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Form PR-141 Renter Rebate Claim

PR-141_2012.pdf

Form Instructions

INSTRUCTIONS: VERMONT RENTER REBATE CLAIM (Form PR-141)

Full-year Vermont residents who paid rent the entire year, who have a household income which does not exceed $47,000, and who paid rent the entire year may apply for a rebate of up to $8,000 by filing a form PR-141. This document can be found on the website of the Vermont Department of Taxes.

Vermont Renter Rebate Claim PR-141 Step 1: Enter your name and Social Security number, as well as that of your spouse or civil union partner if filing jointly.

Vermont Renter Rebate Claim PR-141 Step 2: Enter your date of birth.

Vermont Renter Rebate Claim PR-141 Step 3: Enter your mailing address, city, state and zip code.

Vermont Renter Rebate Claim PR-141 Step 4: Enter the number and street or road name of your rental property.

Vermont Renter Rebate Claim PR-141 Step 5: Enter your Vermont school district code and city or town of legal residence.

Vermont Renter Rebate Claim PR-141 Step 6: Review the eligibility instructions to confirm you may file this document.

Vermont Renter Rebate Claim PR-141 Step 7: Before completing the rest of the document, you should first complete Schedule HI-144, which documents household income, as well as the landlord certificate documented on form LC-142. Transfer line 16 from form LC-142 to line 3 here.

Vermont Renter Rebate Claim PR-141 Step 8: Enter the percentage of home use of this property on line 4.

Vermont Renter Rebate Claim PR-141 Step 9: Multiply lines 3 and 4. Enter the resulting product on line 5.

Vermont Renter Rebate Claim PR-141 Step 10: Enter your household income on line 6.

Vermont Renter Rebate Claim PR-141 Step 11: Enter your maximum percentage of income for rent as documented in the table on the left on line 7.

Vermont Renter Rebate Claim PR-141 Step 12: Multiply lines 6 and 7. Enter the resulting product on line 8.

Vermont Renter Rebate Claim PR-141 Step 13: Subtract line 8 from line 5. Enter the resulting difference on line 9.

Vermont Renter Rebate Claim PR-141 Step 14: Sign and date the form. If filing a joint return, both spouses or civil partner members must sign and date the form. Providing a daytime telephone number is optional.

Vermont Renter Rebate Claim PR-141 Step 15: Any paid preparer should sign and date the form and provided all requested identifying information.

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