Form Nj-1040-H - Property Tax Credit Application - 2013

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State of
2013 NJ-1040 -H
New Jersey
Property Tax
040HW01130
Credit Application
Division of Taxation
IMPORTANT!
Last Name, First Name, Initial (
Joint filers enter first name & initial of each - Enter spouse/CU partner last name ONLY if different)
YOU MUST ENTER YOUR SSN(s).
Your Social Security Number
Home address
(Number and Street, including apartment number or rural route)
Spouse's/CU Partner's SS No.
City / Town / Post Office
State
Zip Code + 4 (or Canadian Postal Code)
County/Municipality
Code
Change of Address
(See Table p. 51)
Place label on form if all preprinted information is correct. Otherwise, print or type your name and address.
1.
Single
2.
Married/CU couple, filing joint return
NJ RESIDENCY STATUS
Married/CU Partner, filing separate return. Enter
6. If you were a New Jersey
3.
From:
Spouse’s/CU Partner’s SS No in the boxes above
resident for ONLY part of the
4.
Head of Household
taxable year, give the period
of New Jersey residency:
To:
Qualifying widow(er)/ Surviving CU Partner
5.
Do Not File This Property Tax Credit Application If You:
• Have Filed Or Will File a 2013 New Jersey Resident Return, Form NJ-1040; Or
• Were a New Jersey Homeowner on October 1, 2013; Or
• Were Under Age 65 and NOT Blind or Disabled on December 31, 2013; Or
• Had New Jersey Gross Income for 2013 of More Than $20,000 (More Than $10,000
if Filing Status is Single or Married/CU Partner, Filing Separate Return).
Yes
No
Yes
No
7a. On December 31, 2013, were you age 65 or older?
Yourself
Spouse CU/Partner
Yes
No
Yes
No
7b. On December 31, 2013, were you blind or disabled?
Yourself
Spouse CU/Partner
If you (and your spouse/CU partner) did not meet the age or disability requirements, do not file Form NJ-1040-H. See instructions.
Yes
No
8.
On October 1, 2013, did you own and occupy a home in New Jersey as your principal residence?
If “Yes,” STOP. Do not file Form NJ-1040-H. See instructions.
9.
Indicate whether at any time during 2013 you either owned a home or rented a dwelling in New Jersey as your principal residence on which
property taxes (or rent) were paid. Fill in the appropriate oval. If you were both a homeowner and a tenant during the year, fill in “Both.”
Homeowner
Tenant
Both
Neither
Check only one
If “Homeowner” or “Tenant” or “Both,” you may be asked to provide proof of property taxes or rent paid on your principal residence.
If you were neither a homeowner nor a tenant, STOP. You are not eligible for a property tax credit. Do not file Form NJ-1040-H.
10. Enter your NEW JERSEY GROSS INCOME
10
Enter the amount of income you would have reported on Line 28, Form NJ-1040 if you had filed the tax return. See instructions.
This is a Property Tax Credit Application for Certain Homeowners and Tenants.
There is no tenant rebate application available for 2013 since tenant rebates for 2009, 2010,
2011 and 2012 were suspended by the State Budget.
Division
Use
Under the penalties of perjury, I declare that I have examined this property tax credit application, including accompanying schedules and
If you do not need forms
statements, and to the best of my knowledge and belief, it is true, correct, and complete. If prepared by a person other than taxpayer,
mailed to you next year, fill in
this declaration is based on all information of which the preparer has any knowledge.
(See instruction page 13)
Signature
Date
I authorize the Division of
Check box if enclosing copy of death certificate for deceased taxpayer. (See instruction page 11)
Taxation to discuss my return
and enclosures with my
preparer.
Spouse’s/CU Partner’s Signature (if filing jointly, BOTH must sign)
Date
Federal Identification Number
Mail your Property Tax Credit
Application to:
Paid Preparer's Signature
NJ Division of Taxation
Revenue Processing Center
Firm's Name
Federal Employer ID No.
PO Box 555
Trenton, NJ 08647-0555
Page
NJ 1040
Rev 3 11/2013
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