BENSALEM TOWNSHIP SCHOOL DISTRICT Dorothy D. Call Administrative Center
|
|
- Jacob Allison
- 5 years ago
- Views:
Transcription
1 BENSALEM TOWNSHIP SCHOOL DISTRICT Dorothy D. Call Administrative Center 3000 Donallen Drive Bensalem, PA General Instructions Attached is an application for Senior Citizen Property Tax assistance. Persons who complete this application should note the following: 1. Property tax assistance applies only to living senior citizens sixty-five (65) years of age or over whose legal and permanent residence is the residence for which tax assistance is sought. 2. If you apply for and receive a Homestead Exclusion or similar rebate related to another property, YOU ARE NOT ELIGIBLE FOR THIS REBATE. 3. Only one claimant per household (person filing the claim (sixty-five years of age or over) shall be entitled to property tax assistance. If two or more persons in one homestead are able to meet the qualification as a claimant; they may determine who the claimant shall be. If they are unable to agree, the school district shall determine to whom assistance is to be paid. 4. It is not necessary that the school real estate tax be paid by the claimant, provided the tax is paid prior to filing the claim. 5. Each application should include reasonable proof of household income, a copy of the receipted school real estate tax bill, and proof that the claimant was age sixty-five years or over during the 2017 calendar year. 6. An application filed with fraudulent intent, will be disallowed in full and a penalty of twenty-five percent (25%) of the amount claimed shall be imposed. The penalty and the amount of the disallowed claim will bear interest at the rate of one-half of one percent per month from the date of the claim until repaid. The claimant and any person assisting in the preparation or filing of a fraudulent claim shall be guilty of a misdemeanor and upon conviction thereof shall be sentenced to pay a fine not exceeding one thousand dollars ($1,000.00) or undergo imprisonment not exceeding one year, or both. 7. A claim shall be disallowed if the claimant received title to the property primarily for the purpose of receiving property tax assistance. 8. For additional information call , Extension This claim must be filed by June 30, 2018 for taxes due and paid in Mail to: Bensalem Township School District 3000 Donallen Drive Bensalem, PA Attention: Business Department
2 Part A -- Claimant's Identification Please complete the application in full (lines 1 through 10). Part B -- Amount of 2017 Property Tax Paid and State Rebate Received In Enter the total amount of paid 2017 school property tax on line 11. No credit for interest or penalty payments may be used. Municipal assessments, per capita and occupation taxes must not be included in your computation of real estate property tax paid. Include only property tax on land which is reasonably necessary for the use of your dwelling as a home. Enter the amount of State of PA rebate received in 2017 on line 12. Part C 2017 Household Income When completing lines 13 through 21, combine the total income received by you and your spouse as well as any other residents of your home during Note: This includes both taxable and non-taxable income and is NOT subject to the deductions on federal or state personal income tax forms. Income means all income from whatever sources including salaries, wages, bonuses, commissions, income from self-employment, alimony, support money, cash public assistance and relief, the gross amount of any pensions or annuities including railroad retirement benefits, all income from state unemployment insurance and veterans disability payments, all interest received from federal, state, or local government, income from capital gains, rentals, worker s compensation insurance benefits and proceeds and gifts of cash or property if they exceed a total value of three hundred dollars ($300). Income shall not include surplus food or other non-cash relief supplies by a governmental agency. Review of tax return may be required. Line 13: Wages, salaries and other compensation: List the total amount received in 2017 by all residents of the household. Attach statements to verify amounts. Line 14: Social Security, SSI, and Railroad Retirement: List 50% of the total combined annual amount received by all residents of the household. Attach a statement of 2017 earnings from the Social Security Office. Line 15: Pensions and Annuities: The full amount of all types of pensions and annuities received in 2017 must be included. List the source of this income. Attach statements to verify amounts. Line 16: Interest and Dividends: Include interest and dividends credited or received during 2017 from any source, regardless of whether you actually received the cash. Be sure to include both taxable and non-taxable income. Attach statements to verify amounts.
3 Line 17: Capital Gains: Include the entire amount of capital gains (Long Term and Short Term) realized during Capital losses may only be used to offset capital gains. Attach statement to verify amounts. Line 18: Cash Gifts, Life Insurance, and Death Benefits: Include cash gifts unless they do not total $300; life insurance and death benefits unless they are less than $5,000. Line 19: State and Local Grants/Rebates: Include rebates or grants of assistance received from the Commonwealth of Pennsylvania. Line 20: Other Income: Report the total amount of all other types of income (including rental), received by all residents of the household during 2017 on line 20. Line 21: Total Household Income: Add lines 13 through 20 and enter the total at line 21.
4 Part D -- Tax Assistance Household Income Maximum Assistance $ 0-6,999 $ 750 7,000-7, ,000-8, ,000-9, ,000-10, ,000-11, ,000-12, ,500-12, ,000-13, ,500-13, ,000-14, ,500-14, ,000-15, ,500-15, ,000-16, ,500-16, ,000-17, ,500-17, ,000-18, ,500-18, ,000-19, ,500-19,
5 (Print in ink or type) BENSALEM TOWNSHIP SCHOOL DISTRICT BENSALEM, PA PROPERTY TAX ASSISTANCE FORM Part A - Claimant s Identification Part C 2017 Household Income 1. Name: 13. Wages, Salaries & Other Compensation: 2. Address: 14. Social Security & Railroad Retirement Benefits ** 3. Phone #: 15. Pensions & Annuities: 4. Birth Date: 16. Interest & Dividends: Month Day Year 5. Social Security #: 17. Capital Gains: 6. Spouse s First Name: 18. Cash Gifts over $300, 7. Spouse s Birth Date: Life Insurance over $ 5, Spouse s Social Security #: 19. State/Local Rebates: 9. Address Listed on the Property Tax Bill: 20. Other Income: 21. Total Household Income: 10. Is the Homestead Exclusion applied to the tax bill of this property? Yes No ** Note Claim only 50% Part B - Real Estate Tax Paid Part D - Tax Assistance 11. Amount of 2017 School Real Estate Tax paid on 22. Total Household Income: the property listing on line 9. (Please attach your (Line 21): $ receipt of tax paid): $ 12. Amount of Commonwealth of PA rebate received 23. Total School Real Estate Tax paid in 2017: $ (Line 11): $ 24. Amount of Assistance (See table on Instruction Sheet) $ (Assistance May Not exceed Net Tax Paid) All fraudulent claims will be disallowed in full and a 25% penalty will be imposed. Interest will also be charged on fraudulent claims. I declare that I prepared this return and that to the best of my knowledge and belief it is true, correct and complete. I certify that the amount of refund requested from the Bensalem Township School District and the Commonwealth of PA rebate program does not exceed the amount I actually paid in 2017 for School Real Estate taxes. Claimant s Signature Date Signature of Preparer Date (If other than the claimant)
6 Office Use Only 1. Date Received: Age: Taxes Paid: Total Rebates from state or local government: 2. Verification Received for: 3. Approved for: Income: Amount: Assistance 4. Signed Date:
General Instructions
BENSALEM TOWNSHIP SCHOOL DISTRICT BENSALEM, PA 19020-1898 General Instructions Attached is an application for senior citizen property tax assistance. Persons who complete these applications should note
More informationThis act shall be known and may be cited as the "Senior Citizens Rebate and Assistance Act."
4751-1. Short title This act shall be known and may be cited as the "Senior Citizens Rebate and Assistance Act." 4751-2. Declaration of policy In recognition of the severe economic plight of certain senior
More informationQ. Who can file for a Property Tax Rebate claim?
Pocono Mountain School District Property Tax Rebate Program Question & Answer Guide For Filing 2015 Claims * Rebates will be processed beginning JULY 2016* Q. Who can file for a Property Tax Rebate claim?
More informationTRCF-1000 Property Tax Rebate Program Nazareth Area School District
TRCF-1000 Property Tax Rebate Program Nazareth Area School District PART I - CLAIMANT INFORMATION Claimant's Name 2013 District Use Only Please Print or Type the Information Below. This Form Must Be Filed
More informationTRCF-1000 Property Tax Rebate Program Nazareth Area School District
TRCF-1000 Property Tax Rebate Program Nazareth Area School District 2014 District Use Only Please Print or Type the Information Below. This Form Must Be Filed Between July 1, 2014 and April 30, 2015 PART
More informationSECTION II - STATEMENT OF COMBINED ANNUAL TOTAL HOUSEHOLD INCOME - ALL SOURCES
CITY OF CHICO - FINANCE OFFICE 411 Main Street, Chico, CA 95928 /(530) 879-7389 UTILITY USERS TAX REFUND APPLICATION AND CLAIM EXEMPTION PROGRAM (Pursuant to Section 3.56.190 and 3.56.200 of the Chico
More informationDISABLED VETERANS REAL ESTATE TAX EXEMPTION PROGRAM
DISABLED VETERANS REAL ESTATE TAX EXEMPTION PROGRAM APPLICATION FOR EXEMPTION FROM REAL PROPERTY TAXES Every blank must have an entry or the application will be returned. No determination can be made until
More information*** All renewal applications must be filed by March 1, 2019 ***
REAL ESTATE AND MOBILE HOME TAX RELIEF APPLICATION Office of the Tel.: (804) 652-2161 Fax: (804) 829-6228 2019 *** All renewal applications must be filed by March 1, 2019 *** Tax ID No.: For Office Use
More informationSENIOR CITIZEN REAL ESTATE TAX DEFERRAL PROGRAM
SENIOR CITIZEN REAL ESTATE TAX DEFERRAL PROGRAM This Package contains: Program Overview Sample Form IL-1017, Application and Instructions Sample Form IL-1018, Agreement ADAMS COUNTY TREASURER 507 VERMONT
More informationArizona 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 informationArizona 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 informationProperty 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 informationCity 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 informationSenior Citizen Homeowners Exemption
SCHE Senior Citizen Homeowners Exemption PRE-QUALIFYING CHECKLIST & INCOME WORKSHEET FOR 2019/2020 Please complete but do not submit with your application Are you eligible for the Senior Citizen Homeowners
More informationCITY OF DEARBORN HEIGHTS 2017 POVERTY EXEMPTION POLICY AND GUIDELINES (Return no later than: )
CITY OF DEARBORN HEIGHTS 2017 POVERTY EXEMPTION POLICY AND GUIDELINES (Return no later than: ) POVERTY EXEMPTION as defined by the Michigan Compiled Laws is as follows: Section 211.7u: (1) The homestead
More informationCITY OF FRASER BOARD OF REVIEW 2018 POVERTY EXEMPTION POLICY & GUIDELINES
CITY OF FRASER BOARD OF REVIEW 2018 POVERTY EXEMPTION POLICY & GUIDELINES The attached guidelines and application are to be used for 2018 only Section 211.7u(1) of the Michigan General Property Tax Act
More informationArbors Management Inc. The Meadows Apartments 301 Station Street, Pittsburgh, PA (voice and fax)
Arbors Management Inc. The Meadows Apartments 301 Station Street, Pittsburgh, PA 15235 412-793-9606 (voice and fax) Applicant APPLICATION Co-Applicant (Partner, Spouse) Applicant Name Co-Applicant Name
More informationKansas 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 informationArizona 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 informationArbors Management Inc. SHADY PARK TOWNHOMES
Arbors Management Inc. SHADY PARK TOWNHOMES 1670 Golden Mile Highway, Monroeville, PA 15146 800-963-1280 FAX 800-558-8067 Applicant APPLICATION Co-Applicant (Partner, Spouse) Applicant Name Co-Applicant
More informationMedical Assistance (Medicaid) Financial Eligibility Application for Long Term Care, Supports and Services
Check any that you are applying for: Medical Assistance (Medicaid) Financial Eligibility Application for Long Term Care, Supports and Services You may also apply online at www.compass.state.pa.us Care
More informationGENEVA TOWNSHIP PROPERTY TAX POVERTY EXEMPTION GUIDELINES
GENEVA TOWNSHIP PROPERTY TAX POVERTY EXEMPTION GUIDELINES (Pursuant to Public Act 390 of 1994) Adopted by the Geneva Township Board on January 14, 1997. Adjusted to Federal Poverty Standards of 12-31-12
More informationMedical Assistance (Medicaid) Financial Eligibility Application for Long Term Care, Supports and Services
Medical Assistance (Medicaid) Financial Eligibility Application for Long Term Care, Supports and Services You may also apply online at www.compass.state.pa.us Check any that you are applying for: Care
More informationTOWNSHIP OF BRUCE BOARD OF REVIEW 2018 POVERTY EXEMPTION POLICY & GUIDELINES
TOWNSHIP OF BRUCE BOARD OF REVIEW 2018 POVERTY EXEMPTION POLICY & GUIDELINES Section 211.7u(1) of the Michigan General Property Tax Act defines the poverty exemption as a method to provide relief for those
More informationAPPLICATION FOR FIRST TIME HOME BUYER PROGRAM
Applicant Code: Check status at: www.cityofcr.com/fthb Please initial APPLICATION FOR FIRST TIME HOME BUYER PROGRAM Items to Include with Application Copies of required documentation for all income and
More informationPine-Richland. School District. January 15, Dear Taxpayer:
Pine-Richland January 15, 2018 School District www.pinerichland.org Administrative Offices 702 Warrendale Road (724) 625-7773 Fax: (724) 625-1490 Pine-Richland High School 700 Warrendale Road (724) 625-4444
More informationDISABLED VETERANS REAL ESTATE TAX EXEMPTION PROGRAM APPLICATION FOR EXEMPTION FROM REAL PROPERTY TAXES. Important Facts to Remember when Applying:
DISABLED VETERANS REAL ESTATE TAX EXEMPTION PROGRAM APPLICATION FOR EXEMPTION FROM REAL PROPERTY TAXES Every blank must have an entry or the application will be returned. No determination can be made until
More informationCHESTERFIELD TOWNSHIP MACOMB COUNTY HARDSHIP EXEMPTION APPLICATION TAX YEAR 2015
B.O.R. Mar Jul Dec Letter / Appt Date: Time: Petition #: Parcel No. Name: CHESTERFIELD TOWNSHIP MACOMB COUNTY HARDSHIP EXEMPTION APPLICATION TAX YEAR 2015 A. DEADLINE YOU MUST COMPLETE THIS APPLICATION
More informationHousing Partnership of Chester County 41 W. Lancaster Ave, Downingtown, PA
Housing Partnership of Chester County 41 W. Lancaster Ave, Downingtown, PA 19335 610-518-1522 HOME MAINTENANCE PROGRAM The Home Maintenance Program provides basic home repairs and modifications for residents
More informationAPPLICATION FOR RESIDENCY
Please note: Each adult 18 years of age and older needs to complete a separate application unless a married couple. APPLICANT INFORMATION Name: Spouse: Current Address: Telephone: Email: Bedroom Size Requested:
More informationINSTRUCTIONS 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 informationHARTLAND TOWNSHIP APPLICATION FOR ONE YEAR HARDSHIP REDUCTION-2017 PARCEL NUMBER: PROPERTY ADDRESS: ADJACENT PARCELS, IF ANY
HARTLAND TOWNSHIP APPLICATION FOR ONE YEAR HARDSHIP REDUCTION-2017 PARCEL NUMBER: PROPERTY ADDRESS: ADJACENT PARCELS, IF ANY WITH THIS APPLICATION YOU WILL NEED TO SUBMIT LAST YEARS AND CURRENT YEAR COPIES
More informationHAMPTON TOWNSHIP SCHOOL DISTRICT PROPERTY TAX REBATE PROGRAM
2012 13 HAMPTON TOWNSHIP SCHOOL DISTRICT Hampton Township School District 4591 School Drive Allison Park, Pennsylvania 15101 412 492 6308 The Hampton Township School District is offering a property tax
More informationState of New Jersey DEPARTMENT OF THE TREASURY DIVISION OF TAXATION P. O. BOX 251 TRENTON, NEW JERSEY 08695
State of New Jersey DEPARTMENT OF THE TREASURY DIVISION OF TAXATION P. O. BOX 251 TRENTON, NEW JERSEY 08695 October, 2017 Property Administration Fax: 609-292-9439 TO: FROM: RE: County Tax Board Commissioners,
More informationRULES OF THE TENNESSEE STATE BOARD OF EQUALIZATION CHAPTER TAX RELIEF TABLE OF CONTENTS
RULES OF THE TENNESSEE STATE BOARD OF EQUALIZATION CHAPTER 0600-03 TAX RELIEF TABLE OF CONTENTS 0600-03-.01 Determination of Reimbursable or 0600-03-.08 Income Requirement Local Property Taxes Provided
More informationOWNER OCCUPANT APPLICATION
ERIE REDEVELOPMENT AUTHORITY APPLICATION FOR RESIDENTIAL CDBG/HOME PROGRAM Updated November 2017 OWNER OCCUPANT APPLICATION IMPORTANT: COMPLETE ENTIRE FORM TO AVOID PROCESSING DELAYS OR DENIAL OF APPLICATION
More informationOVERVIEW IMPORTANT SPECIFIC INSTRUCTIONS
TM Finance NYC DEPARTMENT OF FINANCE PROGRAM OPERATIONS DIVISION INSTRUCTIONS FOR HOMEOWNER EXEMPTION APPLICATION OVERVIEW This application is for the following homeowner property tax exemption programs:
More informationNOTE: Applicants can exclude one-half of all Social Security income.
2015 The Property Tax/Rent Rebate program benefits eligible Pennsylvanians age 65 and older; widows and widowers age 50 and older; and people with disabilities age 18 and older. The deadline to apply for
More informationINSTRUCTIONS FOR HOMEOWNER TAX BENEFIT APPLICATION FOR STAR EXEMPTION
NYC DEPARTMENT OF FINANCE l PROPERTY DIVISION INSTRUCTIONS FOR HOMEOWNER TAX BENEFIT APPLICATION FOR STAR EXEMPTION This application is for the following homeowner property tax benefit programs: n n Basic
More informationNEWSLETTER NOVEMBER 2008 EARNED CREDIT FOR PROPERTY TAXES AGE 65 OR OLDER & TAX EXEMPTIONS FOR WIDOWS, WIDOWERS, AND THE DISABLED
NEWSLETTER V O L U M E 1, I S S U E 1 NOVEMBER 2008 INSIDE THIS ISSUE: Earned credit for 1 property taxes for age Tax exemptions for 2 widow(er)s, & disabled Community Spouse 3 Resource Assessment Updated
More informationName of Applicant: SS#: Current Address: Name of Co-Applicant: Address (if different from above):
PIEDMONT HOUSING ALLIANCE RENTAL APPLICATION PLEASE NOTE: A $20 PER ADULT APPLICATION PROCESSING FEE IS REQUIRED. PAYABLE BY CHECK OR MONEY ORDER ONLY (This fee is waived for Crozet Meadows and the Meadowlands
More informationAPPLICATION FOR HOUSING
Rotary Plaza 433 Alida Way South San Francisco, CA 94080 Phone (650) 871-5323 TDD (800)545-1833 ext. 478 E-mail: RPZ-Administrator@HumanGood.org Web: HumanGood.org For Office Use Only Date/Time Received:
More informationHyde Park Apartments 336 W. 36 th Street Kansas City, Missouri Office: Fax:
Dear Applicant: Hyde Park Apartments 336 W. 36 th Street Kansas City, Missouri 64111 Office: 816-756-2710 Fax: 816-531-5813 Email: hydepark@dalmarkgroup.com Thank you for your interest in our community.
More informationPARCEL NUMBER FOR. Applications submitted that are not complete or do not include all requested forms will NOT be processed.
1 YEAR PARCEL NUMBER PROPERTY OWNER/RESIDENT GERRISH TOWNSHIP APPLICATION FOR PRINCIPAL RESIDENCE POVERTY EXEMPTION & ASSET TEST The filing of this form is necessary to determine if you qualify for a Principle
More informationCITY OF NOVI 2018 APPLICATION FOR POVERTY EXEMPTION IMPORTANT YOU MUST SUBMIT THE FOLLOWING WITH THIS APPLICATION
CITY OF NOVI 2018 APPLICATION FOR POVERTY EXEMPTION IMPORTANT YOU MUST SUBMIT THE FOLLOWING WITH THIS APPLICATION A: The 2016 and 2017 Federal and State Income Tax Returns for ALL persons residing at the
More informationPre-Application for Housing Assistance Low Income Public Housing
Occupancy Department 100 Ross Street, 4 th Floor Pittsburgh, PA 15219 412-456-5030, Fax: 412-456-5182 TDD: 412-201-5384 www.hacp.org Pre-Application for Housing Assistance Low Income Public Housing Instructions
More informationAPPLICATION FOR PROPERTY TAX RELIEF
COUNTY OF GUILFORD STATE OF NORTH CAROLINA TAX YEAR 2017 APPLICATION FOR PROPERTY TAX RELIEF ELDERLY OR DISABLED EXCLUSION (G.S. 105-277.1), DISABLED VETERAN EXCLUSION (G.S. 105-277.1C), or CIRCUIT BREAKER
More informationMECKLENBURG COUNTY. Assessor s Office Real Estate Division
MECKLENBURG COUNTY Assessor s Office Real Estate Division Dear Sir/Madam, Enclosed is a 2013 application/audit review for Low-Income Homestead Exclusion, the Disabled Veteran Exclusion, and the Circuit
More informationAFFORDABLE HOUSING APPLICATION ADDENDUM 659 N. 39 th Street Philadelphia, PA
AFFORDABLE HOUSING APPLICATION ADDENDUM 659 N. 39 th Street Philadelphia, PA 19104 www.wpre.com 215-222-8100 Applicant Name: Email: Specific address of unit you are applying for Phone: HOUSEHOLD INFORMATION
More information*ALL SUBMITTED APPLICATIONS ARE FINAL AND CONSIDERED THE DETERMINING FACTOR OF YOUR ELIGIBILITY.
Andrew J. Quarnstrom, Supervisor 53 Logan St. Phone: (217)403*6120 Champaign, IL 61820 Fax: (217)403*6125 Qualifications for Emergency Rental Assistance 1. Applicant must reside within the City limits
More informationTax Credit Housing Application
Trailside Heights I, II, III/Lumen Park T: 907.222.1733 F: 907.222.1738 TTY: 711 Trailside2@VOA.org www.voa.org/trailside Heights www.voa.org/lumen park Instructions for completing the application: Please
More informationHousehold, Income and Asset Information This application MUST BE FULLY COMPLETE. Applicant Name (this is you) City/ Town: State: Zip Code:
Falmouth Housing Corporation Falmouth Community, LLC 704 FHC LLC FHC Edgerton Drive, Inc. 704 Main LLC 704 Main Street Falmouth, MA 02540 Tel. (508)540-4009 Fax. (508)548-6329 Household, Income and Asset
More informationSECOND REGULAR SESSION SENATE COMMITTEE SUBSTITUTE FOR SENATE BILL NO TH GENERAL ASSEMBLY
SECOND REGULAR SESSION SENATE COMMITTEE SUBSTITUTE FOR SENATE BILL NO. 567 99TH GENERAL ASSEMBLY Reported from the Committee on Seniors, Families and Children, January 18, 2018, with recommendation that
More informationAPPLICATION FOR HOUSING
Shepherd s Garden 6927 196 th St. SW Lynnwood, WA 98036 Phone (425) 744-1610 TDD (800)545-1833 ext. 478 E-mail: SHG-Administrator@HumanGood.org Web: HumanGood.org For Office Use Only Date/Time Received:
More informationLUTHER OAKS Rental Application
LUTHER OAKS Rental Application Office Use Only Date Received: Time Received: Number: Staff Initials: All information below must be complete or the application will be sent back to you as incomplete and
More informationArapahoe Housing Authority
Arapahoe Housing Authority 208 Sixth Street, Box 0 Arapahoe, NE 68922 Telephone: (308) 962-7669 Fax: (308) 962-3669 Email: araphous@atcjet.net Office Use Only: Date of Application: Time of Application:
More informationTownship of Middletown
Township of Middletown 3 Municipal Way Langhorne, PA 19047-3424 Ph: 215-750-3800 Fax: 215-750-3801 www.middletowntwpbucks.org Middletown Township Local Earned Income Tax On January 23, 2014, the Middletown
More informationSheriff-Coroner-Public Administrator s Office 950 Maidu Avenue Nevada City Ca 95959
Sheriff-Coroner-Public Administrator s Office 950 Maidu Avenue Nevada City Ca 95959 LOW INCOME ASSISTANCE CREMATION PROGRAM The Nevada County Low Income Assistance Cremation program has been designed to
More informationRental Application. First Priority: Persons 62 years or older get first choice at apartments. The approximate waiting period is days.
105 E. Walnut Street, Kalamazoo, MI 49007 269-388-3011 TTY: 1-800-649-3777 Office Hours: M-F 10 am-12 pm, 1 pm-5 pm Rental Application Thank you for your interest in Skyrise Apartments! Since 1987, Skyrise
More informationHomestead 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 informationWe Do Business in Accordance to the Federal Fair Housing Law
PLEASE COMPLETE IN FULL SW Florida Affordable Choice Foundation, Inc. Application for Covington Meadows Covington Meadows Circle, Lehigh Acres, FL 33936 Telephone (239) 344-3220 Fax (239) 344-3273 TDD
More informationCommunity Name: Application Checked by: Date: RENTAL APPLICATION SINGLE MARRIED WIDOWED DIVORCED SEPARATED
Community Name: Application Checked by: Date: RENTAL APPLICATION APPLICANT Full Name M/F Relationship to Head of Household Birth Date Apt. # MCD or PP Social Security Number Place of Birth: State: City:
More informationChild Care Assistance Application
Child Care Assistance Application P.O. Box 130 Denton, Texas 76202 Local: 940-382-5619 Toll Free: 1-800-234-9306 Fax: 940-323-4394 or 940-320-5017 or 940-320-5010 www.dfwjobs.com Email: childcare@dfwjobs.com
More informationHomestead Exemptions
Homestead Exemptions Property Tax Code General Homestead Exemption (Owner-occupied) Sec. 15-175 (In all counties except Cook County) Alternative General Homestead Exemption (Cook County only) Sec. 15-176
More informationORDINANCE NO. 12. Borough of Seven Fields, Butler County, Pennsylvania, as follows: PART 5 LOCAL SERVICES TAX
ORDINANCE NO. 12 AN ORDINANCE AMENDING THE CODE OF ORDINANCES OF THE BOROUGH OF SEVEN FIELDS ADOPTED BY ORDINANCE 925 AND THEREAFTER AMENDED, WITH RESPECT TO CHAPTER 24, TAXATION, SPECIAL, TO REPEAL PART
More informationRENT REBATE PROGRAM PENNSYLVANIA APPLICATION INSIDE. Rebates for eligible seniors, widows, widowers and people with disabilities.
PENNSYLVANIA or PROPERTY TAX RENT REBATE PROGRAM 2017 APPLICATION INSIDE PA-1000 Booklet 09-17 ARRISBURG PA 17128-0503 www.revenue.pa.gov PRSRT STD U.S. POSTAGE PAID COMMONWEALT OF PENNSYLVANIA DEPARTMENT
More informationThe Commonwealth of Massachusetts
State Tax Form 96 Revised 11/2016 The Commonwealth of Massachusetts Name of City or Town 17 22 37 41 42&43 Assessors Use only Date Received Application. Parcel Id. SENIOR -- SURVIVING SPOUSE OR MINOR --
More informationThe Township of Wysox repeals the Local Services Tax Ordinance adopted by
ORDINANCE NO. 20 t F 06 AN ORDINANCE AMENDING THE CODE OF ORDINANCES OF THE TOWNSHIP OF WYSOX, COMMONWEALTH OF PENNSYLVANIA ADOPTED BY ORDINANCE NO. 2007-02 KNOWN AS LOCAL SERVICES TAX. IT IS HEREBY ENACTED
More informationPre-Mortgage Counseling Application
2801 Hunting Park Avenue Philadelphia, PA 19129-1392 Pre-Mortgage Counseling Application Name: Date: Address: City: State: Zip: Social Security #: Birth Date: Race: Sex: M F Home Phone #: Work Phone #:
More informationCITY OF MIRAMAR FORECLOSURE PREVENTION PROGRAM
The Foreclosure Prevention Program provides qualified homeowners the opportunity to avoid foreclosures and retain their homes. The program is designed to assist households that need immediate financial
More informationEARNED INCOME TAX ORDINANCE of the BOARD OF SUPERVISORS OF THE TOWNSHIP OF MT. PLEASANT COUNTY OF COLUMBIA, AND STATE OF PENNSYLVANIA
EARNED INCOME TAX ORDINANCE of the BOARD OF SUPERVISORS OF THE TOWNSHIP OF MT. PLEASANT COUNTY OF COLUMBIA, AND STATE OF PENNSYLVANIA ORDINANCE NO. 1-1965 Imposing a tax for general revenue purposes on
More informationMonongalia County Clerk
Probate Information Booklet For Dates of Death July 13, 2001 or After Revised June 12, 2015 Website: www.monongaliacountyclerk.com Phone: 304/291-7236 Monongalia County Clerk Page Updated pursuant to law
More informationHOUSE SPONSORSHIP. Bill Summary
First Regular Session Seventieth General Assembly STATE OF COLORADO REENGROSSED This Version Includes All Amendments Adopted in the House of Introduction LLS NO. 1-0.01 Jason Gelender x0 SENATE BILL 1-
More informationCHARTER TOWNSHIP OF YPSILANTI PROPERTY TAX REDUCTION APPLICATION INSTRUCTIONS Per MCL 211.7u as Amended
CHARTER TOWNSHIP OF YPSILANTI PROPERTY TAX REDUCTION APPLICATION INSTRUCTIONS Per MCL 211.7u as Amended In granting the poverty exemption, the Board of Review realizes that this represents a shift of that
More informationIndividual Periodic Vendor Sworn Written Statement
If you need more space to complete this Sworn Written Statement, attach additional pages and they will be incorporated into this document. Name: A. CLAIMANT INFORMATION Last First Middle Initial Deepwater
More informationInstructions: Please follow carefully - Incomplete applications will be returned
North Carolina TTY Relay Service (800) 735-2962 Instructions: Please follow carefully - Incomplete applications will be returned 1. Complete all areas. If an item does not apply to you, mark N/A on that
More informationOsage Nation Tribal Works Department Housing Program 627 Grandview Pawhuska, OK Phone: (918)
Osage Nation Tribal Works Department Housing Program 627 Grandview Pawhuska, OK 74056 Phone: (918) 287-5310 Dear Homebuyer Applicant: Please read and thoroughly complete each section of the application.
More informationCOUNTY OF BLAIR PUBLIC DEFENDER
COUNTY OF BLAIR PUBLIC DEFENDER 423 Allegheny Street Ste. 344 Russell J. Montgomery Hollidaysburg, PA 16648-2022 Chief Public Defender Telephone: (814) 693-3255 Fax: (814) 693-3259 APPLICATION FOR COUNSEL
More informationPersonal Declaration
Initial Certification Annual Certification Income Change Household Change Personal Declaration YOU MUST COMPLETE THIS FORM AND BRING IT TO YOUR OFFICE APPOINTMENT. THIS FORM MUST BE SIGNED BY ALL ADULT
More informationGUIDELINES AND INSTRUCTIONS FOR POVERTY EXEMPTION General Information and Instructions for Applying for Poverty Exemption
GUIDELINES AND INSTRUCTIONS FOR POVERTY EXEMPTION - 2018 General Information and Instructions for Applying for Poverty Exemption If granted an exemption, it is for the current year only. If your situation
More informationForm 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 informationORDINANCE NO. 125 SECTION 1. DEFINITIONS
ORDINANCE NO. 125 AN ORDINANCE OF THE BOARD OF SUPERVISORS OF MOUNT PLEASANT TOWNSHIP, WASHINGTON COUNTY, PENNSYLVANIA, LEVYING A LOCAL SERVICES TAX, REQUIRING EMPLOYERS TO WITHHOLD AND REMIT TAX, AND
More informationBASED 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 informationCOUNTY 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 informationEqual Housing Opportunity Complex TAX CREDIT RENTAL APPLICATION Date/Time Received
Equal Housing Opportunity Complex TAX CREDIT RENTAL APPLICATION Date/Time Received APPLICATION INFORMATION; APPLICANT MUST FILL OUT ALL SPACES WITH AN ANSWER OR N/A OR NONE (Co-applicant to complete section
More informationOvals 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 informationWakulla County Board of County Commissioners 3093 Crawfordville Highway Crawfordville, Florida 32327
Notice of Funding Availability (NOFA) Wakulla County Housing Authority Announces the Availability of State Housing Initiatives Partnership (SHIP) Funds for the State Fiscal Years 2014/2015 The Wakulla
More informationNew Enrollment Application PACE PAUL PATTY PACE PACE/PACENET. Prescription Coverage For Older Pennsylvanians
New Enrollment Application PACE 123456789 6789 PAUL PATTY PACE Y PACE 04/01/0 01/01/04 04/15/03 12/31/04 2 PACE/PACENET Prescription Coverage For Older Pennsylvanians Prescription Benefits for Older Pennsylvanians
More informationKETTLE RUN Rental Application
KETTLE RUN Rental Application Office Use Only Date Received: Time Received: Number: Staff Initials: All information below must be complete or the application will be sent back to you as incomplete and
More informationFull Name: Current Address: Apt #: City: State: Zip: Phone:
Updated: 08/01/2014 Rental Application To be completed by office staff: Date Application Rec d Time Application Rec d Signature of Staff member receiving application Please print or type: Full Name: Current
More informationAPPLICATION FOR HARDSHIP EXEMPTION FROM TAXES Assessment Year: 2019
IMPORTANT: CITY OF PETERSBURG APPLICATION FOR HARDSHIP EXEMPTION FROM TAXES Assessment Year: 2019 Attach copies of the most recent Federal and State Income Tax Returns for each person residing in the household.
More informationHome Purchase Assistance Program Application
Thank you for your interest in the City of West Palm Beach s Home Purchase Assistance Program. The Home Purchase Assistance Program is administered by the Department of Housing and Community Development
More informationLife Insurance Benefits Application Instructions
Application Instructions Please Read Carefully The application for life insurance benefits consists of the forms included in this packet, as well as the additional information noted under item 1 below.
More informationSEPP Management Co., Inc. Wells Apartments 299 Floral Ave Johnson City, NY 13790
Date: For Office Use Only: Date received Time received By. Property Name: Telephone: 607-797-8862 Address: Fax: 607-797-0463 Address 2: TTD/TTY: 711 National Voice Relay or 607-677-0080 Property Web Site
More informationBirth Date. Social Security Number
AMERICAN RESIDENTIAL INVESTMENT MANAGEMENT RENTAL APPLICATION PARK PLACE APARTMENTS 107 LUXURY LANE KNIGHTDALE NC 27545 Tel: 919-266-1323, Fax: 888-466-0222 http://www.parkplaceknightdale.com MGR. INITIALS
More informationThIS DOCUMENT IS NOT SUBjECT TO PUBLIC INSPECTION
BOE-261-G (P1) REV. 22 (05-13) 2014 CLAIM FOR DISABLED VETERANS PROPERTY TAX EXEMPTION Filing deadlines vary depending upon the event which a claimant is filing. Please see instructions on page 3 for filing
More informationHough Heritage. Application Instructions. 2. Use only black or blue ink. Colored inks, markers or pencil are not permitted.
Hough Heritage Application Instructions 1. Please print all answers. 2. Use only black or blue ink. Colored inks, markers or pencil are not permitted. 3. If a question does not apply, please write N/A
More informationHousing Credit Program Applicant Questionnaire
Housing Credit Program Applicant Questionnaire Household Information List all household members that are applying to live in this apartment with you. Name First, Middle Initial, Last Relationship to Head
More informationRENTAL HOUSING APPLICATION
SAMPLE RH-3 RENTAL HOUSING APPLICATION This is a preliminary application for apartment at. It holds no lease or rent obligations. All information will be verified by the management prior to an applicant
More informationPre-Qualification Questionnaire
Date: Name Contact # Address Pre-Qualification Questionnaire Total # HH Members: Student status: Full Time Part-Time NA Occupation and/or Source(s) of Income: Earned Income $ x = $ x 52 = $ (Est. Yearly
More information