Maine Residents Property Tax And Rent Refund Application - 2006
ADVERTISEMENT
1
2Maine Residents Property Tax
Maine Revenue
Services
and Rent Refund Application
00
PO Box 9116
Augusta, Maine 04332-9116
*0603700*
For Property Tax Assessed in 2005 or
2006
Rent Paid during 2005
revised:
IMPORTANT!
Your First Name
MI
Your Last Name
You must enter your SSN(s) and
date(s) of birth below.
Spouse’s First Name
MI
Spouse’s Last Name
Your Social Security Number
-
-
Mailing Address (PO Box, number, street and apt. no)
Your Date of Birth
-
-
Spouse’s Social Security Number
-
-
City
State
Zip Code
Spouse’s Date of Birth
-
-
Your Telephone Number
If applicant named above died during 2005, 2006 or
-
-
2007, enter date of death: ............................................ ¥ _______–
______ – _______
(Month)
(Day)
(Year)
If spouse died during 2005, 2006 or 2007,
enter date of death: ..................................................... ¥ _______–
______ – _______
(Month)
(Day)
(Year)
BE SURE TO ANSWER “Yes” or “No” to each question.
YOUR REFUND WILL BE DELAYED IF YOUR APPLICATION IS NOT COMPLETE.
Yes No
1a. Do you receive any federal disability payments such as social security disability benefi ts or supplemental
security income disability benefi ts? ....................................................................................................................... 1a.
1b. Does your spouse receive any federal disability payments such as social security disability benefi ts or
supplemental security income disability benefi ts? ................................................................................................ 1b.
1c. Were you a Maine resident for all of 2005? ............................................................................................................1c.
1d. Did you have a home or apartment in Maine for all of 2005 and live in your home or apartment for at least
6 months of 2005? ................................................................................................................................................ 1d.
1e. Whether you owned or rented your home, did you rent part of your home to others or use part of it for a business? . 1e.
2. Physical location of property where you lived during 2005 (if different from mailing address above): ___________________
_________________________________________________________________________________________________
If you paid rent in 2005, list your landlord’s name and telephone number: _______________________________________
_________________________________________________________________________________________________
3. Dependents. How many dependents do you have (DO NOT INCLUDE YOU OR YOUR SPOUSE)? ...................
List your dependents below. If you have more than 2 dependents, list them on a separate sheet of paper.
Dependent’s First Name
Dependent’s Social Security Number
3a. Does this dependent receive any federal
-
-
Yes No
disability payments such as social security
Dependent’s Last Name
Dependent’s Date of Birth
disability benefi ts or supplemental security
-
-
income disability benefi ts? ..........................
Dependent’s First Name
Dependent’s Social Security Number
3b. Does this dependent receive any federal
-
-
Yes No
disability payments such as social security
Dependent’s Last Name
Dependent’s Date of Birth
disability benefi ts or supplemental security
-
-
income disability benefi ts? ..........................
,
.
4. Enter property tax assessed on your home in 2005 (See instructions on pages 6 and 7) ........ 4. $
(If your property tax bill is more than $2,500, attach the copy of the tax bill that has your name on it.)
a. Was your home on a rented lot? .......................................................................................................4a.
Yes
No
,
.
5. Enter total rent you paid on your home or lot in 2005 (Do not include mortgage payments) ........... 5. $
(If your rent is over $9,000, attach copies of your rent receipts.)
a. Does the rent on line 5 include heat? ...............................................................................................5a.
Yes
No
b. Was your rent reduced or paid in part by the government? ..............................................................5b.
Yes
No
Turn page over and fi ll out other side
Printed under Approp. 010.18F.0002.07
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial