Form 104ptc Property Tax/rent/heat Rebate Application And Instructions - 2011

PLEASE READ ALL INSTRUCTIONS BEFORE COMPLETING THE FORMS.

(11/30/11)

2011

COLORADO 104PTC

Property Tax/Rent/Heat Rebate

Application and Instructions

★★★ PROVING LAwFUL U.S. PRESENCE IS MANDATORy ★★★

Applicants age 18 and older must sign the affidavit on the back of the PTC application and list

their valid Colorado driver’s license or ID number on the application. You must have a Colorado

State issued driver’s license or ID card before applying for the PTC. See page 8 for more

information about lawful presence.

You might qualify for the PTC if you are:

A Colorado resident;

and

A single person with total income of less than $12,313; or

A married couple with total combined income of less than $16,205;

and

At least 65 years old; or

A surviving spouse at least 58 years old; or

Disabled for all of 2011, regardless of age.

READ ALL INSTRUCTIONS BEFORE COMPLETING THE APPLICATION AND AFFIDAVIT

Check your rebate status at or 303-238-SERV (7378)

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Parent category: Financial