Pa 1000 instructions form is a Pennsylvania tax form that is used to calculate your state income tax. This form is used to determine the amount of tax you owe based on your taxable income. The deadline to file this form is April 15th. Be sure to consult with a tax professional if you have any questions about how to complete this form.
The listing includes information about the pa 1000 instructions. You'll have the rough time you will need to prepare the form and several further details.
Question | Answer |
---|---|
Form Name | Pa 1000 Instructions |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | detail instructions on how to fill out a pa 1000 form, pa 1000 instructions 2020, pa 1000 form, claimant |
PENNSYLVANIA PROPERTY TAX
or RENT REBATE PROGRAM
2020
HARRISBURG PA
www.revenue.pa.gov
APPLICATION INSIDE
IMPORTANT DATES
Application deadline: JUNE 30, 2021
Rebates begin: EARLY JULY, 2021
NOTE: The department may extend the application deadline if funds are available.
Rebates for eligible seniors, widows, widowers and people with disabilities.
WHAT IS THE PROPERTY TAX/RENT REBATE PROGRAM?
A Pennsylvania program providing rebates on property tax or rent paid the previous year by
AM I ELIGIBLE?
The program benefits
HOMEOWNERS
2020
FORM AND INSTRUCTIONS
CHANGES
Two additional items have been added to the list of income that is not reported for Line 11g. Federal stimulus or economic impact payments received by claimants are not eligibility income by Property Tax or Rent Rebate claimants. STRIVE (Senior Tax Reduction Incentive Volunteer Exchange) Program credits are also not eligibility income by Property Tax Rebate claimants.
A country code field has been added to Section I on
Income
$0 to $8,000 $8,001 to $15,000 $15,001 to $18,000 $18,001 to $35,000
Maximum Rebate
$650 $500 $300 $250
Page 1 of the
RENTERS
Income |
Maximum Rebate |
$0 to $8,000 |
$650 |
$8,001 to $15,000 |
$500 |
NEW FOR 2020
ELECTRONIC PTRR FILING
Starting with the 2020 claim year, Pennsylvanians will be able to electronically submit their Property Tax/Rent Rebate program applications. Visit mypath.pa.gov to access the Department of Revenue’s electronic filing portal. Claimants who submit their applications electronically will have the benefit of automatic calculators and other user- friendly features that are not available when filing a paper application.
myPATH is safe, secure and more efficient. See Page 18 or go to the department's website at www.revenue.pa.gov/mypathinformation to learn more about our electronic services.
CHECK APPLICATION STATUS
Applicants will be able to check the status of their rebates using the myPATH portal (mypath.pa.gov).
Be sure to include a valid phone number on your application to receive updates automatically. The department will make automated phone calls to advise when your claim is received and again when your claim is approved for payment. These calls begin around April.
If you prefer to call to check the status of your appli- cation, you may dial
DIRECT DEPOSIT
Get your rebate faster with direct deposit. See Pages 12 and 13 for details.
2 |
www.revenue.pa.gov |
BEFORE YOU BEGIN
STATE SUPPLEMENTARY PAYMENT RECIPIENTS
The State Supplementary Payment (SSP) is not included on your
SOCIAL SECURITY RECIPIENTS WITH
PA ADDRESSES
If you were a Pennsylvania resident for all of 2020, you do not have to submit proof of your Social Security income including Social Security retirement and Supplemental Security benefits. The Social Security Administration provides Social Security income information to the PA Department of Revenue. The PA Department of Human Services will provide State Supplementary Payment information to the department.
However, you or the person who prepares your claim will need these statements to correctly calculate the amount of your rebate. If none of these documents are available, you or your preparer will need to estimate the amount you received during the year. If the dollar amount you provide is not correct, the department will adjust the amount of your rebate based upon income amounts reported directly to the department by the Social Security Administration or the Department of Human Services.
SOCIAL SECURITY RECIPIENTS WITHOUT PA ADDRESSES
If your address in Social Security Administration records was not a Pennsylvania address for 2020, you must submit a copy of one of the following documents as proof of your 2020 Social Security income: Form
PHILADELPHIA RESIDENTS
Please read the special filing instructions on Page 11.
ELIGIBILITY REQUIREMENTS
You are eligible for a Property Tax/Rent Rebate for claim year 2020, if you meet the requirements in each of the three categories below:
CATEGORY 1 – TYPE OF FILER
a.You were 65 or older as of Dec. 31, 2020;
b.You were not 65, but your spouse who lived with you was 65 or older as of Dec. 31, 2020;
c.You were a widow or widower during all or part of 2020 and were 50 or older as of Dec. 31, 2020; or
d. You were permanently disabled and 18 or older during all or part of 2020, you were unable to work because of your medically determined physical or mental disability, and your disability is expected to continue indefinitely. If you received Supplemental Security Income (SSI) payments, you are eligible for a rebate if you meet all other requirements.
NOTE: If you applied for Social Security disability benefits and the Social Security Administration did not rule in your favor, you are not eligible for a Property Tax/Rent Rebate as a disabled claimant.
CATEGORY 2 – ELIGIBILITY INCOME
When calculating your total eligible annual household income, exclude
a.Property Owners - Your total eligible annual house- hold income, including the income that your spouse earned and received while residing with you, was $35,000 or less in 2020.
b.Renters - Your total eligible annual household income, including the income that your spouse earned and received while residing with you, was $15,000 or less in 2020.
You must report all items of income, except the nonre- portable types of income listed on Pages 8 and 9, whether or not the income is taxable for federal or PA income tax purposes.
NOTE: There may be differences between eligibility income and
CATEGORY 3 – OWNER, RENTER OR
OWNER/RENTER
To file as a property owner, renter, or owner/renter, you must meet all requirements for one of the following categories:
OWNER
a.You owned and occupied your home, as evidenced by a contract of sale, deed, trust, or life estate held by a grantee;
b.You occupied your home (rebates are for your primary residence only); and
c.You or someone on your behalf paid the 2020 property taxes on your home.
RENTER
a.You rented and occupied a home, apartment, nursing home, boarding home, or similar residence in Pennsylvania;
b.Your landlord paid property taxes or agreed to make a payment in lieu of property taxes on your rental property for 2020 (see Page 12); and
c.You or someone on your behalf paid the rent on your residence for 2020.
OWNER/RENTER
a.You owned, occupied, and paid property taxes for part of the year and were a renter for part of the year;
b.You owned and occupied your home and paid property taxes and paid rent for the land upon which your home is situated; or
c.You paid rent for the home you occupied, and paid property taxes on the land upon which your home is situated.
CAUTION: As a renter, if you received cash public assis- tance during 2020, you are not eligible for any rebate for those months you received cash public assistance. Please complete a
PROOF DOCUMENTS THAT FIRST
TIME FILERS MUST SUBMIT
IMPORTANT: Please send photocopies, since the depart- ment cannot return original documents. Print your Social Security Number (SSN) on each proof document that you submit with your claim form.
•If you are age 65 or older, provide proof of your age.
•If you are under age 65 and your spouse is age 65 or older, provide proof of your spouse’s age.
•If you are a widow or widower age 50 to 64, provide proof of your age and a photocopy of your spouse’s death certificate.
•If you are permanently disabled, age 18 to 64, you must provide proof of your age and proof of your permanent disability.
PROOF OF AGE
NOTE: If you receive Social Security or SSI benefits and have proven your age with the Social Security Administration, you do not need to submit proof of age.
IMPORTANT: The department accepts photocopies of the following documents as proof of your age. Do not send your original documents since the department cannot return original documents.
•Birth certificate
•Blue Cross or Blue Shield 65 Special Card
•Church baptismal record
•Driver’s license or PA identification card
•Hospital birth record
•Naturalization/immigration paper, if age is shown
•Military discharge paper, if age is shown
•Medicare card
•PACE/PACENET card
•Passport
The department will not accept a Social Security card or hunting or fishing license as proof of age.
If you have questions on other types of acceptable documents, please call the department at
PROOF OF DISABILITY
•For Social Security disability, SSI permanent and total disability, Railroad Retirement permanent and total disability, or Black Lung disability, provide a copy of your award letter.
•For Veterans Administration disability, provide a letter from the Veterans Administration stating that you are 100 percent disabled.
•For Federal Civil Service disability, provide a letter from Civil Service stating that you are 100 percent disabled.
•If you do not qualify under any of the disability programs mentioned above, did not apply for Social Security benefits, or do not have a letter from the Veterans Administration or Civil Service Administration, you must submit a Physician’s Statement of Permanent Disability
IMPORTANT: The Physician’s Statement of Permanent Disability cannot be used if you were denied Social Security disability. The Department of Revenue has the legal authority to require additional evidence that you are permanently disabled and eligible for a rebate.
HOUSEHOLDS WITH MORE THAN
ONE QUALIFIED CLAIMANT
Only one member of your household may file a claim even if more than one person qualifies for a rebate. If someone other than your spouse appears on the deed or the lease, please complete a
DECEASED CLAIMANT
To be eligible for a rebate, the claimant must have lived at least one day of a claim year, owned and occupied and paid taxes or rented and occupied and paid rent for the claim year during the time period the claimant was alive. The property tax paid for a deceased claimant will be prorated based upon the number of days the claimant lived during the claim year. See Schedule A for the calculation of the prorated property tax rebate.
To determine if a deceased claimant is eligible for a rebate, a deceased claimant’s claim form must also include an annualized income amount in the calculation of total household income. See Schedule G, specifically the instructions for Line 11g, for information on the calculation of
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annualized income to be included in household income. A copy of the death certificate must also be included with the claim form.
A surviving spouse, estate or personal representative may file a claim on behalf of a deceased claimant. A personal representative can also have a previously filed rebate issued in his or her name, instead of the name of the decedent, in certain circumstances. Please see sections entitled SURVIVING SPOUSE, AN ESTATE, and PERSONAL REPRESENTATIVE for details.
SURVIVING SPOUSE
The surviving spouse can file the completed claim and include a copy of the death certificate and a letter stating that he/she was the spouse of the claimant at the time of death. The surviving spouse may sign on the claimant’s signature line.
OR
If the surviving spouse is eligible to file a claim, he/she can file under his/her own name instead of submitting a claim using the deceased individual’s claim form.
The surviving spouse should print his/her name, address, and Social Security Number (SSN) in Section I, and follow the filing instructions. The surviving spouse should furnish proof required for a first time filer. Do not use the label the department sent to the decedent in the booklet. The surviving spouse should enter the deceased spouse’s SSN and name in the spouse information area, and fill in the oval “if Spouse is Deceased”, located in the area next to the Spouse’s SSN on the claim form.
AN ESTATE
The executor or the administrator of the claimant’s estate may file the claim and submit a Short Certificate showing the will was registered or probated. When there is no will and there are assets (an estate), submit a copy of the Letters of Administration. A Short Certificate or Letters of Administration can be obtained from the county courthouse where the death is recorded. The person filing the claim form on behalf of the deceased person may sign on the claimant’s signature line.
PERSONAL REPRESENTATIVE
If a person dies and there is no will, the will has not been reg- istered or probated or there is no estate, then a personal rep- resentative may file a claim on behalf of an eligible decedent. A decedent’s personal representative must submit a copy of the decedent’s death certificate, a
If a person dies after filing a claim and there is no will, or if the will has not been registered or probated, or there is no estate, then a personal representative can also request that the department change the rebate to be issued into his/her name. In cases where the rebate check has been received but cannot be cashed, the check must be
returned with a request to have the rebate issued in the name of the personal representative. The decedent’s per- sonal representative must submit a copy of the decedent’s death certificate, a
The
If you have any questions regarding the filing of a claim on behalf of a deceased claimant, please call the department at
PRIVACY NOTIFICATION
By law, (42 U.S.C. § 405(c)(2)(C)(i); 61 Pa. Code §117.16) the Pennsylvania Department of Revenue has the authority to use the Social Security Number (SSN) to administer the Property Tax or Rent Rebate Program, the Pennsylvania personal income tax and other Commonwealth of Pennsyl- vania tax laws. The department uses the SSN to identify individuals and verify their incomes. The department also uses the SSN to administer a number of
Pennsylvania law prohibits the commonwealth from disclosing information that individuals provide on income tax returns and rebate claims, including the SSN(s), except for official purposes.
PA - 1000 FILING INSTRUCTIONS
SECTION I - SOCIAL SECURITY NUMBER, NAME,
ADDRESS AND RESIDENCE INFORMATION
You must fill in your Social Security Number and enter your county and school district codes even if using the preprinted label. If you are not using software or myPATH to prepare your claim and your label is correct, place your label in Section I. If you or your preparer are using software or myPATH to prepare your claim, or if any information on the preprinted label is incorrect, discard the label. If not using a label, follow the instructions for printing letters and numbers and completing your name and address.
If your spouse lived in a nursing home the entire year do not include his/her Social Security Number on the claim form. He or she may qualify for a separate rebate on the rent paid to the nursing home.
IMPORTANT TIPS: There are two lines to enter your address. For the First Line of Address, enter the street address. If the address has an apartment number (APT), suite (STE), floor (FL) or rural route number (RR), enter
it after the street address. If the street address and the apartment number, suite, etc. do not fit on the First Line of Address, enter the street address on the Second Line of Address and the apartment number, suite, etc. on the First Line of Address. For the Second Line of Address, enter the post office box, if applicable. If there is no post office box, leave the Second Line of Address blank.
The U.S. Postal Service prefers that the actual delivery address appears on the line immediately above the city, state and ZIP code. Do not include any punctuation such as apostrophes, commas, periods and hyphens.
•Use black ink. Another color such as red ink will delay the processing of your rebate claim.
•Do not use pencil or pens labeled as gel pens or any red ink.
•Print all information on your claim neatly inside the boxes.
•Use upper case (capital) letters. Use a blank box to separate words.
•Print one letter or number in each box when entering your Social Security Number, name, address, dollar amounts, and other information. If your name, address, or city begins with Mc, Van, O’, etc., do not enter a space or a punctuation mark.
•Completely fill in all the appropriate ovals on your claim form.
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As a claimant, you must provide your birth date, telephone number, county code, school district code, and, if applicable, your spouse’s Social Security Number, birth date, and name. If your spouse is deceased, completely fill in the oval “If Spouse is Deceased” in Section I of the form.
COUNTRY CODE
If your current mailing address is in the United States of America, you are not required to enter a country code. The department will automatically include the correct code for you. However, if - you lived at least part of the year in Pennsylvania; you meet the eligibility require- ments for a property tax or rent rebate; and your cur- rent mailing address is in any other country, you must enter the
COUNTY & SCHOOL CODES
You must enter the
school district code for where you lived on Dec. 31, 2020, even if you moved after Dec. 31, 2020. Using incorrect codes may affect your property tax rebate.
IMPORTANT: The lists of county and school district names and the respective codes are on Pages 15, 16 and 17. If you do not know the name of the county or school district where you reside, you can either 1) check the county and school property tax bills used to complete this claim if you are a property owner, or 2) obtain this information from the Online Customer Service Center at www.revenue.pa.gov.
NOTE: Be sure to include your phone number when com- pleting the claim form. The department will make automat- ed phone calls to advise when claims are received and again when they are approved for payment.
SECTION II - FILING STATUS CATEGORIES
Line 1 - Please fill in the oval that shows your correct filing status. Fill in only one oval. Filling in more than one oval may reduce the amount of your rebate.
(P)Property Owners: Fill in this oval if you owned and occupied your home for all or part of 2020 and did not rent for any part of the year. If your deceased spouse’s name is on your deed or tax bills, include the decedent’s Social Security Number and name.
(R)Renters: Fill in this oval if you rented and occupied your residence for all or part of 2020.
(B)Owner/Renter: Fill in this oval if you owned and occu- pied your residence for part of 2020, and also rented and occupied another residence for the rest of 2020, or if you owned your residence and rented the land where your residence is located.
EXAMPLE: John pays property taxes on a mobile home that he owns and occupies. His mobile home is on land that he leases. John may claim a property tax rebate on the mobile home and a rent rebate on the land. See Pages 9, 11 and 12 for documents you must send as proof of property taxes or rents paid.
Line 2 - Certification. Please read each description and select the type of filer that applies best to your situation as of Dec. 31, 2020. A surviving spouse age 50 to 64 is eligible for a rebate as a widow or widower, while a surviving spouse who is 65 or older can file as a claimant. A surviving spouse under 50 may be able to file a claim for a deceased claimant if the deceased was 65 or older. Please complete the claim form using your Social Security Number, name and address, and supply all appropriate documentation.
a.Claimant age 65 or older
b.Claimant under age 65, with a spouse age 65 or older who resided in the same household (You must submit proof of your spouse’s age the first time you file.)
c.Widow or widower, age 50 to 65 (If your most recent marriage ended in divorce, you do not qualify as a widow/widower.)
d.Permanently disabled and age 18 to 64
6
See Page 4 for acceptable proof of age documents. Line 3 - If you are filing on behalf of a decedent (a claimant who died during the claim year who otherwise would have been an eligible claimant under a, b, c or d for Line 2 above), completely fill in the oval. The type of claimant under which the decedent qualifies under Line 2 above must also be included. A copy of the death certificate must be submitted and Schedule G must be completed.
SECTION III - LINES 4 THROUGH 18
You must report the total household income you earned and/or received during 2020 for each category, which includes your spouse’s income earned and/or received while residing with you.
All claimants must submit proof of annual income.
IMPORTANT: The department reserves the right to request additional information or make adjustments to federal data if credits or deductions were taken to reduce income.
CAUTION: Spouses may not offset each other’s income and losses.
The department has the legal authority to require evidence of the income you report on your claim. The following lists the kinds of income you must report and the documents you must submit as proof of the reported income. You must include the income that your spouse received while residing with you. See Pages 8 and 9 for a list of the kinds of income that you do not need to report.
NOTE: Print your Social Security Number on each Proof Document that you submit with your claim form.
Line 4 - Include
Line 5 - Include
CAUTION: The total income from old age benefit programs from other countries, such as Service Canada Old Age Security, must be converted into U.S. dollars and reported on Line 6.
Line 6 - Include the gross amount (not the taxable amount) of pensions, annuities, Individual Retirement Account distributions, Tier 2 Railroad Retirement Benefits, and Civil Service Disability Benefits. Do not include Black Lung Benefits federal veterans’ disability payments, or state veterans’ benefits. State veterans’ benefits include service connected compensation or benefits of any kind provided to a veteran or unmarried surviving spouse paid by a commonwealth agency or authorized under the laws of the commonwealth. Submit photocopies of pension/annuity benefits statements along with other forms 1099 showing income for 2020.
IMPORTANT: Do not include rollovers from Individual Retirement Accounts and employer pensions. However, proof must be provided. Proof includes, but is not limited to, a federal Form
If you have one or more distributions from annuity, life insurance or endowment contracts reported on Form
Line 7 - Report interest and dividends received or credited during the year, whether or not you actually received the cash. If you received dividends and capital gains distributions from mutual funds, report the capital gains distributions portion of the income as dividends, not as gains from the sale or exchange of property. Include interest received from government entities. You must also include all
SUBMIT THE FOLLOWING:
•A copy of your federal Form 1040 Schedule B or your
•A copy of the front page of your PA or federal income tax return verifying the income reported on Line 7.
IMPORTANT: If you received capital gains distributions from a mutual fund, you must use PA Schedule B or the front page of your PA tax return to verify your income. If you have PA
Line 8 - Include gains or losses you realized from the sale of stocks, bonds, and other tangible or intangible property as well as any gains or losses realized as a partner in a partnership or shareholder in a PA S corporation. Do not include capital gains distributions from mutual funds required to be reported on Line 7.
NOTE: The nontaxable gain on the sale of your principal residence must also be reported on this line. If you realized a loss from the sale of your principal residence, this loss may be used to offset any other gains you realized from the sale of tangible or intangible property. However, any net loss reported on this line cannot be deducted from any other income. You may also submit photocopies of each PA Schedule
Submit a copy of your federal Form 1040 Schedule D, a copy of your
Form 1040 Schedule D. You must include a copy of your
If you sold your personal residence during this claim year, submit a statement showing the sale price less selling expenses, minus the sum of the original cost and permanent improvements.
CAUTION: You may only use losses from the sale or exchange of property to offset gains from the sale or exchange of property.
Line 9 - Include net rental, royalty, and copyright income or loss realized during 2020 from property owned and rented to others, oil and gas mineral rights royalties or income received from a copyright as well as any net income or loss realized as a partner in a partnership or shareholder in a PA S corporation.
CAUTION: You may only use rental losses to offset rental income.
IMPORTANT: If you receive income from the rental of a portion of your own home, you must complete and submit a
Line 10 - Include net income or loss from a business, profession, or farm, and net income or loss you realized as a partner in a partnership or a shareholder in a PA S corporation.
CAUTION: You may only use business losses to offset business income.
IMPORTANT: If you operate your business or profession at your residence, you must complete and submit a
Submit a photocopy of each federal Form 1040 Schedule C or F, or
Lines 11a - 11g - Other Income - Complete Lines 11a through 11g to report all other income that you and your spouse earned, received, and realized.
For each category of income on Lines 11a through 11g, you must submit proof, such as photocopies of Forms
Line 11a. - Gross salaries, wages, bonuses, commis- sions, and estate or trust income not included in business, profession, or farm income.
Line 11b. - Gambling and lottery winnings, including PA Lottery, Powerball and Mega Millions winnings, prize winnings, and the value of other prizes and awards. (A
Line 11c. - Value of inheritance, alimony, and spousal support money.
Line 11d. - Cash public assistance/relief, unemployment compensation, and workers’ compensation benefits, except Section 306(c) benefits.
Line 11e. - Gross amount of loss of time insurance benefits, disability insurance benefits,
Line 11f. - Gifts of cash or property totaling more than $300, except gifts between members of a household.
Line 11g. - Miscellaneous income and annualized income amount. Include any income not identified above prior to the calculation of annualized income. If a claimant died during the claim year, an annualized income amount must also be included. To calculate the annualized income amount, complete Schedule G. When adding amounts for Line 3 of Schedule G, do not add any negative amounts reported on Lines 8, 9 or 10.
Do not report the following income:
•Medicare or health insurance reimbursements;
•Food stamps, surplus foods, or other such
•Property Tax/Rent Rebate received in 2020;
•The amount of any damages due to personal injuries or sickness. Damages include Black Lung benefits and benefits granted under Section 306(c) of the Workers’ Compensation Security Fund Act (relating to Schedule of Compensation for disability from permanent injuries of certain classes);
•Payments provided to eligible
•Payments received by home providers of the domiciliary care program administered by the Department of Aging, except those payments in excess of the actual expenses of the care;
•Disability income received by disabled children in the household;
•Federal veterans’ disability payments or state veterans’ benefits received by the veteran or unmarried surviving spouse;
•The difference between the purchase price of your residence and its selling price, if you used the proceeds from the sale to purchase a new residence. This new residence must be your principal residence;
•Federal or state tax refunds;
•Spouse’s income earned or received while not living with you;
•Public Assistance benefits received by children in the household, even though the check is issued in claimant’s name;
8
•Federal stimulus or economic impact payments;
•STRIVE Program credits;
•Child support; and
•Individual Retirement Account and employer pension rollovers (must provide a copy of federal Form
CAUTION: If a claimant had significant income that is not typically received in equal amounts throughout the claim year, or if the
Line 12 - If you and/or your spouse received benefits from the federal Civil Service Retirement System (CSRS) as (a) retired federal civil service employee(s) or as a sur- viving spouse, you may reduce your total eligibility income by 50% of the average retired worker Social Security pay- ment for 2019. The average retired worker Social Security payment for 2019 is $9,514. Enter $9,514 on Line 12 only if you include CSRS benefits in Line 6. If both you and your spouse received CSRS benefits, or if you received your own CSRS benefits and CSRS benefits as a surviving spouse, enter $19,028 on Line 12. Otherwise, enter $0.
Line 13 - Add the positive income figures reported on Lines 4 through 11g, subtract the amount on Line 12 (if applicable) and enter the net result on Line 13 and 23. Do not include losses reported on Lines 8, 9 and/or 10.
IMPORTANT: If you have over $35,000 of income claimed on Line 13, you are not eligible for either Property Tax or Rent Rebate relief under this program.
Line 14 - For Property Owners Only
Before completing Line 14 of the claim form, complete any schedules listed in the instructions for this line. If you must complete more than one schedule, you must complete them in alphabetical order. If one schedule does not apply to you, skip it, and go to the next schedule. You must carry forward, as the total tax paid, the last amount shown on the previous schedule you complete to the next schedule you complete.
Enter the total amount of the property taxes paid for your primary residence, or the amount shown as eligible property taxes paid on the last schedule completed.
IMPORTANT: If you do not enter the amount of all taxes paid on the primary residence, you will limit the department’s ability to determine your eligibility for and amount of a supplemental rebate. See Page 14 for more information on supplemental rebates.
You must deduct interest or penalty payments, municipal assessments, per capita taxes, or occupation taxes included in your payment. If you paid early and received a discount, you enter the amount you actually paid on Line 14. You must also deduct other charges included in your tax bills. See taxes that are not acceptable on Page 11.
If your name does not appear on the receipted tax bills, you must submit proof of ownership. Examples of proper proof are: a copy of the deed or a copy of the trust agreement, will, or decree of distribution if you inherited your property. If your address is not on your receipted property tax bill or mortgage statement, you also must submit a letter from your tax collector or mortgage company verifying your home address.
NOTE: If your tax bills include a name and/or names other than yours and your spouse’s, you must complete
Include only the property tax on the amount of land that is necessary for your personal use.
As proof of property tax paid, homeowners must provide photocopies of one of the following real estate documents:
•All 2020 real estate tax bills that have been marked “paid” by the tax collector (see the instructions beginning on this page for the proper calculation of the amount on Line 14). If you paid your taxes in quarterly installments, a tax bill must be submitted for each period. For tax bills that are not marked paid by the tax collector, the depart- ment will accept a photocopy of both sides of the cancelled check along with a copy of the tax bill;
•Your
•A letter signed by the tax collector certifying that you paid your 2020 real estate taxes. The letter should also declare the total tax does not include nuisance taxes or penalty; OR
•A receipted copy of your tax billing from your owner’s association or corporation. Resident stockholders of a cooperative housing corporation, such as a condominium, may qualify as property owners based on their pro rata
Fill in your Social Security Number.
Fill in this oval if your spouse is deceased.
If your label
is correct,
place it here.
Discard label if it is not correct
and fill in all data in Section I.
PLACE LABEL HERE
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2005010018 |
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Property Tax or Rent |
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Rebate Claim |
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PA Department of Revenue |
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P.O. Box 280503 |
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2020 |
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Harrisburg PA |
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OFFICIAL USE ONLY |
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I |
Check your label for accuracy. If incorrect, do not use the label. Complete Section I. |
If Spouse |
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II |
Fill in only one oval in each |
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Your Social Security Number |
Spouse’s Social Security Number |
Deceased, fill |
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section. |
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1. I am filing for a rebate as a: |
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in the oval. |
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P. Property Owner – See |
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PLEASE WRITE IN YOUR SOCIAL SECURITY NUMBER(S) ABOVE |
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instructions |
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MI |
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R. Renter – See instructions |
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Last Name |
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First Name |
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B. Owner/Renter – See |
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instructions |
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First Line of Address |
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2. I Certify that as of Dec. 31, 2020, |
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I am (a): |
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A. Claimant age 65 or older |
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Second Line of Address |
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B. Claimant under age 65, |
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with a spouse age 65 or |
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older who resided in the |
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same household |
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City or Post Office |
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State |
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C. Widow or widower, age |
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CODES |
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50 to 64 |
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*REQUIRED |
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D. Permanently disabled |
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Spouse’s First Name |
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MI County Code School District Code |
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and age 18 to 64 |
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* |
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* |
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3. |
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Filing on behalf of a |
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Claimant’s Birthdate |
Spouse’s Birthdate |
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Number |
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decedent |
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M M D D Y Y M M D D Y Y |
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Dollars |
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Cents |
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III |
TOTAL INCOME received by you and your spouse during 2020 |
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4. |
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4. Social Security, SSI and SSP Income (Total benefits $ |
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divided by 2) |
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5. Railroad Retirement Tier 1 Benefits (Total benefits $ |
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divided by 2) |
5. |
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s |
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Fill in only one oval for Line 1. Fill in only one oval for Line 2.
Fill in this oval on behalf
of decedent.
Fill in School District Code
(see Pages 16 and 17). Fill in
County Code (see Page 15). Fill
in Country Code if applicable
(see Page 6).
6. |
Total Benefits from Pension, Annuity, IRA Distributions and |
Retirement Tier 2 (Do not |
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include federal veterans’ disability payments or state veterans’ |
.) |
7. |
Interest and Dividend Income |
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LOSS |
8. |
Gain or Loss on the Sale or Exchange of Property |
If a loss, fill in this oval |
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income |
LOSS |
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9. |
Net Rental Income or Loss |
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If a loss, fill |
this oval |
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LOSS |
10. |
Net Business Income or Loss . . . . |
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If a oss, fill |
this oval |
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Other Income. |
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11a. |
Salaries, wages, bonuses, commissions, and estate and trust |
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11b. |
Gambling and Lottery winnings, including PA Lotterylwinnings, prize winnings and the value |
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of other prizes |
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11c. |
Value of inheritances, ali |
ony and spousal su |
ort |
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11d. |
Cash public assistance/relief. Une |
ploy ent co |
pensation and workers’ compensation, |
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except Section 306(c) benefits. . . . |
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11e. |
Gross amount of loss of ti |
e insur |
nce benefits and disability insurance benefits, |
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and life insurance benefits, except the first $5,000 of total death benefit payments |
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11f. |
Gifts of cash or property tot ling |
than $300, except gifts between |
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members of a household. |
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11g. |
Miscellaneous incomeandannualized income amount |
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12. |
Claimants with Federal Civil Service Retirement System Benefits enter $9,514 or $19,028. |
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See the instructions |
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13. |
TOTALSINCOME. Add only the positive income amounts from Lines 4 through 11g and subtract |
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the amount on Line 12. See Page 3 for income limitations. Enter this amount on Line 23 |
6. s
7. s
8. s
9. s
10. s
11a. s
11b. s
11c. s
11d. s
11e. s
11f. s
11g. s
12. s
13. s
Report your total Social
Security, SSI, and SSP benefits here. Divide the total by 2 and enter the result on Line 4.
Report your total Railroad
Retirement Tier 1 benefits here. Divide the total by 2 and enter the result on Line 5.
IMPORTANT: You must submit proof of the income you reported – See the instructions on Pages 7 to 9.
2005010018
Enter the total of Lines 4 through 11g, less Line 12.
Property Owners complete Lines 14 and 15.
Renters complete
Lines 16, 17 and 18.
If you want your rebate directly
deposited, complete
Lines 20,
21 and 22.
Claimant signs here.
2005120015
Your Social Security Number
Your Name:
PROPERTY OWNERS ONLY
14. |
Total 2020 property tax. Submit copies of receipted tax bills. |
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14. |
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15. |
Property Tax Rebate. Enter the maximum standard rebate |
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Compare this amount to line 14 and |
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amount from Table A for your income level here: (_______) |
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enter the lesser amount to the right. |
15. |
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RENTERS ONLY |
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16. |
Total 2020 rent paid. Submit PA Rent Certificate and/or rent receipts . . |
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16. |
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17. |
Multiply Line 16 by 20 percent (0.20) |
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17. |
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18. |
Rent Rebate. Enter the maximum rebate amount |
Compare this amount to line 17 and |
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from Table B for your income level here: (_______) |
enter the ess r amount to the right. |
18. |
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OWNER – RENTER ONLY |
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19. |
Property Tax/Rent Rebate. Enter the maximum |
Com are this amount to |
sum of |
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rebate amount from Table A for your income |
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the |
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Lines 15 and 18 and enter the lesser |
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level here: (_______) |
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amount to the right. |
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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 de art ent 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 Dep rt ent of Revenue to directly deposit your rebate |
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Checking |
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into your: |
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20. |
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Savings |
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21. |
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21. Routing number. Enter in boxes to the right |
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22. Account number. Enter in boxes to the right |
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TABLE A - OWNERS ONLY |
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TABLE B - RENTERS ONLY |
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23. |
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INCOME LEVEL |
Maximum Standard |
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INCOME LEVEL |
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Maximum |
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Enter the amount from Line 13 of |
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Rebate |
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Rebate |
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the claim form on this line and circle |
$ |
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0 |
to |
$ 8,000 |
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$650 |
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0 |
to $ |
8,000 |
$650 |
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the corresponding Maximum Rebate |
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8,001 |
to |
$15,000 |
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$500 |
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$ |
8,001 |
to $ |
15,000 |
$500 |
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amount for your income level. |
$ |
15,001 |
to $18,000 |
$300 |
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Owners use Table A and Renters |
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use Table B. |
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$ |
18,001 |
to |
$35,000 |
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$250 |
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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. |
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1. |
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Spouse’s Signature |
Date |
2. |
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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. |
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knowledge and belief, true, correct and complete. |
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Preparer’s Signature, if other than the claimant |
Date |
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Telephone number of claimant’s power of attorney or nearest relative. |
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( |
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Preparer’s Name. Please print. |
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Home address of claimant’s power of attorney or nearest relative. Please print. |
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Preparer’s telephone number |
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City or Post Office |
State |
ZIP Code |
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( |
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Claim filing deadline – June 30, 2021
You can call
If you were both a Property Owner and a Renter,
complete Lines 14 through 19.
Enter your Routing Number here (direct deposit only).
Enter your Account Number here (direct deposit only).
2005120015 |
2005120015 |
10
START
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2005010059 |
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Property Tax or Rent |
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Rebate Claim |
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PA Department of Revenue |
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P.O. Box 280503 |
2020 |
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Harrisburg PA |
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OFFICIAL USE ONLY |
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I |
Check your label for accuracy. If incorrect, do not use the label. Complete Section I. |
If Spouse is |
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II |
Fill in only one oval in each |
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Your Social Security Number |
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Spouse’s Social Security Number |
Deceased, fill |
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section. |
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1. |
I am filing for a rebate as a: |
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in the oval. |
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P. Property Owner – See |
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instructions |
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PLEASE WRITE IN YOUR SOCIAL SECURITY NUMBER(S) ABOVE |
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MI |
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R. Renter – See instructions |
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Last Name |
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First Name |
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B. Owner/Renter – See |
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instructions |
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2. I Certify that as of Dec. 31, 2020, |
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First Line of Address |
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I am (a): |
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A. Claimant age 65 or older |
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B. Claimant under age 65, |
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Second Line of Address |
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with a spouse age 65 or |
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older who resided in the |
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same household |
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C. Widow or widower, age |
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City or Post Office |
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CODES |
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50 to 64 |
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*REQUIRED |
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D. Permanently disabled |
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and age 18 to 64 |
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Spouse’s First Name |
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MI County Code School District Code |
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* |
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3. |
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Filing on behalf of a |
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decedent |
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Claimant’s Birthdate |
MM/DD/YY |
Spouse’s Birthdate |
MM/DD/YY |
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Daytime Telephone Number |
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Dollars |
Cents |
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III |
TOTAL INCOME received by you and your spouse during 2020 |
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4. |
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4. Social Security, SSI and SSP Income (Total benefits $ |
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divided by 2) |
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5. |
Railroad Retirement Tier 1 Benefits (Total benefits $ |
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divided by 2) |
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6. Total Benefits from Pension, Annuity, IRA Distributions and Railroad Retirement Tier 2 (Do not |
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include federal veterans’ disability payments or state veterans’ payments.) |
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7. |
Interest and Dividend Income |
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LOSS |
8. |
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8. |
Gain or Loss on the Sale or Exchange of Property. . . . . . . . . If a loss, fill in this oval |
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LOSS |
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9. |
Net Rental Income or Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . If a loss, fill in this oval |
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LOSS |
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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 |
Reset Entire Form
TOP OF PAGE |
NEXT PAGE |
2005110057
START |
Your Social Security Number |
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➜
Your Name:
PROPERTY OWNERS ONLY
14. |
Total 2020 property tax. Submit copies of receipted tax bills. |
. . . . . . . . . . . . . . . . . . . . . . . . . . . |
14. |
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15. |
Property Tax Rebate. Enter the maximum standard rebate |
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Compare this amount to line 14 and |
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amount from Table A for your income level here: (_______) |
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enter the lesser amount to the right. |
15. |
RENTERS ONLY |
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16. |
Total 2020 rent paid. Submit PA Rent Certificate and/or rent receipts |
16. |
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17. |
Multiply Line 16 by 20 percent (0.20) |
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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. |
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Lines 15 and 18 and enter the lesser |
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amount to the right. |
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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
into your: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.
21.Routing number. Enter in boxes to the right. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21.
22.Account number. Enter in boxes to the right. . . . . . . . . . 22.
Checking
Savings
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TABLE A - OWNERS ONLY |
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TABLE B - RENTERS ONLY |
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23. |
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INCOME LEVEL |
Maximum Standard |
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INCOME LEVEL |
Maximum |
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Enter the amount from Line 13 of |
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Rebate |
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Rebate |
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$ |
0 |
to |
$ 8,000 |
$650 |
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$ |
0 |
to $ |
8,000 |
$650 |
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the claim form on this line and circle |
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the corresponding Maximum Rebate |
$ |
8,001 |
to |
$15,000 |
$500 |
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$ |
8,001 |
to $ |
15,000 |
$500 |
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amount for your income level. |
$ |
15,001 |
to |
$18,000 |
$300 |
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Owners use Table A and Renters |
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use Table B. |
$ |
18,001 |
to |
$35,000 |
$250 |
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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 |
MM/DD/YY |
Witnesses’ Signatures: If the claimant cannot sign, but only makes a mark. |
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Date |
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Please sign the |
1. |
Please sign the |
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Spouse’s Signature |
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Please sign the |
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Please sign the |
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2. |
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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. |
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knowledge and belief, true, correct and complete. |
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MM/DD/YY |
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Preparer’s Signature, if other than the claimant |
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Date |
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Telephone number of claimant’s power of attorney or nearest relative. |
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Please sign the |
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( |
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Preparer’s Name. Please print. |
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Home address of claimant’s power of attorney or nearest relative. Please print. |
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Claim filing deadline – June 30, 2021
You can call
2005110057 |
2005110057 |
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PA Rent Certificate |
2005210055 |
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PA Rent Certificate and |
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Rental Occupancy Affidavit |
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2020 |
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PA Department of Revenue |
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OFFICIAL USE ONLY |
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Name as shown on |
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Social Security Number |
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You may make photocopies of this form as needed.
If filing as a renter, you must provide proof of the rent you paid. If you rented at more than one address, you must submit proof for each address.
PA RENT CERTIFICATE
Your landlord must provide all the information on Lines 1 through 8. Your landlord, or your landlord’s authorized agent, must sign this PA Rent Certificate. If your landlord, or your landlord’s authorized agent, does not sign this PA Rent Certificate, you must complete Lines 1 through 8 and the Rental Occupancy Affidavit below. Your Rental Occupancy Affidavit must be notarized.
1.Street address of the residence for which the claimant paid rent City, State, ZIP Code
2.Owner’s business name or landlord’s name (last, first, middle initial) if an individual Landlord’s Address
City, State, ZIP Code
Landlord’s EIN (if applicable) and daytime telephone number
( )
3. Rental unit is (fill in the appropriate oval):
Apartment in a House |
Mobile Home Lot |
Apartment Building |
Nursing Home |
Boarding Home |
Private Home |
Mobile Home |
Assisted Living |
Personal Care Home |
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Domiciliary Care |
Foster Care |
If Domiciliary or Foster Care or if a Boarding or Personal Care Home, you must submit a copy of your contract agreement.
YOU MUST COMPLETE ALL LINES. IF NONE, ENTER “0”. |
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Explanation of Item 4. |
4. What was the amount of rent per month? (Include only the amount charged for rental. |
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Do not include security deposits or amounts paid for food, medicine, medical care |
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or personal care.) If your rental amounts changed during the year, please explain in the |
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space provided |
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5. How much of the monthly rental amount was paid or subsidized
by a governmental agency? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
6. Total monthly amount of rent paid. (Subtract Line 5 from Line 4.) . . . . . . . . . . . . . . 6.
7. Number of months unit was occupied by the claimant in 2020. |
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Explanation of Item 7. |
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(If less than 12 months, please explain in the space provided.) |
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8.What was the total rent paid in 2020 by the claimant?
(Multiply Line 6 by Line 7.) Enter the amount here and on Line 16 of the claim form
or the appropriate line(s) of Schedules D, E or F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
LANDLORD’S OATH: (Read carefully before signing)
I certify that the information provided on this PA Rent Certificate is true, correct and complete to the best of my knowledge, information and belief. I further certify that – fill in the applicable oval(s).
I was required to pay 2020 property taxes on the property in which the claimant resided in 2020.
I made, or was required to make, a payment in lieu of taxes for 2020 on the property in which the claimant resided in 2020. The property in which the claimant resided in 2020 was tax exempt.
Other names, excluding the spouse or minor children, appear on the lease.
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Please sign and date after printing. |
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OCCUPANCY AFFIDAVIT
I am, or am filing on behalf of, the claimant named above. I certify that I was unable to obtain the landlord’s signature on the PA Rent Certificate for the following reason(s):
Affidavit: I certify that I am, or am filing on behalf of, the claimant named above. I also affirm all the information on the above PA Rent Certificate and Occupancy Affidavit is true, correct and complete to the best of my knowledge, information and belief.
Notarize:
Subscribed and sworn before me this
day of |
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xClaimant's Signature. Please sign after printing.
xSignature of Notary Public. Please sign after printing.
Claimant's Signature |
Date |
Signature of Notary Public |
MM/DD/YY
2005210055 |
2005210055 |
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PHYSICIAN’S STATEMENT |
2005310053 |
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Physician’s Statement of |
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Permanent and Total Disability |
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2020 |
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OFFICIAL USE ONLY |
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Name as shown on |
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Social Security Number |
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Instructions
A claimant not covered under the federal Social Security Act or the federal Railroad Retirement Act who is unable to submit proof of permanent and total disability may submit this Physician’s Statement. The physician must deter- mine the claimant’s status using the same standards used for determining permanent and total disability under the federal Social Security Act or the federal Railroad Retirement Act. CAUTION: If the claimant applied for Social Security disability benefits and the Social Security Administration did not rule in the claimant’s favor, the claimant is not eligible for a Property Tax or Rent Rebate.
Confidentiality Statement. All information on this Physician’s Statement and claim form is confidential. The department shall only use this information for the purposes of determining the claimant’s eligibility for a Property Tax or Rent Rebate.
CERTIFICATION
I certify the claimant named above is my patient and is permanently and totally disabled under the standards that the federal Social Security Act or the federal Railroad Retirement Act requires for determining permanent and total disability. Upon request from the PA Department of Revenue, I will provide the medical reports or records indicat- ing diagnosis and prognosis of the claimant’s condition, including signs, symptoms and laboratory findings, if applicable or appropriate.
Please sign after printing.
Physician Signature |
Date |
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Description of Claimant’s Permanent and Total Disability. Briefly describe the reason(s) the
Physician Identification Information. Please print.
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National Provider Identifier |
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Business name, if applicable |
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2005310053 |
2005310053 |
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START
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PA SCHEDULE A |
2005410051 |
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Deceased Claimant and/or |
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Multiple Home Prorations |
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2020 |
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PA Department of Revenue |
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OFFICIAL USE ONLY |
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Name as shown on |
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Social Security Number |
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You may make photocopies of this form as needed.
If you owned, paid the property taxes on and resided in a Pennsylvania located home during 2020, then sold that residence and bought another Pennsylvania located home, paid the property taxes on and resided in that home for the remainder of the year, fill in the appropriate dates for each residence. Complete the address and occupancy dates along with Lines 1 through 5 for each home in the applicable columns. If you owned, paid the property taxes on and resided in a Pennsylvania located home during 2020, then sold the property and moved into a rental property and paid rent or if you lived in a rental property and paid rent, then bought a Pennsylvania located home, paid the property taxes and resided in that home for the remainder of the year, complete the address and occupancy dates and complete the information for the First Home column on Lines 1 through 5 for the portion of the year that you owned your home. You should also complete a PA Rent Certificate for the portion of the year that you rented a Pennsylvania located rental property. NOTE: If you resided part of the year in a home located outside PA, do not claim the property tax paid for that period. Enter zero in the appropriate column on Line 1.
Additionally, if a deceased individual owned, paid property taxes on and resided in a Pennsylvania located home during 2020 and died during the claim year, complete the address and occupancy dates and complete the information for the First Home column for Lines 1 through 5. If the deceased previously owned another Pennsylvania located home before owning the Pennsylvania located home he or she was living in preceding death, complete the address and occupancy dates along with Lines 1 through 5 for both columns of the form. If the deceased resided part of a year outside PA, do not claim the property tax paid for that period. Enter zero in the appropriate column on Line 1. If the deceased paid property taxes and resided in a Pennsylvania located home during 2020, then sold the property, moved into a rental property and paid rent; or if the deceased lived in a rental property and paid rent, then bought a Pennsylvania located home, paid the property taxes and resided in that home for the remainder of his or her life, complete the address and occupancy dates and complete the information for the First Home column for Lines 1 through 5 for the portion of the year that the deceased owned the home. The surviving spouse, estate or personal representative claiming the rebate on behalf of the deceased should also complete a PA Rent Certificate for the portion of the year the deceased rented a Pennsylvania located rental property.
Total taxes paid on Line 1 for the First Home Column includes the amount of property taxes paid by the claimant directly or on the claimant’s behalf from an escrow account for a claimant that owned the first home as of Jan. 1 of the claim year. For first homes purchased during the claim year, include the amount of property taxes paid by the claimant directly or on the claimant’s behalf from an escrow account and the total property taxes, before any
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2.Number of days you or the deceased owned and occupied each home.
3.Percentage of the year that you or the deceased owned and occupied each home. Divide Line 2 by the number of days in the claim year (365 or 366). Round to two decimal places.
4. Multiply Line 1 by Line 3. |
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5. Total property taxes paid. Add Line 4 for both homes. Enter the amount on |
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2005410051 |
2005410051 |
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PA SCHEDULE B/D/E |
2005510058 |
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Widow or Widower/Public Assistance/ |
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Business Use Prorations |
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2020 |
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PA Department of Revenue |
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OFFICIAL USE ONLY |
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Name as shown on |
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Social Security Number |
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You may make photocopies of this form as needed.
Widow/Widower SCHEDULE B. If you were a widow or widower age 50 to 64 during 2020, and you remarried, use this schedule to determine the percentage of the year for which you qualify for a Property Tax or Rent Rebate.
Date you remarried: Month |
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/ 2020 |
1.Total property tax or rent that you paid in 2020. If you were an owner and completed Schedule A, enter the amount from Line 5. If you were a renter, enter the amount from Line 8 of Schedule RC. . . . . . . . . . . . . . . . . . . . . . . .
2.Number of days you were a widow or widower during 2020 . . . . . . . . . . . .
3.Percentage of the year you were a widow or widower. Divide Line 2 by the number of days in the claim year (365 or 366).
Round to two decimal places. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.Eligible property taxes or rent paid. Multiply Line 1 by Line 3. Enter this amount on the next schedule you must complete or . . . . . . . . . . . . . . . . . . . . . . . . .
a)If an owner, enter the amount on Line 14 of your claim form.
b)If a renter, enter the amount on Line 16 of your claim form.
1.$
3.
4. $
Renter SCHEDULE D. Renters who received cash public assistance are not eligible for rebates for those months when they received that assistance. If you received cash public assistance during any part of 2020, use this schedule to determine the amount of rent for which you qualify for a rebate. IMPORTANT: If you received cash public assistance for all of 2020, you may not claim a rebate.
1.Total number of months during which you received cash public assistance:
1.
NOTE: If you received cash public assistance for a full year, you may not claim a rebate.
2.Total rent that you paid in 2020 from Line 8 of Schedule RC, or if you completed Schedule B, enter the result from Line 4 of Schedule B. . . . . . .
3.Total rent you paid during the months that you received
cash public assistance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.Eligible rent paid. Subtract Line 3 from Line 2. Enter this amount on the next schedule you must complete, or on Line 16 of your claim form. . . .
2.$
3.$
4.$
Owner/Renter SCHEDULE E. You must complete this schedule if you also used part of your homestead for a purpose other than your personal residence.
•If you operated a business in part of your home, you must submit a 1040 Schedule C or
•If you rented part of your home to others, you must submit a 1040 Schedule E or
1.Total property taxes or rent paid on your residence in 2020. Enter the amount of your total property taxes paid or total rent paid from Line 8 of Schedule RC, or, if you completed Schedule A, B or D, enter the result from that schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.Enter the percentage of your home that you used as your residence
from the chart below. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.Eligible property taxes or rent paid. Multiply Line 1 by Line 2.
Enter this amount on the next schedule you must complete or. . . . . . . . . . .
a)If an owner, enter the amount on Line 14 of your claim form
b)If a renter, enter the amount on Line 16 of your claim form
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CHART OF PERSONAL USE PERCENTAGE
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67% 75% 80%
0.67 0.75 0.80
90% ____% Other percentage
0.90. ____
2005510058 |
2005510058 |
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PA SCHEDULE F/G |
2005610056 |
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Multiple Owner or Lessor Prorations/ |
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Income Annualization |
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2020 |
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PA Department of Revenue |
OFFICIAL USE ONLY |
START Name as shown on
➜
You may make photocopies of this form as needed.
Social Security Number
Owner/Renter SCHEDULE F. If your deed or lease shows additional names (other than your spouse or minor children) during 2020, complete this schedule. You must list all owners and renters. If your deed or lease shows more than three names, make copies of this schedule or make your own schedule.
Claimant’s name |
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1.Total property taxes or rent paid on your residence in 2020. Enter the amount of your total property taxes paid or total rent paid from Line 8 of Schedule RC, or, if you completed Schedule A, B, D or E, enter the result from that schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.Eligible claimant percentage. Divide the number of owners or renters that qualify as claimants by the total number of persons listed on the deed or lease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.Eligible property taxes or rent paid. Multiply the amount on Line 1 by the percentage on Line 2, and enter the result: . . . . . . . . . . . . . . . . . . . . . . . . .
a)If an owner, enter the amount on Line 14 of your claim form
b)If a renter, enter the amount on Line 16 of your claim form
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Owner/Renter SCHEDULE G. Annualized income calculation for owners and renters.
1. Enter the date of death of the claimant: Month |
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2.Number of days the claimant lived during the claim year. . . . . . . . . . . . . . .
3.Add the positive amounts from Lines 4 through 11f of your claim form plus any amount for Line 11g before the calculation of the annualized income amount and enter the result here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.Enter the result of dividing the days in the claim year (365 or 366) by Line 2. Round to two decimal places. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.Multiply Line 3 times Line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.Subtract Line 3 from Line 5 and enter the result here and include in Line 11g of the claim form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
3. $
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5.$
6.$
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share of the property taxes paid to the corporation for their residence.
The following types of receipted real estate tax bills are acceptable:
•County
•School district
•City
•Borough
•Township
Taxes/charges that are not acceptable (even if based on millage):
•Flat rate charges
•Footage charges
•Personal property tax
•Per capita tax
•Occupational privilege tax
•Sewer rent
•Garbage collection charges
•Municipal assessments such as, or including, road, institution, street, library, light, water, fire, debt, and sinking fund taxes
•Interest or penalty payments
If your tax bills contain any of these charges, you must deduct them when completing Line 14.
ATTENTION PHILADELPHIA RESIDENTS:
The City of Philadelphia has provided the department with electronic records of all receipted 2020 property tax bills for Philadelphia that were paid by Dec. 31, 2020. If you live in the City of Philadelphia and paid your 2020 property taxes by Dec. 31, 2020, do not include a copy of your receipted property tax bills. If you live in Philadelphia and paid your 2020 property taxes in 2021, please submit proof of payment as outlined in the preceding information.
NOTE: You or the person who prepares your claim will need to know the amount of tax you paid in order to correctly calculate your rebate. If you do not have a copy of your original tax bill or a copy of your tax payment, you or your preparer will need to estimate the amount of taxes you paid. If the tax amount you provide is not correct, the department will adjust the amount of your rebate based upon the paid taxes reported to the department by the City of Philadelphia.
Line 15 - To determine the amount for Line 15, start with the amount of your total income on Line 23. In Table A, find the income range that includes your Line 23 amount and circle the corresponding maximum standard rebate amount. Compare your maximum standard rebate amount to the amount on Line 14 and enter the lesser amount on Line 15. The department will not pay a rebate for less than $10. The maximum standard rebate cannot exceed $650.
Line 16 - For Renters Only
IMPORTANT: If you have over $15,000 of income on Line 13, you are not eligible for the rent rebate relief portion of this program.
PA Rent Certificate
You may claim a rebate only if you pay rent to a property owner for a dwelling that you rent for use as a home that is a
NOTE: A
The landlord (lessor) must maintain a lease agreement, have separate utility bills, have other evidence of a self- contained unit and report the rental income on federal and PA tax returns. If the landlord (lessor) also claims a Property Tax/Rent Rebate, they must submit a
•Apartment in a house
•Apartment building
•Boarding home
•Mobile home
•Mobile home lot
•Nursing home
•Private home
•Personal care home
•Assisted living
•Domiciliary care
•Foster care
Rent Payment Subsidies - For the purpose of this rebate claim, subtract rent payment subsidies provided by or through a governmental agency from the total rent you paid. See Line 5 of the PA Rent Certificate.
Renters must provide one of the following proof documents:
1.A fully completed PA Rent Certificate
2.A fully completed PA Rent Certificate, filled out by the claimant, along with a notarized Occupancy Affidavit or rent receipts. If you cannot get your
landlord to sign the form, you must still complete and submit the PA Rent Certificate
NOTE: The department will not accept cancelled checks as proof of rent paid. Print your Social Security Number on each proof document that you submit with your claim form.
IMPORTANT: If your landlord is a
Before completing Line 16 of the claim form, complete any schedules listed in the instructions for this line. If you must complete more than one schedule, you must complete them in alphabetical order.
If one schedule does not apply to you, skip it, and go to the next schedule. You must carry forward, as the total rent paid, the last amount shown on the previous schedule you complete to the next schedule you complete.
Report the amount shown on the last schedule that applies to you on Line 16 of the claim form.
If you were required to complete Schedules B, D, E, or F, enter the lesser amount of the total rent paid in 2020 or the amount shown as eligible rents paid, on the last schedule completed.
Line 17 - Multiply Line 16 by 20 percent (0.20).
Line 18 - To determine the amount for Line 18, start with the amount of your total income on Line 23. In Table B, find the income range that includes your Line 23 amount and circle the corresponding maximum rebate amount. Compare your maximum rebate amount to the amount on Line 17 and enter the lesser amount on Line 18. The department will not pay a rebate for less than $10. The maximum standard rebate cannot exceed $650.
Line 19 - For Owner/Renter Only
IMPORTANT: If you have over $15,000 of income claimed on Line 13, you are not eligible for the rent rebate relief portion of this program.
CAUTION: As an owner/renter, only fill in Oval B (Owner/Renter) in Section B of the claim form. Do not fill in Oval P or R. Filling in other ovals may reduce your rebate amount. If you were both a property owner and a renter in 2020, you must calculate your property tax rebate separately from your rent rebate. Complete Lines 14 and 15 to calculate your property tax rebate and complete Lines 16 through 18 to calculate your rent rebate.
Add Lines 15 and 18 - To determine the amount for Line 19, start with the amount of your total income in Line 23. In Table A, find the income range that includes your Line 23 amount and circle the corresponding maximum standard rebate amount. Compare your maximum standard rebate amount to the sum of Lines 15 and 18 and enter the lesser amount on Line 19. The department will not pay a rebate for less than $10. The maximum standard rebate cannot exceed $650.
DIRECT DEPOSIT
Line 20 - In order to comply with banking rules, direct deposits are not available for rebates going 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 send 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 of Revenue to directly deposit your rebate into your checking or savings account at your bank, credit union, or other financial institution, place an X in the appropriate box on Line 20. Then complete Lines 21 and 22.
IMPORTANT: If the direct deposit request is to a represen- tative payee bank account or bank account for anyone other than the claimant or the claimant’s spouse (in the case of a joint claim), each claim filed requesting payment to that account must include a copy of the contract, agree- ment, or other document authorizing the payee as the proper receiver of the claimant’s rebate.
CAUTION: Be sure to enter the correct routing and account numbers. Please check with your financial institution to make sure your direct deposit will be accepted and to get the correct routing and account numbers. The Department of Revenue:
•Is not responsible for a lost rebate if you enter the wrong account information.
•Cannot change the banking information you enter in these spaces.
•Will send a check instead of making a direct deposit into your account if the information you entered is not accurate or up to date.
12
SAMPLE CHECK
Joe & Jane Taxpayer |
|
|
0001 |
|
123 Drive Avenue |
|
370 |
|
|
Nowhere, PA 78910 |
|
1234567890 |
|
|
|
|
|
|
Date |
Pay To The Order Of: |
|
|
|
$ |
|
|
|
|
|
|
|
|
|
Dollars |
Your Bank |
|
|
|
|
Commonwealth Region |
Routing Number |
Account Number |
Check Number |
|
Harrisburg, PA |
|
|
|
|
Memo |
|
Signature |
|
|
|
I: 250250025 :I |
202III02III086 |
III0001 |
|
Please do not send a copy of a blank or voided check with your rebate application.
•Will convert a direct deposit payment request into a paper check to be mailed to the claimant if the depart- ment cannot verify the rebate is authorized for direct deposit into a representative payee bank account.
By placing an X in either box on Line 20, you are authoriz- ing the department to directly deposit your rebate into your checking or savings account. Direct deposits cannot be made to Social Security Direct Express ® cards.
IMPORTANT: Do not include a copy of a blank check with your rebate application. The department cannot complete this information on your application.
Line 21 - Routing Number
Enter your bank or financial institution’s
If you are attempting to complete this line using a deposit slip, please contact your financial institution to determine if the routing number is correct. Many times the number on the deposit slip is for internal use by the institution and using it may delay the payment of your rebate.
NOTE: This number must be nine digits. Otherwise, your financial institution will reject the direct deposit, and the department will mail you a check.
IMPORTANT: Your check may state that it is payable through a bank different from the financial institution where you have your account (i.e. your check may have two banks listed on the face). If so, do not use the routing number on your check. Instead, ask your financial institution for the correct routing number and enter it on Line 21.
Line 22 - Checking or Savings Account Number
Enter your checking or savings account number. Your account number may be as many as 17 digits and may contain both numbers and letters.
Enter the numbers and letters from left to right. Do not use spaces or special characters when you enter your account number and leave any unused boxes blank. EXAMPLE: The checking account number on the sample check above is 20202086. Do not include the check number. The check number on the sample check is 0001. If you are attempting to complete this line using a direct deposit slip, please contact your financial institution to determine if the account number is correct. Many times the number on the deposit slip is for internal use by the institution and using it may delay the payment of your rebate.
CAUTION: If your bank has recently changed ownership, the routing and account numbers on your check may be incorrect. Please verify the routing and account numbers with your bank before you enter them on Lines 21 and 22.
IMPORTANT: If you apply before the end of May and opt for direct deposit of your rebate, you may notice a zero dollar transaction on your April or May bank statement. This transaction is part of a security process conducted to verify your account information and ensure your rebate arrives quickly and accurately. If account information cannot be verified for direct deposit, the department will send you a paper check.
Line 23 - Total Income
Line 23 is used to determine the correct rebate amount. Enter the amount from Line 13 of the claim form on this line and circle the corresponding Maximum Standard Rebate or Maximum Rebate amount for your income level. Owners use Table A and Renters use Table B.
SECTION IV - OATH
Please read the following oath before signing the claim form.
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 Pennsylvania 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 complete- ness of the information reported in this claim.
If you do not agree with the oath, do not sign the claim form. However, the department will not process the claim form or issue a rebate without a signature.
NOTE: The Property Tax or Rent Rebate program is a benefit provided to qualifying homeowners who apply. The Department of Revenue will not place a lien or judgment on your property because of a Property Tax/Rent Rebate paid to you.
SIGNATURES: Sign and date the claim form in the space provided. The signature must match the name listed on the label or printed on the name line. If someone other than the claimant signs the claim form, a copy of the Power of Attorney, guardianship papers, or other documents entitling that person to sign must accompany the claim form. In the case of a deceased claimant, see the instructions beginning on Page 4.
If the claimant makes a mark instead of a signature, two people must sign the form as witnesses to the claimant’s mark.
Also please provide the name, address, and telephone number of the claimant’s nearest relative. This helps the department locate claimants if the Post Office returns a rebate check as undeliverable.
If you are signing the claim form on the behalf of the claimant(s) under the authority of a Power of Attorney, complete the name, telephone number and address lines as indicated on Page 2 of the
SUBMIT YOUR APPLICATION
File electronically via myPATH in order to receive your rebate faster. See Page 18.
You must complete and submit one original claim form to the Department of Revenue. Do not submit a photocopy of the claim form.
IMPORTANT: Do not use staples. Using staples delays the processing of your claim and damages your claim form and other documents.
Place your completed claim form and other necessary documents in the envelope provided. Use the checklist on the back of the envelope to verify that your claim is complete. Incomplete claims will delay your rebate. If you do not have the envelope the department provided, mail your completed claim form and necessary documents to:
PA DEPARTMENT OF REVENUE
PROPERTY TAX OR RENT REBATE PROGRAM PO BOX 280503
HARRISBURG PA
SUPPLEMENTAL PROPERTY TAX REBATES
Revenue from slots gaming is providing general property tax relief to all Pennsylvania homeowners. Supplemental property tax rebates, equal to 50 percent of taxpayers’ base rebates, are available to provide extra relief to homeowners who need it the most.
Homeowners in Pittsburgh, Scranton and Philadelphia with eligibility income of $30,000 or less will receive additional payments, as will homeowners in the rest of the state who meet the same
IMPORTANT: If you are eligible for a supplemental payment above the maximum rebate, the department will calculate it for you. Please follow the instructions for Lines 14 and 15 on Pages 9 and 11 of this booklet to complete your rebate application; do not adjust the amounts on Line 15.
REBATE TABLES
TABLE A - OWNERS ONLY
|
TOTAL INCOME |
Maximum Standard |
|||||
From Line 13 of your claim form |
Rebate |
||||||
|
|
|
|
|
|
|
|
$ |
0 |
to |
$ |
8,000 |
$ |
650 |
|
|
|
|
|
|
|
|
|
$ |
8,001 |
to |
$ |
15,000 |
$ |
500 |
|
$ |
15,001 |
to |
$ |
18,000 |
$ |
300 |
|
|
|
|
|
|
|
|
|
$ |
18,001 |
to |
$ |
35,000 |
$ |
250 |
|
|
|
|
|||||
|
TABLE B - RENTERS ONLY |
|
|||||
|
|
|
|
|
|
|
|
|
TOTAL INCOME |
Maximum |
|
||||
From Line 13 of your claim form |
Rebate |
|
|||||
|
|
|
|
|
|
|
|
$ |
0 |
to |
$ |
8,000 |
$ |
650 |
|
|
|
|
|
|
|
|
|
$ |
8,001 |
to |
$ |
15,000 |
$ |
500 |
|
|
|
|
|
|
|
|
|
14
THE PENNSYLVANIA LOTTERY
The Pennsylvania Lottery established by law in 1971, remains the only U.S. lottery to dedicate all proceeds to benefit older adults.
Where does the money go*?
|
BENEFIT |
RETAILER AND |
OPERATING |
WINNER PRIZES |
VENDOR |
||
PROGRAMS |
COMMISSIONS |
EXPENSES |
|
65 cents |
26 cents |
7 cents |
2 cents |
*Profits based on sales and interest income
In the
Since its very first game went on sale in 1972, the Pennsylvania Lottery has contributed more than $31 billion to programs that
include property tax and rent rebates; transportation services; care services; prescription assistance; and a broad range of local services provided by Area Agencies on Aging.
The Pennsylvania Lottery is a bureau of the Pennsylvania Department of Revenue, and a successful enterprise of which all state residents may be proud.
Players must be 18 or older. Please play responsibly. Problem Gambling Helpline:
For more information about Lottery games and benefits for older Pennsylvanians, visit palottery.com.
PENNSYLVANIA COUNTIES & CODES
Adams |
01 |
Elk |
24 |
Montour |
47 |
|
Allegheny |
02 |
Erie |
25 |
Northampton |
48 |
|
Armstrong |
03 |
Fayette |
26 |
Northumberland |
49 |
|
Beaver |
04 |
Forest |
27 |
Perry |
50 |
|
Bedford . . . |
05 |
Franklin . . . |
28 |
|
||
Philadelphia . . . |
51 |
|
||||
Berks |
06 |
Fulton |
29 |
|
||
Pike |
52 |
|
||||
Blair |
07 |
Greene . . . . |
30 |
|
||
Potter |
53 |
|
||||
Bradford . . . |
08 |
Huntingdon |
31 |
|
||
Schuylkill |
54 |
|
||||
Bucks |
09 |
Indiana . . . . |
32 |
|
||
Snyder |
55 |
|
||||
Butler |
10 |
Jefferson |
33 |
|
||
Cambria |
11 |
Juniata |
34 |
Somerset |
56 |
|
Cameron |
12 |
Lackawanna |
35 |
Sullivan |
57 |
|
Carbon |
13 |
Lancaster |
36 |
Susquehanna |
58 |
|
Centre |
14 |
Lawrence |
37 |
Tioga |
59 |
|
Chester |
15 |
Lebanon |
38 |
Union |
60 |
|
Clarion . . . . |
16 |
Lehigh . . . . |
39 |
|
||
Venango |
61 |
|
||||
Clearfield . . |
17 |
Luzerne . . . |
40 |
|
||
Warren |
62 |
|
||||
Clinton . . . . |
18 |
Lycoming . . |
41 |
|
||
Washington . . . |
63 |
|
||||
Columbia . . |
19 |
McKean . . . |
42 |
|
||
Wayne |
64 |
|
||||
Crawford . . |
20 |
Mercer . . . . |
43 |
|
||
Westmoreland . |
65 |
|
||||
Cumberland |
21 |
Mifflin |
44 |
|
||
Dauphin |
22 |
Monroe |
45 |
Wyoming |
66 |
|
Delaware |
23 |
Montgomery |
46 |
York |
67 |
|
|
|
|
|
|||
|
|
15 |
PA SCHOOL DISTRICTS & CODES BY COUNTY
SCHOOL DISTRICT |
CODE |
ADAMS
Bermudian Springs . . . . . . . . . . . . . .01110
Conewago Valley . . . . . . . . . . . . . . .01160
Fairfield Area . . . . . . . . . . . . . . . . . .01305
Gettysburg Area . . . . . . . . . . . . . . . .01375
Littlestown Area . . . . . . . . . . . . . . . .01520
Upper Adams . . . . . . . . . . . . . . . . . .01852
ALLEGHENY
Allegheny Valley . . . . . . . . . . . . . . .02060
Avonworth . . . . . . . . . . . . . . . . . . . .02075
Baldwin Whitehall . . . . . . . . . . . . . . .02110
Bethel Park . . . . . . . . . . . . . . . . . . .02125
Brentwood Borough . . . . . . . . . . . . .02145
Carlynton . . . . . . . . . . . . . . . . . . . .02160
Chartiers Valley . . . . . . . . . . . . . . . .02175
Clairton City . . . . . . . . . . . . . . . . . . .02190
Cornell . . . . . . . . . . . . . . . . . . . . . . .02210
Deer Lakes . . . . . . . . . . . . . . . . . . .02225
Duquesne City . . . . . . . . . . . . . . . . .02250
East Allegheny . . . . . . . . . . . . . . . . .02280
Elizabeth Forward . . . . . . . . . . . . . .02315
Fort Cherry . . . . . . . . . . . . . . . . . . . .63240
Fox Chapel Area . . . . . . . . . . . . . . .02391
Gateway . . . . . . . . . . . . . . . . . . . . . .02410
Hampton Township . . . . . . . . . . . . .02460
Highlands . . . . . . . . . . . . . . . . . . . . .02475
Keystone Oaks . . . . . . . . . . . . . . . .02500
McKeesport Area . . . . . . . . . . . . . . .02600
Montour . . . . . . . . . . . . . . . . . . . . . .02630
Moon Area . . . . . . . . . . . . . . . . . . . .02634
Mount Lebanon . . . . . . . . . . . . . . . .02640
North Allegheny . . . . . . . . . . . . . . . .02685
Northgate . . . . . . . . . . . . . . . . . . . . .02687
North Hills . . . . . . . . . . . . . . . . . . . .02690
Penn Hills . . . . . . . . . . . . . . . . . . . . .02735
Pittsburgh . . . . . . . . . . . . . . . . . . . . .02745
Plum Borough . . . . . . . . . . . . . . . . .02750
Quaker Valley . . . . . . . . . . . . . . . . .02775
Riverview . . . . . . . . . . . . . . . . . . . . .02820
Shaler Area . . . . . . . . . . . . . . . . . . .02830
South Allegheny . . . . . . . . . . . . . . . .02865
South Fayette Township . . . . . . . . .02870
South Park . . . . . . . . . . . . . . . . . . . .02875
Steel Valley . . . . . . . . . . . . . . . . . . .02883
Upper Saint Clair Township . . . . . . .02920
West Allegheny . . . . . . . . . . . . . . . .02940
West Jefferson Hills . . . . . . . . . . . . .02955
West Mifflin Area . . . . . . . . . . . . . . .02960
Wilkinsburg Borough . . . . . . . . . . . .02980
Woodland Hills . . . . . . . . . . . . . . . . .02990
ARMSTRONG
Allegheny Clarion Valley . . . . . . . . .16030
Armstrong . . . . . . . . . . . . . . . . . . . .03085
Freeport Area . . . . . . . . . . . . . . . . . .03305
Karns City Area . . . . . . . . . . . . . . . .10360
Kiski Area . . . . . . . . . . . . . . . . . . . . .65440
Leechburg Area . . . . . . . . . . . . . . . .03450
Redbank Valley . . . . . . . . . . . . . . . .16800
BEAVER
Aliquippa Borough . . . . . . . . . . . . .04050
Ambridge Area . . . . . . . . . . . . . . . . .04070
Beaver Area . . . . . . . . . . . . . . . . . . .04120
Big Beaver Falls Area . . . . . . . . . . .04150
Blackhawk . . . . . . . . . . . . . . . . . . . .04160
Central Valley . . . . . . . . . . . . . . . . . .04200
Ellwood City Area . . . . . . . . . . . . . .37200
Freedom Area . . . . . . . . . . . . . . . . .04285
Hopewell Area . . . . . . . . . . . . . . . . .04410
Midland Borough . . . . . . . . . . . . . . .04530
New Brighton Area . . . . . . . . . . . . . .04565
Riverside Beaver County . . . . . . . . .04585
Rochester Area . . . . . . . . . . . . . . . .04690
South Side Area . . . . . . . . . . . . . . . .04740
Western Beaver County . . . . . . . . . .04930
BEDFORD
Bedford Area . . . . . . . . . . . . . . . . . .05100
Chestnut Ridge . . . . . . . . . . . . . . . .05150
Everett Area . . . . . . . . . . . . . . . . . . .05300
Northern Bedford County . . . . . . . . .05600
Tussey Mountain . . . . . . . . . . . . . . .05800
SCHOOL DISTRICT |
CODE |
|
SCHOOL DISTRICT |
CODE |
BERKS |
|
|
Palmerton Area |
. . .13650 |
Antietam |
. .06050 |
|
Panther Valley |
. . .13660 |
Boyertown Area |
. .06075 |
|
Weatherly Area |
. . .13900 |
Brandywine Heights Area |
. .06085 |
|
|
|
Conrad Weiser Area |
. .06110 |
|
CENTRE |
|
Daniel Boone Area |
. .06150 |
|
Bald Eagle Area |
. . .14100 |
Exeter Township |
. .06200 |
|
Bellefonte Area |
. . .14110 |
Fleetwood Area |
. .06250 |
|
Keystone Central |
. . .18360 |
Governor Mifflin |
. .06300 |
|
Penns Valley Area |
. . .14700 |
Hamburg Area |
. .06350 |
|
. . .17700 |
|
Kutztown Area |
. .06400 |
|
State College Area |
. . .14800 |
Muhlenberg Township |
. .06550 |
|
Tyrone Area |
. . .07800 |
Oley Valley |
. .06650 |
|
|
|
Reading |
. .06700 |
|
CHESTER |
|
Schuylkill Valley |
. .06750 |
|
Avon Grove |
. . .15050 |
Tulpehocken Area |
. .06800 |
|
Coatesville Area |
. . .15190 |
Twin Valley |
. .06810 |
|
Downingtown Area |
. . .15200 |
Upper Perkiomen |
. .46860 |
|
Great Valley |
. . .15350 |
Wilson |
. .06910 |
|
Kennett Consolidated |
. . .15400 |
Wyomissing |
. .06935 |
|
Octorara Area |
. . .15650 |
|
|
|
Owen J. Roberts |
. . .15660 |
BLAIR |
|
|
Oxford Area |
. . .15670 |
Altoona Area |
. .07050 |
|
Phoenixville Area |
. . .15720 |
Bellwood Antis |
. .07100 |
|
. . .46730 |
|
. .07150 |
|
Tredyffrin Easttown |
. . .15780 |
|
Hollidaysburg Area |
. .07350 |
|
Twin Valley |
. . .06810 |
Spring Cove |
. .07750 |
|
. . .15850 |
|
Tyrone Area |
. .07800 |
|
West Chester Area |
. . .15900 |
Williamsburg Community |
. .07900 |
|
CLARION |
|
|
|
|
|
|
BRADFORD |
|
|
Allegheny Clarion Valley |
. . .16030 |
Athens Area |
. .08050 |
|
Armstrong |
. . .03085 |
Canton Area |
. .08100 |
|
Clarion Area |
. . .16120 |
Northeast Bradford County |
. .08300 |
|
. . .16170 |
|
Sayre Area |
. .08600 |
|
Keystone |
. . .16650 |
Towanda Area |
. .08650 |
|
North Clarion County |
. . .16750 |
Troy Area |
. .08665 |
|
Redbank Valley |
. . .16800 |
Wyalusing Area |
. .08900 |
|
Union |
. . .16900 |
BUCKS |
|
|
CLEARFIELD |
|
Bensalem Township |
. .09100 |
|
Clearfield Area |
. . .17100 |
Bristol Borough |
. .09130 |
|
Curwensville Area |
. . .17180 |
Bristol Township |
. .09135 |
|
Dubois Area |
. . .17200 |
Centennial |
. .09200 |
|
Glendale |
. . .17300 |
Central Bucks |
. .09210 |
|
Harmony Area |
. . .17350 |
Council Rock |
. .09235 |
|
Moshannon Valley |
. . .17500 |
Easton Area |
. .48330 |
|
. . .17700 |
|
Morrisville Borough |
. .09720 |
|
Purchase Line |
. . .32730 |
Neshaminy |
. .09750 |
|
West Branch Area |
. . .17900 |
New Hope Solebury |
. .09760 |
|
|
|
North Penn |
. .46570 |
|
CLINTON |
|
Palisades |
. .09800 |
|
Jersey Shore Area |
. . .41400 |
Pennridge |
. .09810 |
|
Keystone Central |
. . .18360 |
Pennsbury |
. .09820 |
|
West Branch Area |
. . .17900 |
Quakertown Community |
. .09840 |
|
|
|
Souderton Area |
. .46710 |
|
COLUMBIA |
|
|
|
|
Benton Area |
. . .19100 |
BUTLER |
|
|
Berwick Area |
. . .19110 |
Allegheny Clarion Valley |
. .16030 |
|
Bloomsburg Area |
. . .19120 |
Butler Area |
. .10125 |
|
Central Columbia |
. . .19150 |
Freeport Area |
. .03305 |
|
Millville Area |
. . .19500 |
Karns City Area |
. .10360 |
|
Mount Carmel Area |
. . .49510 |
Mars Area |
. .10500 |
|
North Schuylkill |
. . .54500 |
Moniteau |
. .10535 |
|
Southern Columbia Area |
. . .19750 |
Seneca Valley |
. .10790 |
|
|
|
Slippery Rock Area |
. .10750 |
|
CRAWFORD |
|
South Butler County |
. .10780 |
|
Conneaut |
. . .20103 |
|
|
|
Corry Area |
. . .25145 |
CAMBRIA |
|
|
Crawford Central |
. . .20135 |
Blacklick Valley |
. .11060 |
|
Jamestown Area |
. . .43360 |
Cambria Heights |
. .11120 |
|
Penncrest |
. . .20470 |
Central Cambria |
. .11130 |
|
Titusville Area |
. . .61720 |
Conemaugh Valley |
. .11140 |
|
Union City Area |
. . .25910 |
Ferndale Area |
. .11200 |
|
|
|
Forest Hills |
. .11220 |
|
CUMBERLAND |
|
Glendale |
. .17300 |
|
Big Spring |
. . .21050 |
Greater Johnstown |
. .11250 |
|
Camp Hill |
. . .21100 |
Northern Cambria |
. .11450 |
|
Carlisle Area |
. . .21110 |
Penn Cambria |
. .11600 |
|
Cumberland Valley |
. . .21160 |
Portage Area |
. .11630 |
|
East Pennsboro Area |
. . .21250 |
Richland |
. .11650 |
|
Mechanicsburg Area |
. . .21650 |
Westmont Hilltop |
. .11850 |
|
Shippensburg Area |
. . .21800 |
Windber Area |
. .56910 |
|
South Middleton |
. . .21830 |
CAMERON |
|
|
West Shore |
. . .21900 |
|
|
|
|
|
Cameron County |
. .12270 |
|
DAUPHIN |
|
|
|
|
Central Dauphin |
. . .22140 |
CARBON |
|
|
Derry Township |
. . .22175 |
Hazleton Area |
. .40330 |
|
Halifax Area |
. . .22250 |
Jim Thorpe Area |
. .13500 |
|
Harrisburg City |
. . .22275 |
Lehighton Area |
. .13550 |
|
Lower Dauphin |
. . .22400 |
SCHOOL DISTRICT |
CODE |
Middletown Area . . . . . . . . . . . . . . .22600
Millersburg Area . . . . . . . . . . . . . . . .22610
Steelton Highspire . . . . . . . . . . . . . .22800
Susquehanna Township . . . . . . . . . .22830
Susquenita . . . . . . . . . . . . . . . . . . . .50600
Upper Dauphin Area . . . . . . . . . . . .22900
Williams Valley . . . . . . . . . . . . . . . . .54880
DELAWARE
Chester Upland . . . . . . . . . . . . . . . .23123
Chichester . . . . . . . . . . . . . . . . . . . .23130
Garnet Valley . . . . . . . . . . . . . . . . . .23410
Haverford Township . . . . . . . . . . . . .23450
Interboro . . . . . . . . . . . . . . . . . . . . .23510
Marple Newtown . . . . . . . . . . . . . . .23550
Radnor Township . . . . . . . . . . . . . . .23760
Ridley . . . . . . . . . . . . . . . . . . . . . . . .23770
Rose Tree Media . . . . . . . . . . . . . . .23790
Southeast Delco . . . . . . . . . . . . . . .23840
Springfield . . . . . . . . . . . . . . . . . . . .23850
Upper Darby . . . . . . . . . . . . . . . . . .23945
Wallingford Swarthmore . . . . . . . . . .23960
West Chester Area . . . . . . . . . . . . . .15900
William Penn . . . . . . . . . . . . . . . . . .23965
ELK
Brockway Area . . . . . . . . . . . . . . . . .33070
Forest Area . . . . . . . . . . . . . . . . . . .27200
Johnsonburg Area . . . . . . . . . . . . . .24350
Kane Area . . . . . . . . . . . . . . . . . . . .42230
Ridgway Area . . . . . . . . . . . . . . . . . .24600
Saint Marys Area . . . . . . . . . . . . . . .24800
ERIE
Corry Area . . . . . . . . . . . . . . . . . . . .25145
Erie City . . . . . . . . . . . . . . . . . . . . . .25260
Fairview . . . . . . . . . . . . . . . . . . . . . .25330
Fort Leboeuf . . . . . . . . . . . . . . . . . .25355
General McLane . . . . . . . . . . . . . . .25390
Girard . . . . . . . . . . . . . . . . . . . . . . . .25405
Harbor Creek . . . . . . . . . . . . . . . . . .25435
Iroquois . . . . . . . . . . . . . . . . . . . . . .25655
Millcreek Township . . . . . . . . . . . . . .25760
North East . . . . . . . . . . . . . . . . . . . .25830
Northwestern . . . . . . . . . . . . . . . . . .25850
Union City Area . . . . . . . . . . . . . . . .25910
Wattsburg Area . . . . . . . . . . . . . . . .25970
FAYETTE
Albert Gallatin Area . . . . . . . . . . . . .26030
Belle Vernon Area . . . . . . . . . . . . . .65060
Brownsville Area . . . . . . . . . . . . . . .26080
Connellsville Area . . . . . . . . . . . . . .26130
Frazier . . . . . . . . . . . . . . . . . . . . . . .26290
Laurel Highlands . . . . . . . . . . . . . . .26400
Southmoreland . . . . . . . . . . . . . . . .65750
Uniontown Area . . . . . . . . . . . . . . . .26800
FOREST
Forest Area . . . . . . . . . . . . . . . . . . .27200
FRANKLIN
Chambersburg Area . . . . . . . . . . . . .28130
Shippensburg Area . . . . . . . . . . . . .21800
Tuscarora . . . . . . . . . . . . . . . . . . . . .28600
Waynesboro Area . . . . . . . . . . . . . .28900
FULTON
Central Fulton . . . . . . . . . . . . . . . . .29130
Forbes Road . . . . . . . . . . . . . . . . . .29230
Southern Fulton . . . . . . . . . . . . . . . .29750
GREENE
Carmichaels Area . . . . . . . . . . . . . .30130
Central Greene . . . . . . . . . . . . . . . .30140
Southeastern Greene . . . . . . . . . . .30650
West Greene . . . . . . . . . . . . . . . . . .30850
HUNTINGDON
Huntingdon Area . . . . . . . . . . . . . . .31250
Juniata Valley . . . . . . . . . . . . . . . . . .31280
Mount Union Area . . . . . . . . . . . . . .31600
Southern Huntingdon County . . . . .31750
Tussey Mountain . . . . . . . . . . . . . . .05800
Tyrone Area . . . . . . . . . . . . . . . . . . .07800
16
PA SCHOOL DISTRICTS & CODES BY COUNTY
SCHOOL DISTRICT |
CODE |
|
SCHOOL DISTRICT |
CODE |
INDIANA |
|
|
Dallas |
. .40160 |
. .03060 |
|
Greater Nanticoke Area |
. .40260 |
|
Armstrong |
. .03085 |
|
Hanover Area |
. .40300 |
. .32110 |
|
Hazleton Area |
. .40330 |
|
Harmony Area |
. .17350 |
|
. .40390 |
|
Homer Center |
. .32330 |
|
Northwest Area |
. .40600 |
Indiana Area |
. .32370 |
|
Pittston Area |
. .40660 |
Marion Center Area |
. .32520 |
|
. .40885 |
|
Penns Manor Area |
. .32630 |
|
Wyoming Area |
. .40920 |
Punxsutawney Area |
. .33800 |
|
Wyoming Valley West |
. .40930 |
Purchase Line |
. .32730 |
|
LYCOMING |
|
United |
. .32800 |
|
|
|
|
|
|
Canton Area |
. .08100 |
JEFFERSON |
|
|
East Lycoming |
. .41200 |
Brockway Area |
. .33070 |
|
Jersey Shore Area |
. .41400 |
Brookville Area |
. .33080 |
|
Loyalsock Township |
. .41420 |
. .16170 |
|
Montgomery Area |
. .41500 |
|
Dubois Area |
. .17200 |
|
Montoursville Area |
. .41510 |
Punxsutawney Area |
. .33800 |
|
Muncy |
. .41530 |
|
|
|
South Williamsport Area |
. .41610 |
JUNIATA |
|
|
Southern Tioga |
. .59700 |
Greenwood |
. .50300 |
|
Wellsboro Area |
. .59850 |
Juniata County |
. .34360 |
|
Williamsport Area |
. .41720 |
LACKAWANNA |
|
|
MCKEAN |
|
Abington Heights |
. .35030 |
|
Bradford Area |
. .42080 |
Carbondale Area |
. .35130 |
|
Kane Area |
. .42230 |
Dunmore |
. .35220 |
|
Oswayo Valley |
. .53750 |
Forest City Regional |
. .58300 |
|
. .42600 |
|
Lackawanna Trail |
. .66500 |
|
Port Allegany |
. .42630 |
Lakeland |
. .35460 |
|
Smethport Area |
. .42750 |
Mid Valley |
. .35550 |
|
MERCER |
|
North Pocono |
. .35650 |
|
|
|
Old Forge |
. .35660 |
|
Commodore Perry |
. .43130 |
Riverside |
. .35700 |
|
Crawford Central |
. .20135 |
Scranton City |
. .35740 |
|
Farrell Area |
. .43250 |
Valley View |
. .35840 |
|
Greenville Area |
. .43280 |
|
|
|
Grove City Area |
. .43290 |
LANCASTER |
|
|
Hermitage |
. .43330 |
Cocalico |
. .36130 |
|
Jamestown Area |
. .43360 |
Columbia Borough |
. .36150 |
|
Lakeview |
. .43390 |
Conestoga Valley |
. .36170 |
|
Mercer Area |
. .43500 |
Donegal |
. .36220 |
|
Reynolds |
. .43530 |
Eastern Lancaster County |
. .36230 |
|
Sharon City |
. .43560 |
Elizabethtown Area |
. .36240 |
|
Sharpsville Area |
. .43570 |
Ephrata Area |
. .36260 |
|
West Middlesex Area |
. .43750 |
Hempfield |
. .36310 |
|
Wilmington Area |
. .37800 |
. .36360 |
|
MIFFLIN |
|
|
Lancaster |
. .36400 |
|
|
|
Manheim Central |
. .36440 |
|
Mifflin County |
. .44460 |
Manheim Township |
. .36450 |
|
Mount Union Area |
. .31600 |
Octorara Area |
. .15650 |
|
MONROE |
|
Penn Manor |
. .36520 |
|
|
|
Pequea Valley |
. .36530 |
|
East Stroudsburg Area |
. .45200 |
Solanco |
. .36700 |
|
Pleasant Valley |
. .45520 |
Warwick |
. .36900 |
|
Pocono Mountain |
. .45540 |
LAWRENCE |
|
|
Stroudsburg Area |
. .45600 |
|
|
MONTGOMERY |
|
|
Blackhawk |
. .04160 |
|
|
|
Ellwood City Area |
. .37200 |
|
Abington |
. .46030 |
Laurel |
. .37400 |
|
Boyertown Area |
. .06075 |
Mohawk Area |
. .37500 |
|
Bryn Athyn Borough |
. .46050 |
Neshannock Township |
. .37520 |
|
Cheltenham Township |
. .46130 |
New Castle Area |
. .37530 |
|
Colonial |
. .46160 |
Shenango Area |
. .37620 |
|
. .46360 |
|
Union Area |
. .37700 |
|
Jenkintown |
. .46380 |
Wilmington Area |
. .37800 |
|
Lower Merion |
. .46450 |
|
|
|
Lower Moreland Township |
. .46460 |
LEBANON |
|
|
Methacton |
. .46530 |
. .38030 |
|
Norristown Area |
. .46560 |
|
. .38130 |
|
North Penn |
. .46570 |
|
Eastern Lebanon County |
. .38230 |
|
Perkiomen Valley |
. .46610 |
Lebanon |
. .38460 |
|
Pottsgrove |
. .46630 |
Northern Lebanon |
. .38500 |
|
Pottstown |
. .46640 |
Palmyra Area |
. .38530 |
|
Souderton Area |
. .46710 |
|
|
|
Springfield Township |
. .46720 |
LEHIGH |
|
|
. .46730 |
|
Allentown City |
. .39030 |
|
Upper Dublin |
. .46830 |
Bethlehem Area |
. .48100 |
|
Upper Merion Area |
. .46840 |
Catasauqua Area |
. .39130 |
|
Upper Moreland Township |
. .46850 |
East Penn |
. .39230 |
|
Upper Perkiomen |
. .46860 |
Northern Lehigh |
. .39450 |
|
Wissahickon |
. .46930 |
Northwestern Lehigh |
. .39460 |
|
MONTOUR |
|
Parkland |
. .39510 |
|
|
|
Salisbury Township |
. .39560 |
|
Danville Area |
. .47180 |
Southern Lehigh |
. .39570 |
|
Warrior Run |
. .49800 |
. .39780 |
|
NORTHAMPTON |
|
|
|
|
|
|
|
LUZERNE |
|
|
Bangor Area |
. .48080 |
Berwick Area |
. .19110 |
|
Bethlehem Area |
. .48100 |
Crestwood |
. .40140 |
|
Catasauqua Area |
. .39130 |
SCHOOL DISTRICT |
CODE |
Easton Area . . . . . . . . . . . . . . . . . . .48330
Nazareth Area . . . . . . . . . . . . . . . . .48480
Northampton Area . . . . . . . . . . . . . .48490
Northern Lehigh . . . . . . . . . . . . . . . .39450
Pen Argyl Area . . . . . . . . . . . . . . . . .48560
Saucon Valley . . . . . . . . . . . . . . . . .48600
Wilson Area . . . . . . . . . . . . . . . . . . .48860
NORTHUMBERLAND
Danville Area . . . . . . . . . . . . . . . . . .47180
Line Mountain . . . . . . . . . . . . . . . . .49350
Milton Area . . . . . . . . . . . . . . . . . . . .49500
Mount Carmel Area . . . . . . . . . . . . .49510
Shamokin Area . . . . . . . . . . . . . . . .49650
Shikellamy . . . . . . . . . . . . . . . . . . . .49660
Southern Columbia Area . . . . . . . . .19750
Warrior Run . . . . . . . . . . . . . . . . . . .49800
PERRY
Greenwood . . . . . . . . . . . . . . . . . . .50300
Newport . . . . . . . . . . . . . . . . . . . . . .50400
Susquenita . . . . . . . . . . . . . . . . . . . .50600
West Perry . . . . . . . . . . . . . . . . . . . .50800
PHILADELPHIA
Philadelphia City . . . . . . . . . . . . . . .51500
PIKE
Delaware Valley . . . . . . . . . . . . . . . .52200
East Stroudsburg Area . . . . . . . . . .45200
Wallenpaupack Area . . . . . . . . . . . .64830
POTTER
Austin Area . . . . . . . . . . . . . . . . . . .53030
Coudersport Area . . . . . . . . . . . . . . .53130
Galeton Area . . . . . . . . . . . . . . . . . .53280
Keystone Central . . . . . . . . . . . . . . .18360
Northern Potter . . . . . . . . . . . . . . . .53550
Oswayo Valley . . . . . . . . . . . . . . . . .53750
Port Allegany . . . . . . . . . . . . . . . . . .42630
SCHUYLKILL
Blue Mountain . . . . . . . . . . . . . . . . .54080
Hazleton Area . . . . . . . . . . . . . . . . .40330
Mahanoy Area . . . . . . . . . . . . . . . . .54450
Minersville Area . . . . . . . . . . . . . . . .54470
North Schuylkill . . . . . . . . . . . . . . . .54500
Panther Valley . . . . . . . . . . . . . . . . .13660
Pine Grove Area . . . . . . . . . . . . . . .54600
Pottsville Area . . . . . . . . . . . . . . . . .54610
Saint Clair Area . . . . . . . . . . . . . . . .54680
Shenandoah Valley . . . . . . . . . . . . .54720
Schuylkill Haven Area . . . . . . . . . . .54730
Tamaqua Area . . . . . . . . . . . . . . . . .54760
Williams Valley . . . . . . . . . . . . . . . .54880
SNYDER
SOMERSET
Berlin Brothersvalley . . . . . . . . . . . .56100
Conemaugh Township Area . . . . . . .56180
Meyersdale Area . . . . . . . . . . . . . . .56520
North Star . . . . . . . . . . . . . . . . . . . .56550
Rockwood Area . . . . . . . . . . . . . . . .56630
Somerset Area . . . . . . . . . . . . . . . . .56770
Turkeyfoot Valley Area . . . . . . . . . . .56840
Windber Area . . . . . . . . . . . . . . . . . .56910
SULLIVAN
Sullivan County . . . . . . . . . . . . . . . .57630
SUSQUEHANNA
Blue Ridge . . . . . . . . . . . . . . . . . . . .58100
Elk Lake . . . . . . . . . . . . . . . . . . . . . .58250
Forest City Regional . . . . . . . . . . . .58300
Montrose Area . . . . . . . . . . . . . . . . .58450
Mountain View . . . . . . . . . . . . . . . . .58460
Susquehanna Community . . . . . . . .58650
TIOGA
Canton Area . . . . . . . . . . . . . . . . . . .08100
Galeton Area . . . . . . . . . . . . . . . . . .53280
Northern Tioga . . . . . . . . . . . . . . . . .59600
Southern Tioga . . . . . . . . . . . . . . . .59700
Wellsboro Area . . . . . . . . . . . . . . . .59850
SCHOOL DISTRICT |
CODE |
UNION
Lewisburg Area . . . . . . . . . . . . . . . .60400
Mifflinburg Area . . . . . . . . . . . . . . . .60500
Milton Area . . . . . . . . . . . . . . . . . . . .49500
Warrior Run . . . . . . . . . . . . . . . . . . .49800
VENANGO
Allegheny Clarion Valley . . . . . . . . .16030
Cranberry Area . . . . . . . . . . . . . . . . .61130
Forest Area . . . . . . . . . . . . . . . . . . .27200
Franklin Area . . . . . . . . . . . . . . . . . .61220
Oil City Area . . . . . . . . . . . . . . . . . . .61620
Penncrest . . . . . . . . . . . . . . . . . . . . .20470
Titusville Area . . . . . . . . . . . . . . . . . .61720
Valley Grove . . . . . . . . . . . . . . . . . .61860
WARREN
Corry Area . . . . . . . . . . . . . . . . . . . .25145
Titusville Area . . . . . . . . . . . . . . . . . .61720
Warren County . . . . . . . . . . . . . . . . .62830
WASHINGTON
Avella Area . . . . . . . . . . . . . . . . . . . .63050
Bentworth . . . . . . . . . . . . . . . . . . . . .63090
Brownsville Area . . . . . . . . . . . . . . .26080
Burgettstown Area . . . . . . . . . . . . . .63120
California Area . . . . . . . . . . . . . . . . .63150
Charleroi . . . . . . . . . . . . . . . . . . . . .63180
Fort Cherry . . . . . . . . . . . . . . . . . . . .63240
McGuffey . . . . . . . . . . . . . . . . . . . . .63390
Peters Township . . . . . . . . . . . . . . .63650
Ringgold . . . . . . . . . . . . . . . . . . . . . .63700
Trinity Area . . . . . . . . . . . . . . . . . . . .63800
Washington . . . . . . . . . . . . . . . . . . .63880
WAYNE
Forest City Regional . . . . . . . . . . . .58300
North Pocono . . . . . . . . . . . . . . . . . .35650
Susquehanna Community . . . . . . . .58650
Wallenpaupack Area . . . . . . . . . . . .64830
Wayne Highlands . . . . . . . . . . . . . . .64870
Western Wayne . . . . . . . . . . . . . . . .64890
WESTMORELAND
Belle Vernon Area . . . . . . . . . . . . . .65060
Burrell . . . . . . . . . . . . . . . . . . . . . . .65070
Derry Area . . . . . . . . . . . . . . . . . . . .65160
Franklin Regional . . . . . . . . . . . . . . .65260
Greater Latrobe . . . . . . . . . . . . . . . .65310
Greensburg Salem . . . . . . . . . . . . . .65320
Hempfield Area . . . . . . . . . . . . . . . .65380
Jeannette City . . . . . . . . . . . . . . . . .65410
Kiski Area . . . . . . . . . . . . . . . . . . . . .65440
Leechburg Area . . . . . . . . . . . . . . . .03450
Ligonier Valley . . . . . . . . . . . . . . . . .65490
Monessen City . . . . . . . . . . . . . . . . .65580
Mount Pleasant Area . . . . . . . . . . . .65590
New
Norwin . . . . . . . . . . . . . . . . . . . . . . .65650
Southmoreland . . . . . . . . . . . . . . . .65750
Yough . . . . . . . . . . . . . . . . . . . . . . . .65890
WYOMING
Elk Lake . . . . . . . . . . . . . . . . . . . . . .58250
Lackawanna Trail . . . . . . . . . . . . . . .66500
Tunkhannock Area . . . . . . . . . . . . . .66750
Wyalusing Area . . . . . . . . . . . . . . . .08900
Wyoming Area . . . . . . . . . . . . . . . . .40920
YORK
Central York . . . . . . . . . . . . . . . . . . .67130
Dallastown Area . . . . . . . . . . . . . . . .67160
Dover Area . . . . . . . . . . . . . . . . . . . .67180
Eastern York . . . . . . . . . . . . . . . . . .67220
Hanover Public . . . . . . . . . . . . . . . .67280
Northeastern . . . . . . . . . . . . . . . . . .67440
Northern York County . . . . . . . . . . .67460
Red Lion Area . . . . . . . . . . . . . . . . .67550
South Eastern . . . . . . . . . . . . . . . . .67620
South Western . . . . . . . . . . . . . . . . .67640
Southern York County . . . . . . . . . . .67650
Spring Grove Area . . . . . . . . . . . . . .67670
West Shore . . . . . . . . . . . . . . . . . . .21900
West York Area . . . . . . . . . . . . . . . .67850
York City . . . . . . . . . . . . . . . . . . . . . .67900
York Suburban . . . . . . . . . . . . . . . . .67940
CUSTOMER SERVICES AND ASSISTANCE
PREPARATION ASSISTANCE
FREE PREPARATION ASSISTANCE
You can receive free assistance in preparing your Property Tax/Rent Rebate form through the Volunteer Income Tax Assistance (VITA) and Tax Counseling for the Elderly (TCE) programs. Visit the department’s website or contact the nearest Revenue district office for information.
REVENUE DISTRICT OFFICES
If you need assistance preparing your claim form or have questions, please contact your local Department of Revenue district office. See Page 19 for a list of offices.
OTHER PROGRAMS AND SERVICES
PA DEPARTMENT OF AGING (WWW.AGING.PA.GOV) The Department of Aging has served as an advocate for the interests of older Pennsylvanians at all levels of government since 1978. Information on the following programs and services can be found on its website.
AREA AGENCIES ON AGING
Each Area Agency on Aging has trained staff available to answer questions and make referrals to other agencies in the community that provide the specific services needed by the individual. Refer to the government pages of your local phone directory to find the Area Agency on Aging office nearest you.
PACE, PACENET AND PACE PLUS MEDICARE
PACE, PACENET and PACE Plus Medicare are Pennsylvania’s prescription assistance programs for older adults, offering
This program, administered by the Department of Human Services and funded by the Pennsylvania Lottery and fed- eral Medical Assistance money, provides nursing facility and home- and
FREE AND
The Department of Transportation distributes Lottery funding to local transit authorities to provide free and
APPRISE
APPRISE is a free health insurance counseling program designed to help older Pennsylvanians with Medicare. Counselors are specially trained volunteers who can answer your questions about Medicare and provide you with objective,
REPORT ELDER ABUSE
Any person who believes an older adult is being abused, neglected, exploited or abandoned may call the statewide elder abuse hotline
ONLINE SERVICES
mypath.pa.gov
•Pennsylvanians will be able to electronically submit their Property Tax/Rent Rebate applications directly from the myPATH homepage. They can also check the status of their rebate as well. Claimants will be asked to answer questions and provide specific information when sub- mitting an electronic application or checking the status of their rebate. The electronic application offers many
•You can find answers to commonly asked questions by using the department's Online Customer Service Center. Use the Frequently Asked Questions feature to search the database of commonly asked questions. If you do not find your answer you have the ability to sub- mit your question to a customer service representative.
TELEPHONE SERVICES
CUSTOMER EXPERIENCE CENTER
•Call
Services for Taxpayers with Special Hearing and/or Speaking Needs:
FORMS ORDERING SERVICES
To obtain forms, visit a Revenue district office or use one of the following services:
Internet: www.revenue.pa.gov/ptrr
Select Forms and Publications on the
Email Requests for Forms:
Automated
•This line serves taxpayers without
Written Requests: PA DEPARTMENT OF REVENUE TAX FORMS SERVICE UNIT 1854 BROOKWOOD STREET HARRISBURG PA
Check with your local public library.
18
PA DEPARTMENT OF REVENUE DISTRICT OFFICES
NOTE: Please call ahead to verify a district office’s address and its services or visit the department’s
website at www.revenue.pa.gov for information. Taxpayer assistance hours are
8:30 a.m. to 5:00 p.m.
ALLENTOWN |
NORRISTOWN |
PITTSBURGH - GREENTREE |
STE 6 |
SECOND FL |
11 PARKWAY CTR STE 175 |
555 UNION BLVD |
STONY CREEK OFFICE CENTER |
875 GREENTREE RD |
ALLENTOWN PA |
151 W MARSHALL ST |
PITTSBURGH PA |
NORRISTOWN PA |
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ERIE |
READING |
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448 W 11TH ST |
PHILADELPHIA - CENTER CITY |
STE 239 |
ERIE PA |
STE 204A |
625 CHERRY ST |
110 N 8TH ST |
READING PA |
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PHILADELPHIA PA |
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GREENSBURG |
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SECOND FL |
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SCRANTON |
15 W THIRD ST |
PHILADELPHIA - NORTHEAST |
RM 207 |
GREENSBURG PA |
ACDMY PLZ SHPG CTR |
BANK TOWERS |
3240 RED LION RD |
207 WYOMING AVE |
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PHILADELPHIA PA |
SCRANTON PA |
HARRISBURG |
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LOBBY |
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STRAWBERRY SQ |
PITTSBURGH - DOWNTOWN |
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HARRISBURG PA |
411 7TH AVE - ROOM 420 |
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PITTSBURGH PA |
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www.revenue.pa.gov |
COMMONWEALTH OF PENNSYLVANIA
OFFICE OF THE GOVERNOR
HARRISBURG
My Fellow Pennsylvanians:
The Property Tax/Rent Rebate program provides rebates up to $975 each year to hundreds of thousands of older Pennsylvanians and residents with disabilities. This is one of the many programs funded by the Pennsylvania Lottery that benefit older Pennsylvanians.
The Pennsylvania Lottery has funded property tax relief for seniors since the early 1970s and is the only lottery in the nation that devotes all proceeds to programs that benefit older residents. Since ticket sales began, the Lottery has contributed more than $31 billion to programs that have grown to include the Property Tax/Rent Rebate program, a free and
All of these programs and services are part of Pennsylvania’s commitment to ensuring healthier, happier lives for its older residents. In fiscal year
The Property Tax/Rent Rebate program is available to qualified older Pennsylvanians and permanently disabled residents. Every qualified resident should use the program. If you think a friend, neighbor or family member may qualify for a rebate, tell them about the program. I do not want a single senior to miss out on the help they need.
Sincerely,
TOM WOLF
Governor
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www.revenue.pa.gov |