Mo Ptc Form – Fill Out and Use This PDF

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Mo Ptc Form PDF Details

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Question	Answer
Form Name	Mo Ptc Form
Form Length	8 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min
Other names	missouri property tax credit, moptc form, missouri ptc tax, missouri ptc

Form Preview Example

Form
MO-PTC	2020 Property Tax Credit Claim

Print in BLACK ink only and DO NOT STAPLE.

For Privacy Notice, see Instructions.

Select Here for Amended Claim	Vendor Code		Department Use Only
Select Here for Amended Claim

Name

Social Security Number

Birthdate (MM/DD/YYYY)

First Name

0 0 1

Deceased

in 2020 Spouse’s Social Security Number

in 2020

Spouse’s Birthdate (MM/DD/YYYY)

M.I.

Last Name

Suffix

Address

Spouse’s First Name	M.I.	Spouse’s Last Name	Suffix


In Care Of Name (Attorney, Executor, Personal Representative, etc.)

Present Address (Include Apartment Number or Rural Route)

City, Town, or Post Office

State

ZIP Code

County of Residence

Qualifications

Select only one qualification. Copies of letters, forms, etc., must be included with claim.

A. 65 years of age or older - You must be a full year resident. (Attach Form SSA-1099.)

B. 100% Disabled Veteran as a result of military service (Attach letter from Department of Veterans Affairs - see instructions.) C. 100% Disabled (Attach letter from Social Security Administration or Form SSA-1099.)

D. 60 years of age or older and received surviving spouse benefits (Attach Form SSA-1099.)

Filing Status	Select only one filing status. If married filing combined, you must report both incomes.

	Single	Married - Filing Combined	Married - Living Separate for Entire Year

*20344010001*

20344010001

MO-PTC Page 1

Failure to provide the following attachments will result in denial or delay of your claim:

Verification of Rent Paid (Form 5674), Form(s) 1099, W-2, etc.

1.Enter the amount of social security benefits received by you, your spouse, and your minor children before any deductions and the amount of social security equivalent railroad retirement

		benefits. Attach Form(s) SSA-1099 or RRB-1099 (TIER I)	1
	2.	Enter the total amount of wages, pensions, annuities, dividends, interest income, rental income,
	2.		2
		or other income. Attach Form(s) W-2, 1099, 1099-R, 1099-DIV, 1099-INT, 1099-MISC, etc. . . .	2
	3.	Enter the amount of railroad retirement benefits (not included in Line 1) before any deductions.
	3.		3
		Attach Form RRB-1099-R (TIER II)	3
	4.	Enter the amount of veteran’s payments or benefits before any deductions.
	4.		4
		Attach letter from Veterans Affairs (see instructions on page 5)	4
	5.	Enter the total amount received by you, your spouse, and your minor children from: public
		assistance, SSI, child support, or Temporary Assistance payments (TA and TANF). Attach a
Income		letter from the Social Security Administration that includes the amount of assistance received
			5
		and Form 1099 from Employment Security, if applicable	5
Household
Household	6.	Total household income - Add Lines 1 through 5 and enter the total here	6

	7.	Enter the appropriate amount from the options below	7

•Single or Married Living Separate - Enter $0

•Married and Filing Combined - rented or did not own your home for the entire year - Enter $2,000

•Married and Filing Combined - owned and occupied your home for the entire year - Enter $4,000

	8. Net household income - Subtract Line 7 from Line 6 and enter the amount here	8
	• If you rented or did not own and occupy your home for the entire year and Line 8 is
	greater than $27,200, you are not eligible to file this claim.
	• If you owned and occupied your home for the entire year and Line 8 is greater
	than $30,000, you are not eligible to file this claim.
Paid
	9. If you owned your home, enter the total amount of property tax paid for your home, less special
	assessments, or $1,100, whichever is less. Attach a copy of your 2020 paid real estate tax
Rent
	receipt(s). If your home is on more than five acres or you own a mobile home, attach the
	Assessor’s Certification (Form 948)	9
and
Tax
	10. If you rented, enter the total amount from Certification of Rent Paid (Form MO-CRP) Line 9 or
	$750, whichever is less. Attach a completed Verification of Rent Paid (Form 5674). NOTE: If you
RealEstate	11. Enter the total of Lines 9 and 10, or $1,100, whichever is less	11
	rent from a facility that does not pay property tax, you are not eligible for a Property Tax Credit . .	10

*20344020001*

.00

20344020001

MO-PTC Page 2

Credit

12. Apply amounts from Lines 8 and 11 to chart on pages 17-19 to figure your Property Tax Credit. You must use the chart on pages 17-19 to see how much refund you are allowed. . . . . . . . . . . . .

Reserved

Signature

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct, and complete. By signing or entering my name in the “Signature” field(s) below, I am providing the Department of Revenue with my signature as required under Section 143.561, RSMo. Declaration of preparer (other than taxpayer) is based on all information of which he or she has any knowledge. As provided in Chapter 143, RSMo, a penalty of up to $500 shall be imposed on any individual who files a frivolous return. I also declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not eligible for any tax exemption, credit, or abatement if I employ such aliens.

Signature	Date (MM/DD/YY)


Spouse’s Signature (If filing combined, BOTH must sign)	Date (MM/DD/YY)


E-mail Address	Daytime Telephone


Preparer’s Signature	Date (MM/DD/YY)


Preparer’s FEIN, SSN, or PTIN	Preparer’s Telephone


Preparer’s Address	State	ZIP Code

I authorize the Director of Revenue or delegate to discuss my claim and attachments with the preparer

or any member of his or her firm, or if internally prepared, any member of the internal staff . . . . . . . . . . . .

Did you pay a tax return preparer to complete your return, but the preparer failed or was unwilling to sign the return or provide an Internal Revenue Service preparer tax identification number? If you marked yes, please insert the preparer’s name, address, and phone number in the applicable sections of the signature block above.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Department Use Only

Form MO-PTC (Revised 12-2020)

Mail to: Taxation Division	Phone: (573) 751-3505
P.O. Box 2800	TTY: (800) 735-2966
Jefferson City, MO 65105-2800	Fax: (573) 522-1762
	E-mail: PropertyTaxCredit@dor.mo.gov

*20344030001*

20344030001

MO-PTC Page 3

Form
MO-CRP	2020 Certification of Rent Paid

1. Social Security Number
-	-

One Form MO-CRP must be provided for each rental location in which you resided.

Failure to provide landlord information will result in denial or delay of your claim.

Spouse’s Social Security Number

			Select this box if related to your landlord. If so, explain.

2.	Name (First, Last)


		Physical Address of Rental Unit (P.O. Box Not Allowed)				Apartment Number


		City		State	ZIP Code


3.	Landlord’s Name (First, Last)


		Landlord’s Street Address (Must be completed)				Apartment Number

City

4.Landlord’s Phone Number (Must be completed) From:

5. Rental Period During Year (MM/DD/YY)

	State		ZIP Code

To:

(MM/DD/YY)

6. Enter your gross rent paid. Attach a completed Verification of Rent Paid (Form 5674). If you received housing assistance, enter the amount of rent you paid. Note: If you rent from a facility that does not pay property tax, you are not eligible for a Property Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

.00

A.Apartment, House, Mobile Home, or Duplex - 100%

B.Mobile Home Lot - 100%

C.Boarding Home or Residential Care - 50%

D.Skilled or Intermediate Care Nursing Home - 45%

E.Hotel - 100%; if meals are included - 50%

F.Low Income Housing - 100% (Rent cannot exceed 40% of total household income.)

G.Shared Residence – If you shared your rent with relatives or friends (other than your spouse or children under 18), select the appropriate box based on the additional person(s) sharing rent:

1 (50%)

2 (33%)

3 (25%)

8. Net rent paid - Multiply Line 6 by the percentage on Line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . .

For Privacy Notice, see instructions.

Taxation Division

Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

Form MO-CRP (Revised 12-2020)

*20315010001*

20315010001

Form
MO-CRP	2020 Certification of Rent Paid

1. Social Security Number
-	-

One Form MO-CRP must be provided for each rental location in which you resided.

Failure to provide landlord information will result in denial or delay of your claim.

Spouse’s Social Security Number

			Select this box if related to your landlord. If so, explain.

2.	Name (First, Last)


		Physical Address of Rental Unit (P.O. Box Not Allowed)				Apartment Number


		City		State	ZIP Code


3.	Landlord’s Name (First, Last)


		Landlord’s Street Address (Must be completed)				Apartment Number

City

4.Landlord’s Phone Number (Must be completed) From:

5. Rental Period During Year (MM/DD/YY)

	State		ZIP Code

To:

(MM/DD/YY)

7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

.00

A.Apartment, House, Mobile Home, or Duplex - 100%

B.Mobile Home Lot - 100%

C.Boarding Home or Residential Care - 50%

D.Skilled or Intermediate Care Nursing Home - 45%

E.Hotel - 100%; if meals are included - 50%

F.Low Income Housing - 100% (Rent cannot exceed 40% of total household income.)

G.Shared Residence – If you shared your rent with relatives or friends (other than your spouse or children under 18), select the appropriate box based on the additional person(s) sharing rent:

1 (50%)

2 (33%)

3 (25%)

8. Net rent paid - Multiply Line 6 by the percentage on Line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . .

For Privacy Notice, see instructions.

Taxation Division

Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

Form MO-CRP (Revised 12-2020)

*20315010001*

20315010001

Form
MO-CRP	2020 Certification of Rent Paid

1. Social Security Number
-	-

One Form MO-CRP must be provided for each rental location in which you resided.

Failure to provide landlord information will result in denial or delay of your claim.

Spouse’s Social Security Number

			Select this box if related to your landlord. If so, explain.

2.	Name (First, Last)


		Physical Address of Rental Unit (P.O. Box Not Allowed)				Apartment Number


		City		State	ZIP Code


3.	Landlord’s Name (First, Last)


		Landlord’s Street Address (Must be completed)				Apartment Number

City

4.Landlord’s Phone Number (Must be completed) From:

5. Rental Period During Year (MM/DD/YY)

	State		ZIP Code

To:

(MM/DD/YY)

7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

.00

A.Apartment, House, Mobile Home, or Duplex - 100%

B.Mobile Home Lot - 100%

C.Boarding Home or Residential Care - 50%

D.Skilled or Intermediate Care Nursing Home - 45%

E.Hotel - 100%; if meals are included - 50%

F.Low Income Housing - 100% (Rent cannot exceed 40% of total household income.)

G.Shared Residence – If you shared your rent with relatives or friends (other than your spouse or children under 18), select the appropriate box based on the additional person(s) sharing rent:

1 (50%)

2 (33%)

3 (25%)

8. Net rent paid - Multiply Line 6 by the percentage on Line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . .

For Privacy Notice, see instructions.

Taxation Division

Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

Form MO-CRP (Revised 12-2020)

*20315010001*

20315010001

Department Use Only

Form		(MM/DD/YY)

5674 Verification of Rent Paid

Tenant and Rental Information

Landlord must complete this form each year.

Tax Year

Tenant’s Name									Social Security Number
													-		-
													-		-
Rental Address


City				State												ZIP Code


Rental Begin Date (MM/DD/YYYY)	Rental End Date (MM/DD/YYYY)
																		.


Gross Rent Paid for the Year			.	. .	. . . . .	. . . . .	.	. . . .	.	. . . . .	. . . . .	. . .							00
Gross Rent Paid for the Year
																		.
Amount of utilities included in monthly payment (if any).	. . . .	. . . .	.	. .	. . . . .	. . . . .	.	. . . .	.	. . . . .	. . . . .	. . .							00
Amount of utilities included in monthly payment (if any).
Did the tenant receive any housing assistance?																	Yes		No
Did the tenant receive any housing assistance?	. . . .	.	. .	. . . . .	. . . . .	.	. . . .	.	. . . . .	. . . . .	. . .	. .	. . . . . . . . .	. .			Yes		No

. . . . . . . . . . . . . . . . . . . .If yes, how much rent was the tenant responsible for?																		.	00
Did anyone reside at this dwelling with the above tenant?																			No
Did anyone reside at this dwelling with the above tenant?																			No
If yes, how many were over the age of 18?
If yes, how many were over the age of 18?	. . .	. .	. .	. . . . .	. . . .	. .	. . .	. .	. . . . .	. . . . .	. . .	.	. . . . . . . . .	. .	.

Landlord Information

Landlord’s Name

Landlord’s Address

City

Telephone Number (Home)

Telephone Number (Work)

State		ZIP Code

Telephone Number (Cell)

Landlord’s Signature

Notice

Any person intentionally filing a fraudulent Property Tax Credit Claim may be prosecuted.

Section 143.941, RSMo. states in part: (...upon conviction thereof, be fined not more than ten thousand dollars, or be imprisoned in the county jail for not more than one year or by not less than two nor more than five years in the state penitentiary or by both fine and imprisonment together with the cost of prosecution.)

Form 5674 (Revised 12-2020)

Taxation Division	Phone: (573) 751-3505	Visit https://dor.mo.gov/
P.O. Box 2200	TTY: (800) 735-2966	for additional information.
Jefferson City, MO 65105-2200	Fax: (573) 522-1762
	E-mail: propertytaxcredit@dor.mo.gov

Department Use Only

Form		(MM/DD/YY)

5674 Verification of Rent Paid

Tenant and Rental Information

Landlord must complete this form each year.

Tax Year

Tenant’s Name									Social Security Number
													-		-
													-		-
Rental Address


City				State												ZIP Code


Rental Begin Date (MM/DD/YYYY)	Rental End Date (MM/DD/YYYY)
																		.


Gross Rent Paid for the Year			.	. .	. . . . .	. . . . .	.	. . . .	.	. . . . .	. . . . .	. . .							00
Gross Rent Paid for the Year
																		.
Amount of utilities included in monthly payment (if any).	. . . .	. . . .	.	. .	. . . . .	. . . . .	.	. . . .	.	. . . . .	. . . . .	. . .							00
Amount of utilities included in monthly payment (if any).
Did the tenant receive any housing assistance?																	Yes		No
Did the tenant receive any housing assistance?	. . . .	.	. .	. . . . .	. . . . .	.	. . . .	.	. . . . .	. . . . .	. . .	. .	. . . . . . . . .	. .			Yes		No

. . . . . . . . . . . . . . . . . . . .If yes, how much rent was the tenant responsible for?																		.	00
Did anyone reside at this dwelling with the above tenant?																			No
Did anyone reside at this dwelling with the above tenant?																			No
If yes, how many were over the age of 18?
If yes, how many were over the age of 18?	. . .	. .	. .	. . . . .	. . . .	. .	. . .	. .	. . . . .	. . . . .	. . .	.	. . . . . . . . .	. .	.

Landlord Information

Landlord’s Name

Landlord’s Address

City

Telephone Number (Home)

Telephone Number (Work)

State		ZIP Code

Telephone Number (Cell)

Landlord’s Signature

Notice

Any person intentionally filing a fraudulent Property Tax Credit Claim may be prosecuted.

Form 5674 (Revised 12-2020)

Taxation Division	Phone: (573) 751-3505	Visit https://dor.mo.gov/
P.O. Box 2200	TTY: (800) 735-2966	for additional information.
Jefferson City, MO 65105-2200	Fax: (573) 522-1762
	E-mail: propertytaxcredit@dor.mo.gov

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County of Residence, g n, and D years of age or older and in mo ptc 2020

3. Completing children before any deductions and, Enter the amount of social, Enter the amount of railroad, Attach Form RRBR TIER II, Enter the amount of veterans, Attach letter from Veterans, Enter the total amount received, assistance SSI child support or, e m o c n, d o h e s u o H, Total household income Add Lines, Enter the appropriate amount from, Single or Married Living Separate, and Married and Filing Combined is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Enter the amount of railroad, Enter the total amount received, and e m o c n inside mo ptc 2020

4. To move onward, this fourth step requires filling in a few fields. These comprise of Net household income Subtract, If you rented or did not own and, If you owned and occupied your, If you owned your home enter the, assessments or whichever is less, If you rented enter the total, whichever is less Attach a, d i a P, t n e R d n a x a T e t a t s E, a e R, and Enter the total of Lines and or, which you'll find crucial to moving forward with this process.

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5. Now, the following final part is precisely what you need to complete prior to closing the document. The blanks at issue include the following: Apply amounts from Lines and to, You must use the chart on pages, Under penalties of perjury I, Signature, Date MMDDYY, Spouses Signature If filing, Date MMDDYY, Email Address, e r u t a n g S, and Daytime Telephone.

Stage number 5 for filling out mo ptc 2020

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