Form Mo-Ptc - Property Tax Credit Claim - 1999 Page 3

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PAGE 3
PART 1 — HOMESTEAD TAX COMPUTATION
NOTE: Homestead tax is limited to the amount paid on the single receipt or single assessment where your dwelling is located. If a mobile
home was occupied, enter total personal property tax paid on receipt, which includes your mobile home. Do not include special assess-
ments, interest or penalties.
00
1. Enter the total 1999 real estate tax paid to the county by you on the homestead occupied . . . . . . . . . . . . . . . . . . . .
1
00
2. Enter the total 1999 city real estate tax paid to the city by you on the homestead occupied . . . . . . . . . . . . . . . . . . . .
2
00
3. Total 1999 real estate taxes paid to the county and city — add Lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
00
3a. Enter the total 1999 school taxes paid by you on the homestead occupied . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3a
4.
Enter the percentage of your real estate tax that is applicable for figuring your property tax credit.
a. If your homestead is part of a farm: Enter number of acres on single assessment where
your dwelling is located.
Number of acres
Enter percentage on Line 4 which is applicable to your dwelling and surrounding land, as is reasonably necessary
for use of the dwelling as a home, not to exceed five acres. Enclose Form 948, Assessor’s Certification, to
verify percentage claimed. This form is available at local Department of Revenue Tax Assistance
Centers or you may download the form from the Internet at:
b. If part of your homestead is used for rental or business purposes: Indicate the following:
Total number of rooms in home.
Total number of rooms used for rental or business purposes.
Enter percentage on Line 4 which is applicable to the portion of home used as homestead. Exclude portion
used for rental or business purposes.
c. If your homestead is a mobile home: Indicate model
year
size
. Enter percentage applicable to your homestead on Line 4. Exclude portion of tax
which applies to auto or other personal property.
d. If your homestead is occupied by two (2) or more individuals (not a married couple) enter the appropriate
percentage for the individual filing this claim. (If you have already decreased your percentage on Line 4a, 4b
or 4c, you must multiply that percentage by the percentage you figured for Line 4d.) If occupied entirely
by you, enter 100%. Enter the correct percentage on Line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
%
5. Allowable homestead real estate or property taxes paid (multiply Line 3 by percent entered on Line 4). Enter
00
allowable homestead tax on Step 4, Line 12, page 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5a. Allowable homestead school taxes paid (multiply Line 3a by percent on Line 4). Enter allowable homestead
00
school tax on Step 4, Line 12a, page 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5a
IMPORTANT — ENCLOSE COPIES OF 1999 REAL ESTATE TAX RECEIPT(S) AND/OR FORM MO-CRP, INCOME AND BENEFITS DOCUMENTA-
TION (FORM W-2s, FORM 1099s, ETC.), FEDERAL FORM 1040A, SCHEDULE 3, RENT RECEIPTS AND GUARDIAN STATEMENTS. If you are a
100% service connected disabled veteran, enclose a copy of the letter received from the Department of Veterans Affairs that indicates your
qualifications as a 100% service connected disabled veteran. If you file a Form MO-1040, this claim should be enclosed with that form. Enter
amount from Form MO-PTC, Line 15 on Form MO-1040, Line 36, OR if you do not file a Form MO-1040, complete, sign and mail this claim to:
DEPARTMENT OF REVENUE, P.O. BOX 2800, JEFFERSON CITY, MO 65105-2800. DUE DATE FOR FILING IS APRIL 17, 2000. Mortgage state-
ments and cancelled checks are not acceptable substitutes for your tax receipt. If you occupied a mobile home on which you paid personal
property tax, enclose a copy of your 1999 personal property tax receipts. If tax receipt(s) does not indicate your name, state your relationship
to person(s) named.
MO 860-1089 (11-99)

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