Form 54-014a - Iowa Mobile/manufactured/modular Home Owner Reduced Tax Rate Application - 2007 Page 2

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Iowa Department of Revenue
2007 Iowa Mobile/Manufactured/Modular Home
Owner Application For Reduced Tax Rate
Instructions
WHO IS ELIGIBLE:
You are eligible to claim a reduced tax rate if your 2006 household income was less than $18,876 and you
were 23 years of age or older as of December 31, 2006. Household income includes income of the claimant,
the claimant’s spouse, and monetary contributions received from other persons living with the claimant.
Line 1: Wages, salaries, tips, etc. - Enter the total
Line 8: Profit from business and/or farming and
wages, salaries, tips, bonuses, and commissions
capital gains - Enter profit from business and/or
received.
farming, and any gains received from the sale or
exchange of capital assets. Capital losses are
Line 2: In-kind Assistance - Enter any portion of
limited to the same amount that you are allowed to
your housing expenses including utilities that were
report for income tax purposes. Any loss must be
paid for you. Do not enter Federal Energy
offset against gains, and a net loss must be
Assistance.
reported as zero.
Line 3: Title 19 Benefits - Enter your Title 19
Line 9: Monetary contributions - Enter money
benefits received for housing expenses. Do not
received from others living with you. Do not include
include medical benefits.
goods and services received.
Line 4: Social Security Income - Enter the total
Line 10: Other income - Enter total income
Social Security benefits received even if not
received from the following sources:
reportable for income tax purposes. Include any
Medicare premiums withheld.
(a) Child support and alimony payments.
(b) Welfare payments. Do not include non-
Line 5: Disability - Enter the total received for
cash government assistance (food,
disability or injury compensation, even if not
clothing, food stamps, medical supplies,
reportable for income tax purposes.
etc.)
Line 6: All pensions and annuities - Enter the
(c) Insurance income not reported
total received from pensions and annuities, even if
elsewhere.
not reportable for income tax purposes.
(d) Other income not reported on Lines 1
Line 7: Interest and Dividend income - Enter
through 9.
taxable interest income, plus all interest income
from federal, state and municipal securities.
Line 11: Total household income - Add Lines 1
through 10. Enter total here.
Enter taxable dividends and distributions received.
Include cash dividends and dividends paid in the
form of merchandise or other property and report at
fair market value.
This claim must be filed with your County
Treasurer by June 1, 2007.
For Assistance:
The treasurer may extend the filing deadline to
contact your
September 30, 2007,
or the Director of Revenue may extend the filing
county treasurer
deadline to December 31, 2007.
54-014b (8/07/06)

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