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Instructions For Form 104 Ptc - Colorado Property Tax / Rent / Heat Rebate Application - 2006

PLEASE READ ALL INSTRUCTIONS BEFORE COMPLETING THE FORMS.

STATE OF COLORADO

PRSRT STD

DEPT OF REVENUE

U.S. POSTAGE

DENVER CO 80261-0005

PAID

DENVER, CO

PERMIT NO. 212

DO NOT MAIL RETURN UNTIL AFTER JANUARY 1ST.

2006

COLORADO

Property Tax / Rent / Heat Rebate

Application Form 104 PTC and Instructions

NEW FOR 2006– PROVING LAWFUL PRESENCE IN THE U.S.

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

valid Colorado driver's license number or identification number on the application. If you do not

have a valid Colorado license/ID number, you must either obtain one prior to applying for the

rebate or see page 7 for other options.

If you are a Colorado resident

• At least 65 years old,

• A surviving spouse at least 58 years old,

• Disabled for all of 2006, regardless of age;

AND

• You are a single person with income less than $11,000,

• A married couple with income of less than $14,700,

You may qualify for a property tax / rent / heat rebate.

Check on your refund at or (303) 238-FAST (3278).

Instructions For Form 104 Ptc - Colorado Property Tax / Rent / Heat Rebate Application - 2006