE Instructions 1. Go to www.webtax.org 2. On the right side of the screen under Related Links, select Individual Income and Homestead 3. Select Homestead WebFile 4. You will begin a Homestead Claim in one of two ways:

More information

CHAPTER 2 GROSS INCOME AND EXCLUSIONS

CHAPTER 2 GROSS INCOME AND EXCLUSIONS Solutions for Questions and Problems Chapter 2 39 CHAPTER 2 GROSS INCOME AND ECLUSIONS Group 1 - Multiple Choice Questions 1. C (Section 2.1) 8. C (Section 2.6) 2. C (Section 2.1) 9. B (Section 2.7) 3.

More information

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT IN THE SUPERIOR COURT OF CLAYTON COUNTY STATE OF GEORGIA vs. Plaintiff,,, Defendant. Civil Action Case Number DOMESTIC RELATIONS FINANCIAL AFFIDAVIT (1) Your Name: Your Age: Spouse s Name: Spouse s Age:

More information

STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS

STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS UPDATE FORM APPROVED SOCIAL SECURITY ADMINISTRATION OMB. 0960-0416 STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS EI SSN For Official Use Only Name and Address

More information

See separate instructions. Your social security number RIGHT ANGLE XXX-XX-XXXX If a joint return, spouse's first name and initial

See separate instructions. Your social security number RIGHT ANGLE XXX-XX-XXXX If a joint return, spouse's first name and initial Form Department of the Treasury - Internal Revenue Service (99) 14 U.S. Individual Income Tax Return 216 OMB No. 1545-74 For the year Jan. 1-Dec. 31, 216, or other tax year beginning, 216, ending, 2 Your

More information

Village of Corinth HOME Improvement Program

Village of Corinth HOME Improvement Program Village of Corinth HOME Improvement Program Applicant Income Statement Name: Address: Project No: Phone: This Form (including the tables on Pages 2-5) MUST be completed for each adult (18 or older) in

More information

Your first name and initial Last name Your social security number

Your first name and initial Last name Your social security number 1040 Department of the Treasury Internal Revenue Service (99) U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only Do not write or staple in this space. Filing status: Single X Married filing

More information

Credit for the Elderly or the Disabled

Credit for the Elderly or the Disabled Schedule R (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on Form 1040 Credit for the Elderly or the Disabled Complete and attach to Form 1040. Go to www.irs.gov/scheduler

More information

Appendix B Pali Rao, istockphoto

Appendix B Pali Rao, istockphoto Appendix B Pali Rao, istockphoto Tax Forms (Tax forms can be obtained from the IRS website: www.irs.gov) Form 1040 U.S. Individual Income Tax Return B-2 Schedule C Profit or Loss from Business B-4 Schedule

More information

17MI-{CN} INDIVIDUAL RETURN DUE APRIL 30, 2018 Taxpayer's SSN Taxpayer's first name Initial Last name

17MI-{CN} INDIVIDUAL RETURN DUE APRIL 30, 2018 Taxpayer's SSN Taxpayer's first name Initial Last name CF-1040 {CITY NAME} 2017 17MI-{CN}-1040-1 INDIVIDUAL RETURN DUE APRIL 30, 2018 Taxpayer's first name Initial Last name Spouse's SSN If joint return spouse's first name Initial Last name Mark (X) box if

More information

2018 Ohio IT 1040 Individual Income Tax Return

2018 Ohio IT 1040 Individual Income Tax Return Do not staple or paper clip Rev 8/18 2018 Ohio IT 1040 Individual Income Tax Return Use only black ink and UPPERCASE letters 18000102 Sequence No 1 Check here if this is an amended return Include the Ohio

More information

COUNTY SUPERIOR COURT STATE OF GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

COUNTY SUPERIOR COURT STATE OF GEORGIA DOMESTIC RELATIONS FINANCIAL AFFIDAVIT COUNTY SUPERIOR COURT STATE OF GEORGIA vs. Plaintiff, Defendant.,, Civil Action Case Number DOMESTIC RELATIONS FINANCIAL AFFIDAVIT (1) Your Name: Your Age: Spouse s Name: Spouse s Age: Date of Marriage:

More information

, ending. child tax credit (1) First name Last name

, ending. child tax credit (1) First name Last name Department of the Treasury Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return 2016 OMB No. 1545-0074 For the year Jan. 1-Dec. 31, 2016, or other tax year beginning, ending Form Your first

More information

1040 U.S. Individual Income Tax Return 2017

1040 U.S. Individual Income Tax Return 2017 F or Department of the Treasury Internal Revenue Service (99) 14 U.S. Individual Income Tax Return 17 m OMB No. 1545-74 IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31, 17,

More information

Model Policy for Defining Indigent for Purposes of Burial at Township s Expense

Model Policy for Defining Indigent for Purposes of Burial at Township s Expense Model Policy for Defining Indigent for Purposes of Burial at Township s Expense Generally: The purpose of this policy is to ensure compliance with Ohio Revised Code 9.15(C) which mandates that a township

More information

Health Care Renewal Notice

Health Care Renewal Notice xxxxxxx * xxxxxxx xxxxxxx xxxxxxx Oct 15, 2017 5:12 PM Health Care Renewal Notice You are getting this notice because it is time to renew coverage for members of your household. This notice tells you the

More information

Real Estate Tax Credit for Persons Age 65 and Older (known as the Circuit Breaker Credit)

Real Estate Tax Credit for Persons Age 65 and Older (known as the Circuit Breaker Credit) The Official Website of the Department of Revenue (DOR) Department of Revenue About DOR Home Individuals Filing and Payment Information Guide to Personal Income Tax Credits Real Estate Tax Credit for Persons

More information

2007 Federal Tax Return Summary Important: Your taxes are not finished until all required steps are completed.

2007 Federal Tax Return Summary Important: Your taxes are not finished until all required steps are completed. 2007 Federal Tax Return Summary Important: Your taxes are not finished until all required steps are completed. Samuel P & Felicity Q Taxpayer 789 Tuxedo Drive Bronxville, NY 10708 Balance Your federal

More information

Instructions for Form 6251

Instructions for Form 6251 2017 Instructions for Form 6251 Alternative Minimum Tax Individuals Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless otherwise noted. General

More information

2018 LOW INCOME SENIOR CITIZEN (RP-467) AND LOW INCOME DISABILITY (RP-459C) EXEMPTION APPLICATION AND RENEWAL CHECKLIST

2018 LOW INCOME SENIOR CITIZEN (RP-467) AND LOW INCOME DISABILITY (RP-459C) EXEMPTION APPLICATION AND RENEWAL CHECKLIST 2018 LOW INCOME SENIOR CITIZEN (RP-467) AND LOW INCOME DISABILITY (RP-459C) EXEMPTION APPLICATION AND RENEWAL CHECKLIST Before bringing or mailing your application to the Assessor s Office, please ensure

More information

Income. Adjusted Gross Income. Hader If a joint return, spouse s first name and initial Last name Spouse s social security number

Income. Adjusted Gross Income. Hader If a joint return, spouse s first name and initial Last name Spouse s social security number Form 1040 Department of the Treasury Internal Revenue Service (99) U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31,, or

More information

Instructions for Form DIR-38

Instructions for Form DIR-38 City of Dublin Income Tax Division Instructions for Form DIR-38 Individual Return For use in preparing 2017 Returns Municipal tax is paid first to the city where work is performed or income earned. Taxpayers

More information

hardy, wrestler and associates Certified Public Accountants, PC PO Box 1781, Joplin, MO Phone , Fax

hardy, wrestler and associates Certified Public Accountants, PC PO Box 1781, Joplin, MO Phone , Fax hardy, wrestler and associates Certified Public Accountants, PC PO Box 1781, Joplin, MO 64802 Phone - 417-782-4919, Fax - 417-623-8400 Client Tax Organizer Tax Year 2017 Personal and Dependent Information

More information

Earned Income Table. Earned Income

Earned Income Table. Earned Income Earned Income Table Includes Taxable wages, salaries, and tips Union strike benefits Taxable long-term disability benefits received prior to minimum retirement age Net earnings from self-employment Gross

More information

1040 U.S. Individual Income Tax Return 2017

1040 U.S. Individual Income Tax Return 2017 F or Department of the Treasury Internal Revenue Service (99) 14 U.S. Individual Income Tax Return 217 m OMB No. 1545-74 IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31,

More information

City, town or post office, state, and ZIP code. If you have a foreign address, see page 14.

City, town or post office, state, and ZIP code. If you have a foreign address, see page 14. Form 1040 Label (See instructions on page 14.) Use the IRS label. Otherwise, please print or type. L E L H E R E Department of the Treasury Internal Revenue Service U.S. Individual Income Tax Return 2009

More information

BASED ON INCOME FROM 2017

BASED ON INCOME FROM 2017 BASED ON INCOME FROM 2017 Tax Year 2018 Renewal Form Assessment Year 2017 Property Tax Exemption for Senior Citizens and Disabled Persons Chapter 84.36 RCW and Chapter 458-16A WAC You are receiving a reduction

More information

RI RI Schedule CR RI Schedule CGW RI Schedule D RI-6251 RI-2210A RI-1040H RI-4868 NEW FOR 2009! NEW FOR 2009! NEW FOR 2009!

RI RI Schedule CR RI Schedule CGW RI Schedule D RI-6251 RI-2210A RI-1040H RI-4868 NEW FOR 2009! NEW FOR 2009! NEW FOR 2009! RI-1040 Rhode Island Resident Individual Income Tax ReturR eturn This booklet contains: RI-1040 RI Schedule EIC RI Schedule OT RI-8615 RI Schedule FT RI Deduction Schedules RI Schedule I RI Schedule CR

More information

Form 1-NR/PY Mass. Nonresident/Part-Year Resident Tax Return 2012 FIRST NAME M.I. LAST NAME

Form 1-NR/PY Mass. Nonresident/Part-Year Resident Tax Return 2012 FIRST NAME M.I. LAST NAME Form 1-NR/PY Mass. Nonresident/Part-Year Resident Tax Return 2012 FIRST NAME M.I. LAST NAME CERTAIN PART-YEAR RESIDENTS MUST ENCLOSE SCHEDULE HC FOR PRIVACY ACT NOTICE, SEE INSTRUCTIONS. 1. YOUR SOCIAL

More information

DENVER ELDERLY OR DISABLED REFUND PROGRAM INSTRUCTIONS 2017 TAX YEAR

DENVER ELDERLY OR DISABLED REFUND PROGRAM INSTRUCTIONS 2017 TAX YEAR DENVER ELDERLY OR DISABLED REFUND PROGRAM INSTRUCTIONS 2017 TAX YEAR Dear Applicant, Enclosed is your application for the DENVER ELDERLY OR DISABLED REFUND PROGRAM from Denver Human Services (DHS). This

More information

RECEIVED BY THE HRA Date: Time: APPLICATION FOR PUBLIC AND SECTION 8 NEW CONSTRUCTION HOUSING ASSISTANCE Equal Housing Opportunity

RECEIVED BY THE HRA Date: Time: APPLICATION FOR PUBLIC AND SECTION 8 NEW CONSTRUCTION HOUSING ASSISTANCE Equal Housing Opportunity RECEIVED BY THE HRA Date: Time: APPLICATION FOR PUBLIC AND SECTION 8 NEW CONSTRUCTION HOUSING ASSISTANCE Equal Housing Opportunity Applicant Name: First Middle Initial Last Co-Applicant: First Middle Initial

More information

e-file Minnesota Property Tax Refund Forms and Instructions try this year Need forms? Inside this booklet or

e-file Minnesota Property Tax Refund Forms and Instructions try this year Need forms? Inside this booklet or 2010 Minnesota Property Tax Refund Forms and Instructions Inside this booklet Form M1PR Minnesota property tax refund return To check on the status of your refund: go to wwwtaxesstatemnus or call 651-296-4444

More information

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled 79th OREGON LEGISLATIVE ASSEMBLY--2018 Regular Session Enrolled Senate Bill 1529 Printed pursuant to Senate Interim Rule 213.28 by order of the President of the Senate in conformance with presession filing

More information

Earned Income Credit i

Earned Income Credit i Earned Income Credit i ALL RIGHTS RESERVED. NO PART OF THIS COURSE MAY BE REPRODUCED IN ANY FORM OR BY ANY MEANS WITHOUT THE WRITTEN PERMISSION OF THE COPYRIGHT HOLDER. All materials relating to this course

More information

INDIANA 2012 Barcode TEST # IT-40PNR

INDIANA 2012 Barcode TEST # IT-40PNR Test Scenario 11 TEST A PERIWINKLE INDIANA 2012 Barcode TEST #11 2012 IT-40PNR Test Scenario 11 Taxpayer: TEST A PERIWINKLE SSN: 400 00 4066 Test Scenario 11 includes the following forms: Form IT 40PNR

More information

FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM)

FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM) IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division: and, Petitioner,, Respondent. FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM) (Under $50,000 Individual Gross Annual

More information

Ovals must be filled in completely. Example RETURN WITH CHECK (PLEASE ATTACH CHECK HERE)

Ovals must be filled in completely. Example RETURN WITH CHECK (PLEASE ATTACH CHECK HERE) Form 481.0 Rev. 05.03 SHORT FORM Liquidator Reviewer Ovals must be filled in completely. Example RETURN WITH CHECK (PLEASE ATTACH CHECK HERE) 23 23 COMMONWEALTH OF PUERTO RICO DEPARTMENT OF THE TREASURY

More information

DUAL-STATUS RETURN U.S. Nonresident Alien Income Tax Return LEE F DUT X. MN Foreign province/county

DUAL-STATUS RETURN U.S. Nonresident Alien Income Tax Return LEE F DUT X. MN Foreign province/county DUAL-STATUS RETURN U.S. Nonresident Alien Income Tax Return OMB No. 1545-0074 For the year January 1-December 31, 2011, or other tax year Department of the Treasury Internal Revenue Service beginning,

More information

Form1040-ES/V (OCR) Department of the Treasury Internal Revenue Service

Form1040-ES/V (OCR) Department of the Treasury Internal Revenue Service Form1040-ES/V (OCR) Department Treasury Internal Revenue Service Purpose of This Package Use this package to figure and pay your estimated tax. If you are not required to make estimated tax payments for

More information

1040 Department of the Treasury Internal Revenue Service (99)

1040 Department of the Treasury Internal Revenue Service (99) 1040 Department of the Treasury Internal Revenue Service (99) U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31, 2016, or

More information

NJ Tests Tax Year Test # One Test Scenario. Type of account: Savings. Routing Number: Account Number:

NJ Tests Tax Year Test # One Test Scenario. Type of account: Savings. Routing Number: Account Number: 1 of 51 NJ Tests Tax Year 2007 Test # 1 400-00-6301 One Test Scenario Forms: NJ-1040 Notes: Direct Deposit of Refund Type of account: Savings Routing Number: 123456780 Account Number: 1221221222 NJ-1040

More information