Form Ppb-8 - Property Tax Assistance Application - 2011 Page 2
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5Application for Filers of 2010 Income Tax
If you are not required to fi le an income tax return, complete the Non-Filer section on the next page instead.
My/our income tax fi ling status for 2010 is
Single ($19,930)
Married or Head of Household* ($26,573)
If you are required to fi le a tax return, use this form to calculate your total household income.
Important: Report the 2010 combined total household income of all owners who occupied the property as their
primary residence for at least seven months during the preceding calendar year.
Total Income (from the total income line on your income tax return)
................................$
,
.
Add Losses (do not include depreciation or depletion in the loss, report them below)
....$
,
.
Add Depreciation (all depreciation included in the total income calculation on your
income tax
return).............................................................................................................$
,
.
Add Depletion (all depletion included in the total income calculation on your income
tax return)
.........................................................................................................................$
,
.
Total household income
................................................................................................$
,
.
Important: You need to include a copy/copies of your 2010 income tax return(s) with this application.
If you have applied for an income tax fi ling extension provide a completed estimated income tax worksheet
(ESW) and provide a copy of your completed income tax return within ten days of fi ling it with the Internal
Revenue Service.
*11QQ0201*
*11QQ0201*
PPB-8
Rev. 01 11
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