Form Il-1363 - Application For Circuit Breaker Grant, License Plate Discount, And Optional Help Paying For Drugs (Pharmaceutical Assistance Or Seniorcare) - 2004 Page 5

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How to estimate your grant
(continued)
that you did not receive more than $55 per month
become 65 years of age during 2005. Divide the
of cash assistance in the aged, blind, and
estimated grant by 12 and multiply the result by
disabled categories.
the number of months during the year that you
were 65 years old.
Estimate chart for grant
Use this chart to help estimate the amount of your 2004 grant (see instructions).
Item 1
Find the next
Household Income (Line 25) - Find the next highest figure (round up)
lower figure
(round down)
Item 3
Item 2
Property
Rent
Tax
(Yearly)
75
300
75
5
205
820
205 135
65
335
1,340
335 265 195 125
55
465
1,860
465 395 325 255 185 115 45
595 525 455 385 315 245 160 70
35
595
2,380
725
2,900
700 610 520 430 340 250 160 70
70 70 25
855
3,420
700 610 520 430 340 250 160 70
70 70 70 70 15
985
3,940
700 610 520 430 340 250 160 70
70 70 70 70 70 70
5
1,115
4,460
700 610 520 430 340 250 160 70
70 70 70 70 70 70 70 65
1,245
4,980
700 610 520 430 340 250 160 70
70 70 70 70 70 70 70 70 70
700 610 520 430 340 250 160 70
70 70 70 70 70 70 70 70 70 70
1,375+
5,500+
Use the last line of this chart to estimate your grant for any amount of property tax paid that is more
than $1,375 or rent paid that is more than $5,500.
Questions about the license plate discount
What discount can I get for my
What if I want more information
vehicle’s license plates?
about the discount?
We will tell the Illinois Secretary of State if we
For further information,
have approved your Form IL-1363. They will
call:
send you a notice about the discount. When
1 800 252-2904
you go to the Illinois Secretary of State to pay
or visit:
your license plate fee, you will be eligible for a
$54 discount on the fee.
or write to:
May I use the license plate discount
SECRETARY OF STATE
for more than one vehicle?
RENEWALS SECTION
RM 500 HOWLETT BLDG
No. You may get the discount for the license
SPRINGFIELD IL 62756-7000
plate fee for one vehicle per household.
5
Apply every year
Renew by March 31
IL-1363 instructions (R-12/04)

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