Form 104 Ptc - Colorado Property Tax/rent/heat Rebate Application - 2016

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(09/23/16)
Property Tax/Rent/Heat Rebate
Form 104PTC
Colorado Property Tax/Rent/Heat Rebate Filing Guide
You might qualify for the PTC if you are:
• A Colorado resident;
and
• A single person with total income of less than $13,234; or
• A married couple with total combined income of less than $17,839;
and
• At least 65 years old; or
• A surviving spouse at least 58 years old; or
• Disabled for all of 2016, regardless of age, and received benefits for the full
year.
PTC Booklet Includes:
Instructions
Form 104PTC Application
Official State of
Affidavit
Colorado Publication
Proving lawful U.S. presence is mandatory
Applicants age 18 and older must sign the affidavit of the PTC application and list their
valid Colorado driver license or ID number on the application. You must have a Colorado
State issued driver license or ID card before applying for the PTC. See the last page of
this booklet for more information about lawful presence.
Read all instructions before completing the application, forms and affidavit. Check your rebate status at

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