INSTRUCTIONS: 2011 COLORADO PROPERTY TAX/RENT/HEAT REBATE APPLICATION (Form DR 104 PTC)

Full-time Colorado residents whose total income is less than $12,313 if single and $16.025 if married are eligible for a property tax, rent or heat rebate as long as they are also 65 or older, 58 or older and a surviving spouse, or a disabled person of any age. You must also have paid your taxes for rent, heat and property to be eligible and cannot be a dependant on someone else's form. This document can be found on the website of Colorado.

2011 Colorado Property Tax/Rent/Heat Rebate Application DR 104 PTC Step 1: At the top of the form enter your name, date of birth and Social Security number, as well as that of your spouse if filing jointly. Note if either spouse is deceased with a check mark.

2011 Colorado Property Tax/Rent/Heat Rebate Application DR 104 PTC Step 2: Give your physical address, mailing address (if different), driver's license ID number and expiration, phone and email address. Provide the same information for your spouse if applicable.

2011 Colorado Property Tax/Rent/Heat Rebate Application DR 104 PTC Step 3: Out of the statements labeled A through D, choose the one which describes your eligibility for this rebate with a check mark.

2011 Colorado Property Tax/Rent/Heat Rebate Application DR 104 PTC Step 4: Lines one through seven require you to detail your total income for 2011, including wages, Social Security benefits, pension payments and interest. You must explain any other forms of income which are not listed there.

2011 Colorado Property Tax/Rent/Heat Rebate Application DR 104 PTC Step 5: If you paid 2010 property tax in 2011, enter the amount on line eight. If you paid rent in 2011, enter the total on line nine. If you paid heat or fuel in 2011, enter the total for the year on line 10.

2011 Colorado Property Tax/Rent/Heat Rebate Application DR 104 PTC Step 6: Line 11 asks if meals are included in your rent and if so the amount. Line 12 asks if you paid rent for a property tax exempt unit and if so how much. Line 13 asks whether heat was included in your rent payments and if so the amount. Sign and date the form.