2016 Pa 1000 Form PDF Details

In an effort to provide financial relief to its residents, the Commonwealth of Pennsylvania has designed the PA-1000 form for Property Tax or Rent Rebate Claims, as part of its robust social support system. This form, specifically for the year 2016, facilitates claims for rebates on property taxes or rent paid within the year by eligible Pennsylvanians. It serves as an essential tool for individuals aged 65 or older, widows and widowers aged 50 to 64, and those 18 to 64 with permanent disabilities. Each section of the form meticulously collects information needed to determine eligibility and the extent of rebate an applicant is entitled to. It not only requires basic personal information, including Social Security Numbers and addresses but also detailed financial information to assess total income. This encompasses social security income, pension benefits, interest, dividends, and even net business income among others. Additionally, the form includes provisions for directly depositing rebates into U.S. bank accounts, simplifying the process for recipients. With income level tables to guide claimants on the potential rebate amount and explicit instructions for documentation, the form aims at navigability and accessibility, ensuring that eligible individuals can claim their rebates with confidence and ease. Importantly, applicants are reminded of the significance of honesty in their submissions, as attempts to defraud the system are subject to stringent penalties, emphasizing the program's integrity. Through the PA-1000 form, Pennsylvania reinforces its commitment to supporting its residents, particularly those who might be in need of financial assistance, underscoring the form's pivotal role in the state's welfare initiatives.

QuestionAnswer
Form Name2016 Pa 1000 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names2020 pennsylvania rent rebate, 2020 pa rent rebate form, pa rent rebate form 2020, property tax rebate form pa

Form Preview Example

 

 

 

PA-1000

 

 

 

 

 

 

2005010059

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property Tax or Rent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rebate Claim

05-20 (FI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PA Department of Revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P.O. Box 280503

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Harrisburg PA 17128-0503

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICIAL USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

Check your label for accuracy. If incorrect, do not use the label. Complete Section I.

If Spouse is

 

II

Fill in only one oval in each

 

Your Social Security Number

 

 

 

Spouse’s Social Security Number

Deceased, fill

 

 

section.

 

 

 

 

1. I am filing for a rebate as a:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

in the oval.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P. Property Owner – See

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

instructions

 

 

 

PLEASE WRITE IN YOUR SOCIAL SECURITY NUMBER(S) ABOVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MI

 

 

R. Renter – See instructions

 

Last Name

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

B. Owner/Renter – See

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

instructions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

I Certify that as of Dec. 31, 2020,

 

First Line of Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am (a):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Claimant age 65 or older

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. Claimant under age 65,

 

Second Line of Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

with a spouse age 65 or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

older who resided in the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

same household

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Widow or widower, age

 

City or Post Office

 

 

 

 

 

 

 

 

 

 

 

State

 

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*CODES

 

 

50 to 64

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D. Permanently disabled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REQUIRED

 

 

and age 18 to 64

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse’s First Name

 

 

 

 

MI County Code School District Code

Country Code

 

 

 

 

 

 

 

 

 

 

 

 

*

 

 

*

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filing on behalf of a

 

Claimant’s Birthdate

Spouse’s Birthdate

 

Daytime Telephone Number

 

 

 

 

 

 

 

 

decedent

 

 

 

 

 

 

 

 

 

 

 

 

Dollars Cents

IIITOTAL INCOME received by you and your spouse during 2020

4.

Social Security, SSI and SSP Income (Total benefits $

 

 

divided by 2)

5.

Railroad Retirement Tier 1 Benefits (Total benefits $

 

divided by 2)

 

 

 

 

6.

Total Benefits from Pension, Annuity, IRA Distributions and Railroad Retirement Tier 2 (Do not

 

include federal veterans’ disability payments or state veterans’ payments.)

7.

Interest and Dividend Income

. . . . . . . . . . . . . . . . . . . .

 

 

 

 

 

LOSS

8.

Gain or Loss on the Sale or Exchange of Property. . . .

. . . . . If a loss, fill in this oval

 

 

 

 

 

LOSS

4.

5.

6.

7.

8.

9. Net Rental Income or Loss

If a loss, fill in this oval

9.

 

 

LOSS

10. Net Business Income or Loss . . . . . . . . . . . . . . . . . . . . . . . . . If a loss, fill in this oval. . . . . Other Income.

11a. Salaries, wages, bonuses, commissions, and estate and trust income. . . . . . . . . . . . . . . . . . . . .

11b. Gambling and Lottery winnings, including PA Lottery winnings, prize winnings and the value

of other prizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11c. Value of inheritances, alimony and spousal support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11d. Cash public assistance/relief. Unemployment compensation and workers’ compensation, except Section 306(c) benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11e. Gross amount of loss of time insurance benefits and disability insurance benefits,

and life insurance benefits, except the first $5,000 of total death benefit payments. . . . . . . . . . . .

11f. Gifts of cash or property totaling more than $300, except gifts between

members of a household. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11g. Miscellaneous income and annualized income amount. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12. Claimants with Federal Civil Service Retirement System Benefits enter $9,514 or $19,028.

See the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13. TOTAL INCOME. Add only the positive income amounts from Lines 4 through 11g and subtract the amount on Line 12. See Page 3 for income limitations. Enter this amount on Line 23. . . . . . . .

10.

11a.

11b.

11c.

11d.

11e.

11f.

11g.

12.

13.

IMPORTANT: You must submit proof of the income you reported – See the instructions on Pages 7 to 9.

2005010059

2005110057

PA-1000 2020 05-20 (FI)

Your Social Security Number

Your Name:

PROPERTY OWNERS ONLY

14.Total 2020 property tax. Submit copies of receipted tax bills.

15.Property Tax Rebate. Enter the maximum standard rebate amount from Table A for your income level here: (_______)

. . . . . . . . . . . . . . . . . . . . . . . . . . . 14.

Compare this amount to line 14 and enter the lesser amount to the right. 15.

RENTERS ONLY

16. Total 2020 rent paid. Submit PA Rent Certificate and/or rent receipts

16.

17. Multiply Line 16 by 20 percent (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17.

18.Rent Rebate. Enter the maximum rebate amount from Table B for your income level here: (_______)

Compare this amount to line 17 and enter the lesser amount to the right. 18.

OWNER – RENTER ONLY

19.Property Tax/Rent Rebate. Enter the maximum rebate amount from Table A for your income level here: (_______)

Compare this amount to the sum of

19.

Lines 15 and 18 and enter the lesser

amount to the right.

DIRECT DEPOSIT. Banking rules do not permit direct deposits to bank accounts outside the U.S. If your bank account is outside the U.S., do not complete the direct deposit Lines 20, 21 and 22. The department will mail you a paper check. If your rebate will be going to a bank account within the U.S., you have the option to have your rebate directly deposited. If you want the department to directly deposit your rebate into your checking or savings account, complete Lines 20, 21 and 22.

20. Place an X in one box to authorize the Department of Revenue to directly deposit your rebate

Checking

20.

into your:

 

Savings

21.Routing number. Enter in boxes to the right. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21.

22.Account number. Enter in boxes to the right. . . . . . . . . . 22.

 

 

 

 

TABLE A - OWNERS ONLY

 

 

TABLE B - RENTERS ONLY

 

 

 

 

 

 

23.

 

 

 

INCOME LEVEL

MAXIMUM STANDARD

 

INCOME LEVEL

MAXIMUM

 

Enter the amount from Line 13 of

 

 

 

 

REBATE

 

 

 

 

REBATE

 

$

0

to

$ 8,000

$650

 

$

0

to $

8,000

$650

 

 

the claim form on this line and circle

 

 

 

the corresponding Maximum Rebate

$

8,001

to

$15,000

$500

 

$

8,001

to $

15,000

$500

 

 

amount for your income level.

$

15,001

to

$18,000

$300

 

 

 

 

 

 

 

 

Owners use Table A and Renters

 

 

 

 

 

 

 

 

$

18,001

to

$35,000

$250

 

 

 

 

 

 

 

 

use Table B.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IV An excessive claim with intent to defraud is a misdemeanor punishable by a maximum fine of $1,000, and/or imprisonment for up to one year upon conviction. The claimant is also subject to a penalty of 25 percent of the entire amount claimed.

CLAIMANT OATH: I declare that this claim is true, correct and complete to the best of my knowledge and belief, and this is the only claim filed by members of my household. I authorize the PA Department of Revenue access to my federal and state Personal Income Tax records, my PACE records, my Social Security Administration records and/or my Department of Human Services records. This access is for verifying the truth, correctness and completeness of the information reported in this claim.

Claimant’s Signature

 

Date

Witnesses’ Signatures: If the claimant cannot sign, but only makes a mark.

 

 

 

 

1.

 

 

 

Spouse’s Signature

 

Date

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

PREPARER: I declare that I prepared this return, and that it is to the best of my

Name of claimant’s power of attorney or nearest relative. Please print.

knowledge and belief, true, correct and complete.

 

 

 

 

 

 

Preparer’s Signature, if other than the claimant

 

Date

 

 

 

 

 

Telephone number of claimant’s power of attorney or nearest relative.

 

 

 

 

 

 

(

)

 

 

Preparer’s Name. Please print.

 

 

Home address of claimant’s power of attorney or nearest relative. Please print.

 

 

 

 

 

 

Preparer’s telephone number

 

 

City or Post Office

State

ZIP Code

()

Claim filing deadline – June 30, 2021

You can call 1-888-728-2937 after June 1 to verify the status of your claim.

2005110057

2005110057

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The way to fill out pa 1000 property tax rent rebate form stage 1

2. Just after the last array of fields is filled out, proceed to enter the relevant details in these: Total Benefits from Pension, Interest and Dividend Income , Gain or Loss on the Sale or, Net Rental Income or Loss , Net Business Income or Loss , Other Income, LOSS, LOSS, LOSS, a Salaries wages bonuses, b Gambling and Lottery winnings, c Value of inheritances alimony, d Cash public assistancerelief, f Gifts of cash or property, and g Miscellaneous income and.

Ways to complete pa 1000 property tax rent rebate form portion 2

3. Through this stage, have a look at Claimants with Federal Civil, TOTAL INCOME Add only the, and IMPORTANT You must submit proof of. All these have to be filled out with utmost accuracy.

pa 1000 property tax rent rebate form completion process detailed (part 3)

4. This subsection arrives with the following blank fields to look at: Your Social Security Number, Your Name, PROPERTY OWNERS ONLY Total , Property Tax Rebate Enter the, Compare this amount to line and, Multiply Line by percent , Compare this amount to the sum of, DIRECT DEPOSIT Banking rules do, Place an X in one box to, Checking, and Savings.

Completing segment 4 in pa 1000 property tax rent rebate form

Those who use this PDF frequently get some points incorrect while filling out Multiply Line by percent in this section. Remember to review what you type in here.

5. To conclude your document, this last segment includes a couple of extra blank fields. Filling out Routing number Enter in boxes to, Account number Enter in boxes to, TABLE A OWNERS ONLY, TABLE B RENTERS ONLY, Enter the amount from Line of the, INCOME LEVEL Maximum Standard, INCOME LEVEL Maximum Rebate to , An excessive claim with intent to, CLAIMANT OATH I declare that this, Witnesses Signatures If the, Spouses Signature Date, PREPARER I declare that I prepared, and Name of claimants power of will certainly wrap up the process and you will be done in an instant!

TABLE B RENTERS ONLY, Name of claimants power of, and Routing number Enter in boxes to inside pa 1000 property tax rent rebate form

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