A signed copy of Form PA-1000 for 2007,
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TRCF-1000 Property Tax Rebate Program Saucon Valley School District 2008 District Use Only Please Print or Type the Information Below. This Form Must Be Filed Between July 1, 2008 and April 30, 2009 PART I - CLAIMANT INFORMATION Claimant's Name Spouse's Name Claimant's Social Security Numbe Spouse's Social Security Number Street Number, P.O. Box; Apartment Number, Suite; RR Number, etc. City, State & ZIP Code Claimant's Date of Birth Spouse's Date of Birth Daytime Telephone Numbe Municipality of Residence PART II - FILING STATUS 1. I certify that I am: (Check One Box Only) A. A Claimant, age 65 or older as of December 31, 2007 B. A Claimant under age 65 with a spouse age 65 or older as of December 31, 200 C. A Widow or Widower, age 50 to 64 as of December 31, 2007 D. Permanently Disabled, age 18 to 64 During 2007 PART III - SIGN & DATE CLAIMANT: I declare that this claim is true, PREPARER: I declare that I prepared this return and that correct and complete and to the best of my it is to the best of my knowledge and belief, true, correct knowledge and belief, and this is the only and complete. claim filed by members of my household. Claimant's Signature & Date Preparer's Signature, Date & Phone Number A signed copy of Form PA-1000 for 2007, a copy of your PA rebate check (that was received after July 1, 2008) and a copy of your receipted 2007-2008 school property tax bill must be attached to this form in order to be eligible to receive a property tax rebate. YOU MUST BE APPROVED BY THE STATE FOR THEIR REBATE BEFORE YOU ARE ELIGIBLE TO RECEIVE THE SCHOOL DISTRICT'S REBATE !! Worksheet on back SAUCON VALLEY SCHOOL SCHOOL DISTRICT PROPERTY TAX REBATE PROGRAM CALCULATION WORKSHEET FOR FILING 2007-2008 SCHOOL DISTRICT PROPERTY TAX CLAIMS MUST FILE BETWEEN JULY 1, 2008 AND APRIL 30, 2009 A. Total Income of Claimant & Spouse $__________ (Use PA - 1000 Line 12 for 2007 Form Information) B. 2007 State Property Tax Rebate $_________ (Per PA - 1000 Line 14) C. 2007-2008 School Property Taxes Paid $__________ (Per Copy of Receipted School Tax Bill) The School District will calculate the eligible rebate.