Va Form 21 0518 1 is a tax form that can be used by Virginia taxpayers to claim certain deductions and credits. The form can be used to claim the earned income credit, the child and dependent care credit, the tuition and fees deduction, and the American opportunity credit. Taxpayers who wish to use Va Form 21 0518 1 should ensure that they are eligible for each of the applicable deductions and credits before filing.
You'll discover info about the type of form you would like to fill out in the table. It can tell you the amount of time you will require to fill out va form 21 0518 1, what parts you will have to fill in and several additional specific facts.
Question | Answer |
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Form Name | Va Form 21 0518 1 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | va 21 1, va form 21p 0518 1 printable, va21p 0518 1, va form 21p 0518 |
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OMB Control No. |
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Respondent Burden: 30 minutes |
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Expiration Date: 06/30/2021 |
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FIRST NAME - MIDDLE NAME - LAST NAME OF VETERAN |
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FIRST NAME - MIDDLE NAME - LAST NAME OF SURVIVING SPOUSE |
IMPROVED PENSION ELIGIBILITY |
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VERIFICATION REPORT |
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(SURVIVING SPOUSE WITH NO CHILDREN) 8 |
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COMPLETE MAILING ADDRESS OF SURVIVING SPOUSE |
VA FILE NUMBER |
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VA REGIONAL OFFICE RETURN ADDRESS |
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IMPORTANT - Please read the enclosed EVR Instructions (VA Form
1A. YOUR SOCIAL SECURITY NUMBER
1B. VETERAN'S SOCIAL SECURITY NUMBER
1C. YOUR DATE OF BIRTH (Mo., day, yr.)
2.YOUR MARITAL STATUS (Check only one box)
(1) I HAVE NOT REMARRIED SINCE THE VETERAN DIED (You have not married anyone since the veteran's death.)
(2) |
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I REMARRIED ON |
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(Date) AND I AM STILL MARRIED (You married after the veteran's death and you are currently |
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married. Enter the date you married your current spouse.) |
(3) |
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I REMARRIED AFTER THE VETERAN DIED BUT THE MARRIAGE ENDED BY DEATH OR DIVORCE ON |
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(You remarried but you are not currently married. Show the date your latest marriage ended.) |
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3. NUMBER OF UNMARRIED, DEPENDENT CHILDREN (See Paragraph 1 of the EVR Instructions)
IN YOUR CUSTODY |
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NOT IN YOUR CUSTODY |
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AMOUNT CONTRIBUTED DURING PAST 12 MONTHS TO CHILDREN NOT IN YOUR CUSTODY $ |
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4A. ARE YOU A PATIENT IN A NURSING HOME? |
4C. ENTER THE NAME, COMPLETE ADDRESS, AND |
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TELEPHONE NUMBER OF NURSING HOME |
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YES |
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NO (If "Yes", Complete Items 4B thru 4D. If "No", go to Item 5.) |
(Please include Zip Code) |
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4B. SHOW THE DATE YOU ENTERED THE NURSING HOME |
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4D. DOES MEDICAID COVER ALL OR PART OF YOUR NURSING HOME FEES?
YES NO
5.DID YOU RECEIVE ANY WAGES OR WERE YOU EMPLOYED AT ANY TIME DURING THE PAST 12 MONTHS?
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YES |
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NO |
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6. DO YOU RECEIVE ANY OTHER VA BENEFITS AS A VETERAN, PARENT, OR SURVIVING SPOUSE? |
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YES |
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NO |
(If "Yes", write in the VA file number of the other benefit.) |
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VA FORM |
SUPERSEDES VA FORM |
PAGE 1 |
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JUN 2018 |
WHICH WILL NOT BE USED. |
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7A. MONTHLY INCOME (Read Paragraphs 2 and 3 of the EVR Instructions)
If no income or net worth was received from a particular source, write "0" or "none". VA WILL INTERPRET A BLANK SPACE AS "NONE" OR "0."
SOURCE |
SURVIVING SPOUSE |
SOCIAL SECURITY |
$ |
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U.S. CIVIL SERVICE |
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U.S. RAILROAD RETIREMENT |
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MILITARY RETIREMENT |
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OTHER (Show Source) |
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OTHER (Show Source) |
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7B. ANNUAL INCOME (Read Paragraphs 2 and 4 of the EVR Instructions)
If no income was received from a particular source, write "0" or "none". VA WILL INTERPRET A BLANK SPACE AS "NONE" OR "0."
NOTE: Report annual income for the dates indicated. If no dates are shown above the columns that follow, then report last calendar year (January through December) income in the
SOURCE |
FROM: |
FROM: |
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THRU: |
THRU: |
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GROSS WAGES FROM |
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$ |
ALL EMPLOYMENT |
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TOTAL INTEREST AND |
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DIVIDENDS |
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ALL OTHER |
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(Show Source) |
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ALL OTHER |
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(Show Source) |
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7C. DID ANY INCOME CHANGE (Increase/Decrease) DURING PAST 12 MONTHS? (Answer "NO" if there were no income changes or if the only change was a Social Security/VA
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YES |
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NO |
(If "YES", complete Items 7D through 7F. If "NO", go to Item 7G.) |
7D. WHAT INCOME CHANGED? (Show what income changed, for example, wages, city pension, etc.)
7E. WHEN DID THE INCOME CHANGE?
(Show the dates you received any new income or the date income changed)
7F. HOW DID INCOME CHANGE? (Explain what happened; for example, quit work, got raise, received inheritance)
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7G. NET WORTH (Read Paragraph 5 of the EVR Instructions) |
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SOURCE |
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SURVIVING SPOUSE |
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CASH/NON- |
$ |
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IRA'S, KEOGH PLANS, ETC. |
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STOCKS, BONDS, MUTUAL FUNDS, ETC. |
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REAL PROPERTY (Not your home) |
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ALL OTHER PROPERTY |
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8.FAMILY MEDICAL EXPENSES (Read Paragraph 6 of the EVR Instructions)
Normally, medical expenses are reported at the end of the year. If you are using this form as your annual Eligibility Verification Report and Paragraph 6 of the EVR Instructions indicates that you should report medical expenses, use VA Form
9.SURVIVING SPOUSE'S EDUCATIONAL AND VOCATIONAL REHABILITATION EXPENSES (Read Paragraph 7 of the EVR Instructions). Show amounts paid by you during the past 12 months. DO NOT REPORT CHILDREN'S EXPENSES.
$
10A. SIGNATURE OF PAYEE (Read paragraph 9 of the EVR Instructions before signing)
10B. DATE SIGNED
10C. TELEPHONE NUMBERS (Include Area Code)
DAYTIME |
EVENING |
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PENALTY: The law provides severe penalties which include fine or imprisonment, or both, for the willful submission of any statement or evidence of a material fact, knowing it is false, or fraudulent acceptance of any payment to which you are not entitled.
VA FORM |
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