Form Il-1363 - Application For Circuit Breaker Grant, License Plate Discount, And Optional Help Paying For Drugs (Pharmaceutical Assistance Or Seniorcare) - 2004 Page 4
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20Questions about the grant
How much will my grant be?
to four months. If you send us your completed
Form IL-1363 after May 1, we will issue your
Your grant is figured by a formula using the
grant in approximately 10 weeks.
amount you paid in property tax or mobile
Your grant will be delayed if we need to request
home tax for the place where you lived and the
additional information from you or if funds are
amount of your total income.
not available.
Renters and nursing, retirement, or shelter
Note: If you are also applying for Pharmaceutical
care home residents: If you lived in a
Assistance or SeniorCare, send us your
residence that was subject to property tax, your
application by March 31 to avoid a delay in
grant is figured using a percentage of the
receiving your renewal coverage.
amount you paid in rent or nursing home
charges.
How can I find out the status of
my grant?
When will I receive my grant?
You can find out the status of your grant by
We can process applications (Form IL-1363)
filed on the Internet faster than those we receive
visiting our Web site at or
in the mail.
calling our automated telephone service at
1 800 624-2459.
If you send us your completed Form IL-1363
early in the year, we will issue your grant in three
How to estimate your grant
Use the following instructions for the “Estimate chart for grant” on Page 5.
Step 1
your Form IL-1363 by 2. Add these amounts together.
Then find the next lower figure using the “Property Tax”
Determine your total income on Line 25 of your
column (Item 2) on the left side of the chart.
Form IL-1363. Then find the next higher figure under
“Household Income” (Item 1) across the top of the
If you were a mobile home owner and paid lot
chart on Page 5.
rent:
Divide the amount written on Line 30 of your
Step 2
Form IL-1363 by 4. Add the amount of your mobile
If you were a homeowner:
home tax (Line 29 of your Form IL-1363). Then find
Find the amount written on Line 28 of your
the next lower figure using the “Property Tax” column
Form IL-1363. Then find the next lower figure using
(Item 2) on the left side of the chart.
the “Property Tax” column (Item 2) on the left side of
If you were a mobile home owner and a property
the chart.
owner:
If you were a renter:
Add the amounts written on Lines 28 and 29 of your
Find the amount written on Line 30 of your
Form IL-1363. Then find the next lower figure using
Form IL-1363. Then find the next lower figure using
the “Property Tax” column (Item 2) on the left side of
the “Rent” column (Item 3) on the left side of the
the chart.
chart.
Step 3
If you were in a nursing, retirement, or shelter
care home:
Find the point on the chart where the column and
Divide the amount written on Line 31 of your
row come together. This figure is your estimated
Form IL-1363 by 4. Then find the next lower figure
grant with a few exceptions. For example, your grant
using the “Rent” column (Item 3) on the left side of the
will be reduced if you
chart.
received more than $55 per month of cash
If you were a part-year homeowner and a
assistance in the aged, blind, and disabled
part-year renter:
categories (see Pages 13 and 14, Line 19
Divide the amount written on Line 30 of your Form
instructions). Divide the estimated grant by 12
IL-1363 by 4. Divide the amount written on Line 28 of
and multiply the result by the number of months
4
Apply every year
Renew by March 31
IL-1363 instructions (R-12/04)
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