Fillable Form 90r - Oregon Elderly Rental Assistance

Losses on sales (to extent used in

Women, Infants, and Children

determining AGI) (limited to $1,000) ......... Yes

program (WIC) .................................................. No

From sales of real or personal

Railroad Retirement Board benefits ......... Yes

property (nonbusiness) ................................... No

Refunds

Lottery winnings .......................................... Yes

Earned income credit ........................................ No

Lump‑sum distribution (less cost

Federal tax ........................................................... No

recovery) .......................................................... Yes

Property tax ........................................................ No

Military and veteran’s benefits

Oregon income tax ............................................. No

(taxable and nontaxable)

Combat pay .................................................. Yes

Other states’ income tax (if in federal AGI) ...Yes

Disability pensions ..................................... Yes

Prior-year rental assistance payment .............. No

Educational benefits (GI Bill) ..................... Yes

Reimbursements (in excess of expenses) ... Yes

Family allowances....................................... Yes

Pensions ........................................................ Yes

Rental allowances paid to ministers

Net operating loss carryback and carryover ... No

not included in federal AGI ........................ Yes

Partnership income (reduced by

Rental and royalty income (reduced by

expenses) (losses limited to $1,000) ............. Yes

Parsonage (rental value) or housing

Residence sales (see gains on sales) .......... Yes

allowance in excess of expenses

used in determining federal AGI .............. Yes

Retirement benefits (see pensions and

Pensions and annuities (taxable and

Social Security) .............................................. Yes

nontaxable) (reduced by cost

Scholarships (totaling more than $500) .... Yes

recovered in the current year) ..................... Yes

Sick pay ........................................................... Yes

Prizes and awards ......................................... Yes

Public assistance benefits ............................ Yes

Social Security (taxable and nontaxable) ... Yes

Aid to blind and disabled .......................... Yes

Children’s benefits paid to parent ............ Yes

Child care payments ................................... Yes

Children’s benefits paid to your child ............. No

Child support included in public

Disability pension ....................................... Yes

assistance ..................................................... Yes

Medicare payments of medical expenses ....... No

Direct payments to nursing home ................... No

Food stamps (or cash payments in lieu

Medicare premiums deducted from

of food stamps) .................................................. No

Social Security ............................................ Yes

Fuel assistance .................................................... No

Old-age benefits ........................................... Yes

In-home services approved by the

Social Security Disability Insurance

Department of Human Services ..................... No

(SSDI) ........................................................... Yes

Medical payments to doctors ........................... No

Supplemental Security Income (SSI) ........ Yes

Oregon Supplemental Income

Program (OSIP) .......................................... Yes

Survivor benefits ......................................... Yes

Payments for medical care, drugs,

Stipends (totaling more than $500) ........... Yes

medical supplies, and services for

which no direct payment is received ............. No

Strike benefits ............................................... Yes

Reimbursements of expenses paid or

Support from parents who don’t live

incurred by participants in work

in your household ......................................... Yes

or training programs ........................................ No

Special Shelter Allowance ................................ No

Trust income ................................................... Yes

Surplus food ....................................................... No

Temporary assistance to needy families ... Yes

Unemployment compensation .................... Yes

Wages ............................................................... Yes

150-545-002 (Rev. 12-14)

Form 90r - Oregon Elderly Rental Assistance - 2014 Page 6

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