Instructions And Benefits Information For Form Il-1363 - Illinois Department Of Revenue - 2002 Page 18
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20You may need to attach...
Please write your name and Social Security number on each attachment.
any information about minor dependent children
Proof of taxable and nontaxable
receiving Social Security, SSI, or child support.
benefits for Lines 17 and 18
(These types of benefits are not considered
If you received pensions and/or veteran’s benefits
income and should not be reported in Step 3.)
that are nontaxable and you want to help prevent
any other information to explain how you are
delays in receiving your Circuit Breaker grant or
able to pay high property tax or mobile home
prescription coverage, you must send us a copy of
tax on a limited income.
each of your annual statements showing both
taxable and nontaxable benefits.
Proof of rent you paid
If your income on Line 25 is less than or close to the
Proof of a loss of income
amount you paid in rent and you want to help
If you are claiming a loss of income on Lines 22, 23,
prevent delays in receiving your Circuit Breaker grant
or 24, you must attach a copy of your federal income
or prescription coverage, send us the following:
tax return as proof of any loss you report. If you did
If you are a renter —
not file a federal income tax return, you must send
attach a copy of your rental or lease agreement, a
us a detailed explanation of the loss and how you
notarized statement from your landlord, or cancelled
figured it.
checks documenting the rent you paid in 2002.
Proof of property tax or mobile
If you rented or leased the land on which your
mobile home is located —
home tax you paid
attach a copy of your rental or lease agreement, a
If your income on Line 25 is less than or close to the
notarized statement from the land owner, or
amount you paid in property tax or mobile home tax
cancelled checks documenting the amount you paid
and you want to help prevent delays in receiving
in 2002.
your Circuit Breaker grant or prescription coverage,
In addition —
send us the following:
attach the following information to explain how you
If you own your home —
are able to pay high rent on a limited income. On a
attach a copy of your property tax bill or mobile home
separate sheet of paper, tell us
tax bill, receipts from your county government, or
whether family or friends helped pay your rent
cancelled checks documenting the property tax or
or whether your rent was subsidized and the
mobile home tax you paid in 2002.
amount paid on your behalf. (List only the
In addition —
amount you paid on Line 30.)
attach the following information to explain how you
whether other expenses were included in your
are able to pay high property tax or mobile home tax
rent; for example, electric bills. (If your rent
on a limited income. On a separate sheet of paper,
included food, check “yes” on Line 30.)
tell us
your portion of rent, if you shared your home
whether family or friends helped pay your
with someone other than your spouse or any
property tax or mobile home tax and the
qualified additional resident. (If anyone else
amount they paid on your behalf.
lived with you and paid you rent in 2002, write
your portion of property tax or mobile home tax,
the amount you received in rental income on
if you shared your home with someone other
Line 22 and complete Lines 26a and 26b.)
than your spouse or any qualified additional
any information about minor dependent children
resident. (If anyone else lived with you and paid
receiving Social Security, SSI, or child support.
you rent in 2002, write the amount you received
(These types of benefits are not considered
in rental income on Line 22 and complete
income and should not be reported in Step 3.)
Lines 26a and 26b.)
any other information to explain how you are
able to pay high rent on a limited income.
18
Avoid a delay
Apply by March 31
IL-1363 instructions (R-12/02)
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