BRANDYWINE HEIGHTS AREA SCHOOL DISTRICT PROPERTY TAX REBATE FORM by giv23807

VIEWS: 0 PAGES: 1

									                                   BRANDYWINE HEIGHTS AREA SCHOOL DISTRICT
TRCF-1000                                       PROPERTY TAX REBATE FORM
                                                                     2008 Tax Year
          Please print or type the information below. This form must be filed on or before February 1, 2010.
           Send to: Brandywine Heights Area S. D. Business Office, 200 West Weis St. Topton, Pa. 19562



Last Name                                 Claimant’s First Name                           Spouse’s First Name


Address


City                              State PA         Zip Code                      Phone Number                  -            -


I certify that as of December 31, 2008, I was (check only one box):
          Claimant age 65 or older          ‫ٱ‬
          Claimant under age 65 with a spouse age 65 or older who resided in the same household                                 ‫ٱ‬
          Widow or widower, age 50 to 6            ‫4ٱ‬
          Permanently disabled and ages 18 to 64               ‫ٱ‬


A. TOTAL INCOME received by you and your spouse during 2008
          As listed on your 2008 PA-1000 form, line 12: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
B.     2008-09 Brandywine Heights Area School District Real Estate Tax paid between 7/1/08 and 6/30/09
          Per copy of receipted school tax bill, attached . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
C. Property Tax Rebate issued by the PA Dept. of Revenue
         As listed on your 2008 PA-1000 form, line 14: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
D. Line B minus line C above (if negative you are not eligible for a rebate) . . . . . . . . . . . . . $
E. Eligible Brandywine Heights Area S. D. Property Tax Rebate
     Income Level          State Rebate         Brandywine Rebate
 $      0 to $ 8,000         $650.00                 $325.00
 $ 8,001 to $15,000          $500.00                 $250.00
 $15,001 to $18,000          $300.00                 $150.00
 $18,001 to $35,000          $250.00                 $125.00
     Enter the lesser of Line D or the Brandywine rebate amount for your income level . . . . $
     If the total of all eligible rebates exceeds $25,000 the line E Tax rebate will be prorated


PLEASE READ CAREFULLY, SIGN AND DATE:
CLAIMANT: I declare that this claim is true, correct                            PREPARER: I declare that I prepared this return and
and complete and to the best of my knowledge and                                that it is true, correct and complete to the best of my
belief and this is the only claim filed by members of                           knowledge and belief.
my household.


Claimant’s Signature & Date                                                     Preparer’s Signature & Date


                                             The following must be attached to this form:
                                                • A signed copy of Form PA-1000 for 2008
                                                • A copy of your PA rebate check
                                                • A copy of your 2008-09 school tax bill

								
To top