Form Tc-40cb - Property Tax/renter Refund Application - Utah Tax Comission, 1998 Page 2
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1
2If you qualify for a property tax/renter refund, complete the sections as follows:
Renters:
Complete
Section 1
- "Renters Only", and
Section 4
- "Certification and Signature".
Homeowners:
Complete
Section 2
- "Homeowners Only", and
Section 4
- "Certification and Signature".
Mobile Homeowners:
Complete
Section 3
- "Mobile Homeowners Only", and
Section 4
- "Certification and Signature".
Complete this section for each place you rented
during 1997.
If you
Section 1 - Renters Only
received rental assistance, you can only claim that portion of rent you paid.
Name and telephone number
Date rented
Total
Monthly rent
Total rent
Address and apartment number
of landlord or manager
from - to
months
you paid
you paid
Total rent you paid in 1997
(This amount should not include the cost of utilities)
Include a copy of your
1998 Property Tax Billing Notice
Section 2 - Homeowners Only
(
not
the Notice of Property
Valuation
).
If your name is not listed as property owner on the Property Tax Billing Notice, include legal documentation of
ownership. Only property tax on claimant's primary residence is eligible for property tax credit.
Enter your property tax serial number (from your 1998 Property Tax Billing Notice)
Include a copy of your 1998 Property Tax Billing Notice with the application.
Is your home located on property
that exceeds one acre
?
Yes
No
If yes, total number of acres
Do you rent out a portion of your home?
Yes
No
If yes, what percent is rented
Do you use a portion of your home for business?
Yes
No
If yes, what percent is used
Do you own another residence in Utah?
Yes
No
$
Amount of 1998 Property Tax You Paid
(you must have owned your home on January 1, 1998 to qualify)
Include a copy of your
1998 Property Tax Billing Notice
Section 3 - Mobile Homeowners Only
(
not
the Notice of Property
Valuation
).
If owned, and your name is not listed as property owner on the Property Tax Billing Notice, include legal documen-
tation of ownership. If you rent your mobile home or mobile home property, complete Section 1, above.
Own
Rent
Is your mobile home owned or rented?
If you owned your mobile home on January 1, 1998, enter the amount of 1998
$
property taxes that you paid. If you rented your mobile home, enter the amount
of rent paid in 1997, excluding utilities.
Own
Rent
Is the property that your mobile home sits on owned or rented?
If you owned your property on January 1, 1998, enter the amount of 1998 property
$
taxes paid. If you rented the property, enter the amount of rent paid in 1997,
excluding utilities.
Section 4 - 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 claimant
Date
Signature of spouse
Date
X
X
Preparer's name and address or organization (if not claimant)
Preparer's telephone number
Return this application to Customer Service Division, Utah State Tax Commission, 210 N 1950 W, SLC, UT 84134-0800
Maximum Refund Schedule
For More Information Contact:
Household Income
Renter's Refund
Maximum
Golden Years Center (Bountiful) 295-3479 or 297-3470
% of rent
Refund
Range
Salt Lake County Division of Aging 468-2480
Under
$7,358
9.5%
$577
Heritage Center (Clearfield) 773-7065
$7,359
$9,812
8.5%
$504
Davis County Council on Aging 451-3377
$9,813
$12,264
7.0%
$432
Autumn Glows Center (Kaysville) 544-1235 or 544-1250
$12,265
$14,717
5.5%
$324
Utah State Tax Commission 297-2200 or outside Salt Lake
$14,718
$17,171
4.0%
$252
$17,172
$19,479
3.0%
$144
area, 1-800-662-4335
$19,480
$21,644
2.5%
$71
40CBB.FRM Rev. 4/98
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