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Iowa Department of Revenue

2009 Iowa Mobile/Manufactured/Modular Home

Owner Application For Reduced Tax Rate

Instructions

WHO IS ELIGIBLE:

You are eligible to claim a reduced tax rate if your 2008 household income was less than $20,031 and you

were 23 years of age or older as of December 31, 2008. Household income includes income of the claimant

and the claimant’s spouse, if living together, and monetary contributions received from other persons living

with the claimant. If the claimant and spouse are not living together, each may file a separate claim.

Line 1: Wages, salaries, tips, etc. - Enter the total

Line 8: Profit from business and/or farming and

wages, salaries, tips, bonuses, and commissions

capital gains - Enter profit from business and/or

received.

farming, and any gains received from the sale or

exchange of capital assets. Capital losses are

Line 2: In-kind Assistance - Enter any portion of

limited to the same amount that you are allowed to

your housing expenses including utilities that were

report for income tax purposes. Any loss must be

paid for you. Do not enter Federal Energy

offset against gains, and a net loss must be

Assistance.

reported as zero.

Line 3: Title 19 Benefits - Enter your Title 19

Line 9: Monetary contributions - Enter money

benefits received for housing expenses. Do not

received from others living with you. Do not include

include medical benefits.

goods and services received.

Line 4: Social Security Income - Enter the total

Line 10: Other income - Enter total income

Social Security benefits received even if not

received from the following sources:

reportable for income tax purposes. Include any

Medicare premiums withheld.

(a) Child support and alimony payments.

(b) Welfare payments. Report FIP and all

Line 5: Disability - Enter the total received for

other welfare program cash payments.

disability or injury compensation, even if not

Do not include foster grandparents’

reportable for income tax purposes.

stipends or non-cash government

Line 6: All pensions and annuities - Enter the

assistance (food, clothing, food stamps,

total received from pensions and annuities, even if

medical supplies, etc.)

not reportable for income tax purposes.

Line 7: Interest and Dividend income - Enter

elsewhere.

taxable interest income, plus all interest income

(d) Gambling, unemployment, and all other

from federal, state and municipal securities.

income not reported elsewhere.

Enter taxable dividends and distributions received.

Line 11: Total household income - Add Lines 1

Include cash dividends and dividends paid in the

through 10. Enter total here.

form of merchandise or other property and report at

fair market value.

This claim must be filed with your county

treasurer by June 1, 2009.

The treasurer may extend the filing deadline to

September 30, 2009,

or the Director of Revenue may extend the filing

For Assistance:

deadline to December 31, 2009.

contact your

county treasurer

54-014b (9/4/08)

Form 54-014a - Iowa Mobile/manufactured/modular Home Owner Application For Reduced Tax Rate - Iowa Department Of Revenue - 2009 Page 2

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