Form Ptr-1 - Property Tax Reimbursement Application - 2006 Page 2
Download a blank fillable Form Ptr-1 - Property Tax Reimbursement Application - 2006 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ptr-1 - Property Tax Reimbursement Application - 2006 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Income Worksheet A
Income Worksheet B
2005 Total Income
2006 Total Income
If you were married as of December 31, 2005, you must combine
If you were married as of December 31, 2006, you must combine
your income with your spouse’s income.
your income with your spouse’s income.
a. Social Security Benefits . . . . . . . . . ____________________
a. Social Security Benefits . . . . . . . . . ____________________
(including Medicare Part B premiums)
(including Medicare Part B premiums)
b. Total Pension Income . . . . . . . . . . . ____________________
b. Total Pension Income . . . . . . . . . . . ____________________
(including IRA and annuity income)
(including IRA and annuity income)
c. Salaries and Wages . . . . . . . . . . . . ____________________
c. Salaries and Wages . . . . . . . . . . . . ____________________
d. Bonuses, Commissions & Fees . . . ____________________
d. Bonuses, Commissions & Fees . . . ____________________
e. Unemployment Benefits . . . . . . . . . ____________________
e. Unemployment Benefits . . . . . . . . . ____________________
f. Disability Benefits (including
f. Disability Benefits (including
veterans’ and black lung benefits) . ____________________
veterans’ and black lung benefits) . ____________________
g. Interest (taxable & exempt) . . . . . . ____________________
g. Interest (taxable & exempt) . . . . . . ____________________
h. Dividends . . . . . . . . . . . . . . . . . . . . ____________________
h. Dividends . . . . . . . . . . . . . . . . . . . . ____________________
i. Net Capital Gains . . . . . . . . . . . . . . ____________________
i. Net Capital Gains . . . . . . . . . . . . . . ____________________
j. Net Rental Income . . . . . . . . . . . . . ____________________
j. Net Rental Income . . . . . . . . . . . . . ____________________
k. Net Business Income . . . . . . . . . . . ____________________
k. Net Business Income . . . . . . . . . . . ____________________
l. Support Payments . . . . . . . . . . . . . ____________________
l. Support Payments . . . . . . . . . . . . . ____________________
m. Inheritances . . . . . . . . . . . . . . . . . . ____________________
m. Inheritances . . . . . . . . . . . . . . . . . . ____________________
n. Royalties . . . . . . . . . . . . . . . . . . . . . ____________________
n. Royalties . . . . . . . . . . . . . . . . . . . . . ____________________
o. Gambling & Lottery Winnings . . . . . ____________________
o. Gambling & Lottery Winnings . . . . . ____________________
(including New Jersey)
(including New Jersey)
p. Bequests and Death Benefits . . . . . ____________________
p. Bequests and Death Benefits . . . . . ____________________
q. All Other Income . . . . . . . . . . . . . . . ____________________
q. All Other Income . . . . . . . . . . . . . . . ____________________
r. TOTAL . . . . . . . . . . . . . . . . . . . . . . . ____________________
r. TOTAL . . . . . . . . . . . . . . . . . . . . . . . ____________________
Was your total 2005 income less than $41,972 if you were single,
Was your total 2006 income less than $43,693 if you were single,
OR less than $51,466 (combined income) if you were married?
OR less than $53,576 (combined income) if you were married?
Yes. Enter the total amount on Line 7 and continue with
Yes. Enter the total amount on Line 8 and continue
Income Worksheet B.
completing the application.
No. STOP. You are not eligible for a property tax
No. STOP. You are not eligible for a property tax
reimbursement.
reimbursement.
Proof of Age or Disability for 2005 and 2006 Must Be Submitted With Application
Age 65 or Older. If you (or your spouse) indicated at Line 4a and/or 4b that you were 65 or older, you must submit proof of age with
your application. Examples of acceptable documentation include copies of the following:
Birth Certificate
Driver’s License
Church Records
Receiving Federal Social Security Disability Benefits. If you (or your spouse) were under 65 and indicated at Lines 4a and/or 4b that
you (or your spouse) were receiving Federal Social Security Disability Benefits, you must submit with your application a copy of the Social
Security Award Letter indicating that you (or your spouse) were receiving benefits for that year(s) based on your own social security
number.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial