Form Mo-Crp - Certification Of Rent Paid For 2005

ADVERTISEMENT

2005
• Read instructions.
• Print or type.
MISSOURI DEPARTMENT OF REVENUE
FORM
Failure to provide landlord information will
CERTIFICATION OF RENT PAID FOR 2005
MO-CRP
result in denial or delay of your claim.
1. SOCIAL SECURITY NUMBER
SPOUSE’S SOCIAL SECURITY NUMBER
ARE YOU RELATED TO YOUR LANDLORD?
YES
NO
IF YES, EXPLAIN.
2. NAME
3.
LANDLORD’S NAME, SOCIAL SECURITY NO., OR FEIN (MUST BE COMPLETED)
ADDRESS OF RENTAL UNIT (DO NOT LIST P.O. BOX)
LANDLORD’S ADDRESS, CITY, STATE, AND ZIP CODE (MUST BE COMPLETED)
CITY, STATE, AND ZIP CODE
4.
LANDLORD’S PHONE NUMBER (MUST BE COMPLETED)
(
)
5. RENTAL PERIOD
FROM:
MONTH
DAY
YEAR
TO:
MONTH
DAY
YEAR
—
—
2005
—
—
2005
DURING YEAR
6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment or the entire year, a statement from your landlord,
00
or copies of cancelled checks (front and back). If receiving housing assistance, enter the amount of rent YOU paid. . . .
6
7. Check the appropriate box and enter the corresponding percentage on Line 7.
A. APARTMENT, HOUSE, MOBILE HOME, OR DUPLEX — 100%
B. MOBILE HOME LOT — 100%
C. BOARDING HOME / RESIDENTIAL CARE — 50%
D. SKILLED OR INTERMEDIATE CARE NURSING HOME — 45%
E. HOTEL If meals are included, enter — 50%; Otherwise, enter — 100%
F. LOW INCOME HOUSING — 100%
(Rent cannot exceed 40% of total household income.)
G.
SHARED RESIDENCE
— If you shared your rent with relatives and/or friends
(other than your spouse
or children under
18), check the appropriate box and enter percentage.
%
Additional persons sharing rent/percentage to be entered:
1 (50%)
2 (33%)
3 (25%)
. . . . .
7
8. Net rent paid — Multiply Line 6 by the percentage on Line 7. ENTER HERE AND IN THE BOX ON
00
FORM MO-PTS, LINE 12a OR FORM MO-PTC, LINE 10a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
For Privacy Notice, see the instructions.
MO 860-1089 (11-2005)
2005
• Read instructions.
• Print or type.
MISSOURI DEPARTMENT OF REVENUE
FORM
Failure to provide landlord information will
CERTIFICATION OF RENT PAID FOR 2005
MO-CRP
result in denial or delay of your claim.
1. SOCIAL SECURITY NUMBER
SPOUSE’S SOCIAL SECURITY NUMBER
ARE YOU RELATED TO YOUR LANDLORD?
YES
NO
IF YES, EXPLAIN.
2. NAME
3.
LANDLORD’S NAME, SOCIAL SECURITY NO., OR FEIN (MUST BE COMPLETED)
ADDRESS OF RENTAL UNIT (DO NOT LIST P.O. BOX)
LANDLORD’S ADDRESS, CITY, STATE, AND ZIP CODE (MUST BE COMPLETED)
CITY, STATE, AND ZIP CODE
4.
LANDLORD’S PHONE NUMBER (MUST BE COMPLETED)
(
)
5. RENTAL PERIOD
FROM:
MONTH
DAY
YEAR
TO:
MONTH
DAY
YEAR
—
—
2005
—
—
2005
DURING YEAR
6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment or the entire year, a statement from your landlord,
00
or copies of cancelled checks (front and back). If receiving housing assistance, enter the amount of rent YOU paid. . . .
6
7. Check the appropriate box and enter the corresponding percentage on Line 7.
A. APARTMENT, HOUSE, MOBILE HOME, OR DUPLEX — 100%
B. MOBILE HOME LOT — 100%
C. BOARDING HOME / RESIDENTIAL CARE — 50%
D. SKILLED OR INTERMEDIATE CARE NURSING HOME — 45%
E. HOTEL If meals are included, enter — 50%; Otherwise, enter — 100%
F. LOW INCOME HOUSING — 100%
(Rent cannot exceed 40% of total household income.)
G.
SHARED RESIDENCE
— If you shared your rent with relatives and/or friends
(other than your spouse
or children under
18), check the appropriate box and enter percentage.
%
Additional persons sharing rent/percentage to be entered:
1 (50%)
2 (33%)
3 (25%)
. . . . .
7
8. Net rent paid — Multiply Line 6 by the percentage on Line 7. ENTER HERE AND IN THE BOX ON
00
FORM MO-PTS, LINE 12a OR FORM MO-PTC, LINE 10a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
For Privacy Notice, see the instructions.
MO 860-1089 (11-2005)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Mo-ptc - Property Tax Credit Claim Fillable Calculating - 2012, Form Mo-crp - Certification Of Rent Paid For 2012 Form Mo-ptc - Property Tax Credit Claim Fillable Calculating - 2012, Form Mo-crp - Certification Of Rent Paid For 2012 Financial
Form Mo-pts - Property Tax Credit - 2012, Form Mo-crp - Certification Of Rent Paid For 2012 Form Mo-pts - Property Tax Credit - 2012, Form Mo-crp - Certification Of Rent Paid For 2012 Financial
Form Mo-pts - Property Tax Credit - 2013, Form Mo-crp - Certification Of Rent Paid For 2013 Form Mo-pts - Property Tax Credit - 2013, Form Mo-crp - Certification Of Rent Paid For 2013 Financial
Form Mo-ptc - Property Claim Credit - 2013, Form Mo-crp - Certification Of Rent Paid For 2013 Form Mo-ptc - Property Claim Credit - 2013, Form Mo-crp - Certification Of Rent Paid For 2013 Financial
Form Mo-crp - Certification Of Rent Paid For 2015 - Missouri Department Of Revenue Form Mo-crp - Certification Of Rent Paid For 2015 - Missouri Department Of Revenue Financial
Form Mo-crp - Certification Of Rent Paid For - 2001 Form Mo-crp - Certification Of Rent Paid For - 2001 Legal
Form Mo-crp - Certification Of Rent Paid For 2009 Form Mo-crp - Certification Of Rent Paid For 2009 Financial
Form Mo-crp - Certification Of Rent Paid For 2006 Form Mo-crp - Certification Of Rent Paid For 2006 Financial
Form Mo-crp - Certification Of Rent Paid For 2014 Form Mo-crp - Certification Of Rent Paid For 2014 Financial
Form Mo-crp - Certification Of Rent Paid For 2010 Form Mo-crp - Certification Of Rent Paid For 2010 Financial

Related Categories

Parent category: Financial
Download
Go