Form Mo-1040p - Property Tax Credit/pension Exemption Short Form - 2011 Page 13

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Attach a copy of Forms SSA-1099, a
Note:
letter from Social Security Ad min-
istration, a letter from Social Services
that includes the total amount of
assistance received and Employment
Security 1099, if applicable.
L
7 —
INE
Example:
N
L
(
)
ONBUSINESS
OSS
ES
Complete Line 7 only if nonbusiness
L
11 — O
Y
H
INE
WN
OUR
OME
losses reduced the amount reported
on Form MO-PTS, Line 1
Do
not include special assessments (sewer
lateral), penalties, service charges,
and interest listed on your tax receipt.
L
12 — R
Y
H
INE
ENT
OUR
OME
each
L
9 — F
S
INE
ILING
TATUS
D
EDUCTION
If you rent from a facility that does
not pay property taxes, you are not
eligible for a Property Tax Credit.
Single or Married Living Separate
Add the totals from Line 9 on all
Forms MO-CRP completed and enter
Married and Filing
on Line 12. Attach rent receipt(s) or
Combined
a signed statement from your land-
lord for any rent you are claiming,
along with Form MO-CRP. The rent
ENTIRE YEAR
receipt(s) or statement, must be signed
by the landlord and include his or her
Helpful Hint
tax identification or social security
did not
prior year
number and phone number. Copies of
ENTIRE YEAR
cannot
cancelled checks (front and back) will
be accepted if your landlord will not
L
10 — N
H
INE
ET
OUSEHOLD
provide rent receipts or a statement.
I
NCOME
Helpful Hint
ENTIRE YEAR
will not
ENTIRE YEAR

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