Form Tc-40cy - Indigent Abatement And Property Tax Credits Applications - Utah Department Of Revenue, 1998 Page 2

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Section 4 - Property Tax Credit
You must answer all 5 questions.
Yes
No
1.
Will you be age 65 or older before December 31, 1998?
or
Are you a widow or widower (not remaried)?
If you are a widow or widower, enter your spouse's date of death:_________. If filing for the first
time as a widow or widower, you must attach a copy of the Death Certificate of your deceased spouse.
Yes
No
2.
Was your household income (from section 2, line I) less than $21,644?
Yes
No
3.
Will you furnish your own financial support for 1998 (you cannot be claimed as a dependent on
someone's tax return)?
Yes
No
4.
Will you live in Utah for the entire year of 1998?
An applicant must be domiciled in Utah for the entire calendar to be eligible.
Yes
No
5.
Have all prior years' property tax obligations been paid?
If your name is not listed as the property owner of the Property Tax Billins Notice, attach legal documentation of
ownership. Only property tax on claimant's primary residence is eligible for property tax credit.
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
You must have owned your home on January 1, 1998 to qualify.
If you qualify for property tax credit, you may also qualify for low income credit, on the reverse side.
Section 5 - 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
(Spouse must sign if home is owned in joint tenancy)
X
X
Preparer's name and address or organization (if not claimant)
Preparer's telephone number
Property Tax Credit Schedule
For County Use Only
(estimated)
Tax amount
1997 Household
Property
Income
Tax Credit
Blind and/or veteran
Under
$7,358
$577
$7,359
$9,812
$504
Indigent abatement
$9,813
$12,264
$432
$12,265
$14,717
$324
Circuit breaker
$14,718
$17,171
$252
$17,172
$19,479
$144
$19,480
$21,644
$71
Net tax due
County government approval
Date approved
40CYB.FRM Rev. 4/98

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