Instructions For Form 140ptc - Property Tax Refund (Credit) Claim - 2013 Page 3

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Arizona Form 140PTC
3. You were renting a mobile home lot.
You must figure the income for each household member.
Household income is the total of each household member's
4. You were a nursing home resident.
income. Enter your income in column (1). If your spouse
Line 5 -
lived with you, enter your spouse's income in column (2). If
you lived with another person, enter that person's income in
Check "Yes" if you were a resident of Arizona for the whole
column (3). If you lived with more than one other person,
year, (from January 1, 2013, to December 31, 2013.) To
fill out a separate schedule for each other person.
qualify for the property tax credit, you must have lived in
Arizona for the whole year.
In the proper column list all income, except as noted below.
Line 6 -
Do not include income from the following.
Social security benefits
Check "Yes" if one of the following applies.
Railroad Retirement benefits
1. You paid property taxes on your main home in Arizona
Workers' Compensation "Loss of Time" insurance payments
during 2013.
2. You paid rent on your main home in Arizona for all of
Arizona unemployment insurance payments
2013.
Veteran's disability pensions
3. You paid both rent and property taxes on your main
Welfare payments, surplus food, or other relief provided
home in Arizona for all of 2013.
by a governmental agency
4. You were a resident of a nursing home in Arizona. That
Gifts from non-governmental sources
nursing home was subject to and paid property taxes.
Form 140PTC refunds received last year
You used your social security or other personal funds to
To find out more about household income and adjusted gross
pay the nursing home.
income for this credit, see the department's tax ruling ITR 12-1.
5. You were a shareholder of a cooperative corporation in
Arizona. The unit that you lived in was your main home
Line A -
during 2013.
Enter the salaries, wages, tips, commissions, or bonuses etc.,
6. You were a member of a condominium association in
received by each member of the household in 2013.
Arizona. Your unit was your main home during 2013.
Line B -
Line 7 -
Enter all dividend and interest income. Enter all amounts
Check "Yes" if this is the only PTC being claimed in your
received by each member of the household in 2013. You
household.
must include interest income that Arizona does not tax.
Interest income that you must enter here includes the
NOTE: Arizona law allows only one 140PTC claimant per
following.
household per year. If someone else in your household has
already filed a 140PTC claim for 2013, do not file this
Interest
income
from
federal
obligations
(U.S.
claim. If you have already filed a claim for 2013, do not file
government interest)
another Form 140PTC for 2013, unless you are amending
Interest income from Arizona municipalities
your original claim for 2013.
Line C -
To qualify for the tax credit, your answers to questions 5
Enter all of the business and farm income. Enter all business
through 7 must be "Yes."
and farm income for each member of the household. If you
Line 8 -
had a business or farm loss, see Individual Income Tax
Ruling ITR 12-1 for more information.
Check "Yes" if you were 65 or older on December 31, 2013.
Line D -
(You must enter your date of birth under line 3, in Box 79.)
For each member of the household combine gains and losses
Line 9 -
from the sale or exchange of property. If the result is a gain,
Check "Yes" if you received Title 16 SSI payments in 2013.
enter the gain. If the result is a loss, enter only up to a
maximum of ($1,500).
NOTE: This is not the normal social security disability.
This is for people with limited incomes who are either blind,
When figuring household income, the maximum net loss of
disabled, or over age 65.
$1,500 is applicable to each household member who had
capital gains and losses during the year when the net result
To qualify for the tax credit you must have answered "Yes"
for that person resulted in a loss.
to either question 8 or 9.
Line E -
Income
Enter the income that each member of the household
received from pensions and annuities in 2013. You should
Turn the form over and complete the "Schedule of
not include income from the following:
Household Income" under Part I.
Social security benefits
You must list all income that you, your spouse, and any other
Railroad Retirement benefits
member of your household received or earned in 2013.
Veteran's disability pensions
Anyone who lives in the same dwelling unit as you is a member
of your household. Enter the total for each line in column (4).
3

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