Form Tc-40cy - Low Income Abatement And Homeowner'S Tax Credit Application - 2013 Page 2
Download a blank fillable Form Tc-40cy - Low Income Abatement And Homeowner'S Tax Credit Application - 2013 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 Tc-40cy - Low Income Abatement And Homeowner'S Tax Credit Application - 2013 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
2Section 4 - Homeowner's Tax Credit Applicant must answer all 4 questions.
1. Will you be age 66 or older on or before December 31, 2013, or Are you a widow or widower? If you are a
Yes
No
widow or widower, enter your spouse's date of death:________________.
If filing for the first time as a widow or widower, attach a copy of your deceased spouse's Death Certificate.
2. Was the total household income (from Section 2, line K) less than $30,688?
Yes
No
3. Will you furnish your own financial support for 2013? (You cannot be claimed as a dependent on someone
Yes
No
else's tax return for 2013.)
4. Will you live in Utah for the entire year of 2013?
Yes
No
You must be domiciled in Utah for the entire 2013 calendar year to be eligible.
If your name is not listed as the property owner of the Property Tax Billing Notice, attach legal documentation of ownership.
Only property tax on applicant's primary residence is eligible for property tax credit.
Yes
No
If yes, total number of acres
Is the home located on property that exceeds one acre?
Yes
No
If yes, what percent is rented
Is any portion of the home rented out?
Yes
No
If yes, what percent is used
Is a portion of the home used for business?
You must have owned the home on January 1, 2013 to qualify.
If you qualify for property tax credit, you may also qualify for low income abatement, on the front of this form.
Under state and federal law we are prohibited from processing this application
Section 5 - Residency Status of Applicant
or issuing a credit to any person who fails to provide this information.
Check one (providing false information subjects the signer to penalties for perjury):
1.
I am a U.S. citizen and have provided my Social Security Number on the front of this form.
2.
I qualify under 8 U.S.C. 1641 and I am present in the U.S. lawfully.
I-94 Number*: __ __ __ __ __ __ __ _
If you checked box 2, you must file this form
Alien Registration Number*: __ __ __ __ __ _ __ __
in person and bring proof of your I-94 Number
*The I-94 (arrival/departure) number and the Alien Registration
and Alien Registration Number.
Number are issued by the U.S. Citizenship and Immigration Service.
Under penalties of perjury, I declare that I am a U.S. citizen OR that I qualify under 8 U.S.C 1641 and am present in the
United States lawfully.
Signature of applicant
Date signed
X
Section 6 - Certification and Signature Read certification, sign and date.
Under penalties of perjury, I declare to the best of my knowledge and understanding, this information is true, correct and complete.
Signature of applicant
Date
Signature of spouse
Date
(Spouse must sign if home is owned in joint tenancy)
X
X
Preparer's name and address or organization (if not applicant)
Preparer's telephone number
For Tax Commission Use Only
For County Use Only
CB used by county
CB available (max-used)
Tax amount
CB rent possible
CB rent issue <= CB available
Blind and/or veteran
Homeowner's Valuation Reduction (additional 20%)
Property Tax Credit /Renter's Refund Schedule
Circuit breaker
Renter Refund
Total Maximum
2012 Household
Maximum
Total Maximum
Low income abatement
% of Lot Rent
Renter Refund
Income
Homeowner
Homeowner &
Tax Credit
Rental Refund
0
$10,433
$909
9.5%
$909
$1,818
Net tax due
$10,434
13,913
793
8.5%
793
1,586
13,914
17,389
680
7.0%
680
1,360
County government approval
Date approved
17,390
20,867
509
5.5%
509
1,018
20,868
24,347
396
4.0%
396
792
24,348
27,618
227
3.0%
227
454
27,619
30,688
112
2.5%
112
224
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial