Form Rtc-60 - Renters' Tax Credit Application - 2015 Page 2

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READ THIS IMPORTANT INFORMATION BEFORE COMPLETING THE APPLICATION
• the applicant must have a bona
ITEM 19 - SOURCES OF INCOME
1. WHO C N FILE?
fide leasehold interest in the
All nontaxable sources of income
GE 60 OR OVER OR 100%
property and be legally responsible
such as retirement benefits, also
DIS BLED
for the rent;
must be reported here.The tax credit
In order to be eligible for a 2015
• first time applicants, and prior year
is based upon “total income”,
Renters’ Tax Credit, the applicant must
applicants who moved in 2014
regardless of its source or taxability.
meet ONE of the following requirements.
must submit a copy of their 2014
Public assistance, government
lease(s), rental agreement,
• have reached age 60, on or before
grants, gifts in excess of $300,
cancelled checks, money order
December 31, 2014 OR
expenses paid on your behalf by
receipts, or other proof of rent paid.
others, and all monies received to
• be 100% totally and permanently
Other applicants must submit a
support yourself must be reported.
disabled as of December 31, 2014
copy upon request;
and submit proof of disability from the
You must report room and board,
• the dwelling must be the principal
Social Security Administration, other
household expenses, or the gross
residence where the applicant
federal retirement system, the federal
income of any other nondependent
resided for at least six months in
Armed Services or the local
occupants. Co-tenants cannot pay
Maryland in calendar year 2014,
City/County Health Officer,
room and board.
OR
• the dwelling may be any type of
Applicants who receive Public
rented residence or a mobile home
• be the surviving spouse of one who
Assistance must provide a copy of
pad on which the residence rests,
otherwise could have satisfied the
the 2014 AIMS Public Assistance
but it may not include any unit
age or disability requirement.
letter showing dependents and
rented from a public housing
benefits received.
authority or from an exempt
UNDER 60 YEARS OF AGE
organization;
ITEM 20 - RENT YOU PAID
In order to be eligible for a credit, an
• the applicant, spouse and/or co-
List only that amount of rent you
applicant must meet ALL of the
tenant must have a combined net
actually paid and do not include
following requirements:
worth of less than $200,000 as of
subsidies paid on your behalf such
• had at least one dependent under the
December 31, 2014.
as HUD/Section 8 payments. Do not
age of 18 living with you during 2014
An individual applicant may later be
include monthly fees for any services
AND
requested to submit additional
such as meals, pet fees, garage
• did not receive Federal or State
information to verify what was
charges, late charges, security
housing subsidies in 2014 AND
reported on the application. This
deposits, etc. If you live in a home in a
• your 2014 total gross income was
request may include a statement of
trailer park, report only the rent you paid
below the limit listed in Chart 2 on the
living expenses when it appears that the
for the trailer pad or lot.
first page of this form.
applicant has reported insufficient means
to pay the rent and other living expenses.
ITEM 23- PERJURY OATH/SOCIAL
Applicant must provide a copy of the
SECURITY RELEASE
child’s social security card and birth
3. SPECIFIC INSTRUCTIONS
certificate.
By signing the form, the applicant,
FOR CERT IN LINE ITEMS
spouse and/or co-tenant is attesting
If the applicant files a Federal return,
under the penalties of perjury as to the
the eligible dependent(s) must be listed
ITEM 14 - SURVIVING SPOUSE
accuracy of the information reported
on the Federal return in order to apply
If you are filing as the surviving
and that the legal requirements for
for this credit.
spouse of a person who would have
filing have been met. In addition, the
met the age requirement, include a
signature also authorizes the listed
2. REQUIREMENTS FOR
LL
copy of his/her death certificate. If
government agencies, Credit Bureaus
PPLIC NTS
your spouse was disabled, include a
and the landlord to release information
copy of their death certificate and
to the Department in order to verify the
Each of the following requirements must
proof of disability.
income or benefits received and rental
be met by every applicant:
terms reported by the applicant.
If you need further information or free assistance in completing this application form, please call
410-767-4433 in the Baltimore metropolitan area or 1-800-944-7403 (toll free) for those living
elsewhere in Maryland.
PRIV CY
ND ST TE D T
SYSTEM SECURITY NOTICE
The principal purpose for which this information is sought is to determine your eligibility for a tax credit. Failure to provide this information will
result in a denial of your application. Some of the information requested would be considered a “Personal Record” as defined in State Government
Article, § 10-624 consequently, you have the statutory right to inspect your file and to file a written request to correct or amend any information you
believe to be inaccurate or incomplete. Additionally, it is unlawful for any officer or employee of the state or any political subdivision to divulge any
income particulars set forth in the application or any tax return filed except in accordance with judicial legislative order. However, this information is
available to officers of the state, county or municipality in their official capacity and to taxing officials of any other state, or the federal government,
as provided by statute.
FILING DE DLINE IS SEPTEMBER 1, 2015

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