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The Iowa Renters Rebate form is designed for qualified Iowa residents seeking to claim a rebate for a portion of the rent they paid in the year 2020. This initiative offers financial relief to those who are older or totally disabled, and meet specific income criteria, ensuring support is provided to those who need it most. To get started with your claim, simply click the button below to fill out your form.

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For those living in Iowa and meeting specific criteria, the Iowa Rent Reimbursement Claim form offers a beneficial opportunity to receive a rebate on rent paid during the 2020 tax year. This simple yet comprehensive form requires applicants to provide personal information, including name, address, social security number, and details about their household income and rental payments. It outlines eligibility criteria clearly, focusing on age, disability status, residency within Iowa, and household income thresholds. Key elements include proving total annual household benefits and income, with a particular emphasis on ensuring the household income does not exceed $24,206 to qualify for the rebate. Additionally, the form guides applicants through reporting rent paid on properties subject to property tax and calculating the potential rebate amount. Married couples are considered a single household and are directed to file a single claim, but distinct provisions are in place for those living separately. The closing sections of the form provide space for direct deposit information, ensuring that successful claimants can receive their reimbursements efficiently. Overall, the Iowa Rent Reimbursement Claim form stands as a crucial resource for eligible Iowa residents seeking financial relief on rent payments.

Preview - Iowa Renters Rebate Form

2021 IOWA RENT REIMBURSEMENT CLAIM

Page 1

tax.iowa.gov

Name and address:

Complete using blue or black ink only. Do not use pencil or gel pen.

Incomplete claims will delay processing. You may be contacted for additional information.

Married couples living together are considered one household and can file only one claim, combining both incomes. If you do not live together, you may file separate claims.

Print your last name, first name:

Birth date (MMDDYYYY):

Print spouse last name, first name:

SSN:

Birth date (MMDDYYYY):

SSN:

Current mailing address (Include unit number): ______________________________________________

City:________________________________________________ State:__________ ZIP:____________

Who is eligible:

 

 

1.

Were you (or your spouse) born before 1957?

Yes

No

2.

Were you (or your spouse) born between 1957 and 2003 and totally disabled? ....

Yes

No

 

Include a copy of your letter that shows you are disabled from the Social

 

 

Security Administration, Veterans Administration, your doctor, or Form SSA-1099. If you answered “no” to both questions 1 and 2, STOP; YOU DO NOT QUALIFY.

3.

Did you live in Iowa during 2021? If “no,” STOP; YOU DO NOT QUALIFY

Yes

4.

Do you currently live in Iowa? If “no,” STOP; YOU DO NOT QUALIFY

Yes

Total annual household benefits and income:

For you and your spouse even if not reported for Iowa individual income tax purposes. Send proof of income.

No No

5.HUD, Section 8, and any portion of rent or utilities paid for you.

6.Title 19 benefits for housing only................................................................................

If you lived in a nursing home or care facility, contact the administrator for amount to enter on line 6. Or, enter 20% of benefits if living in a nursing home or 40% if living in a care facility.

7.Gross Social Security income. Include SSI and Medicare premium withheld. ...........

8.Gross disability income. Include SSDI, VA, and Railroad. Provide proof of disability.....

9.Wages, salaries, unemployment compensation, etc....................................

10.All pension, IRA, and annuity income. Include military retirement pay

11.Interest and dividend income.......................................................................

12.Profit from business/farming/capital gain.....................................................

13.Cash or checks received from others living with you. ..................................

14.Other benefits and income............................................................................................

Include child support, alimony, FIP, children’s SSI, welfare payments, gambling, etc.

15. Total annual household benefits and income. Add lines 5 through 14.........

Is line 15 $24,354 or more?

If yes, STOP; YOU DO NOT QUALIFY.

,

,

,

,

,

,

,

,

,

,

,

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

54-130a (06/28/2021)

Continue on next page

2021 IOWA RENT REIMBURSEMENT CLAIM, Page 2

Rental information: Complete the Statement of Rent Paid if you lived in more than one place.

16. Did you live in a nursing home or care facility? If yes, report Title 19 benefits on line 6. Yes

No

17.Rental address. The location where you lived must be subject to property tax. You are not eligible for rent reimbursement if the location or nursing home was not subject to property tax.

Dates you rented in 2021 (MMDDYY): from

to

Total Iowa rent you paid at this location...................................................

,

.00

Street (PO Box not allowed): ______________________________________________________

City: __________________________________________

State:

ZIP:

Landlord or nursing home:

 

 

 

 

 

Name:_________________________________________

Phone number: (

)

 

 

 

 

 

 

Address: ______________________________________________________________________

City: __________________________________________ State:_________ ZIP: ___________

If you lived in more than one location, complete the Statement of Rent paid for all other locations.

18. Total Iowa rent you paid in 2021. Add rent for all locations...........................

,

.00

This section optional: Complete lines 19 to 21 below, or allow the Department to compute for you.

19. Rent eligible for reimbursement. Multiply line 18 by 0.23, enter result. ......

,

.00

If more than 1,000, enter 1,000. Example: if line 18 = 3,900, multiply 3,900 x 0.23 = Enter 897 on line 19

20. Select rate from table below based on total benefits and income on line 15:

X

.

$0.00 -

$12,545.99

enter 1.00

$18,450 -

$21,401.99

enter 0.35

$12,546 - $14,021.99

enter 0.85

$21,402 -

$24,353.99

enter 0.25

$14,022 -

$15,497.99

enter 0.70

$24,354 or greater....STOP; you do not qualify.

$15,498-

$18,449.99

enter 0.50

 

 

 

 

 

 

 

 

 

 

21.Estimated reimbursement. Multiply line 19 by line 20. ...................................

Example: line 19 = 897, multiply 897 by 0.70 = 628, enter on line 21.

,

.00

Direct deposit information:

To receive direct deposit of your reimbursement to your account, complete lines A and B.

A.Routing number:

B.Account number:

Type: Checking

Savings

I, the undersigned, declare under penalties of perjury or false certificate, that I have examined this claim, and, to the best of my knowledge and belief, it is true, correct, and complete.

 

 

 

 

 

 

 

 

 

 

If deceased,

Your signature:

 

 

 

 

 

Date:

 

 

 

date of death:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If deceased,

Spouse signature:

 

 

 

 

Date:

 

 

 

date of death:

Your phone number: (

)

Preparer phone number: (

)

 

 

Preparer name:

 

 

Preparer signature:

 

Date:

Include proof of income and rent paid. If under 65, also include proof of disability.

Mail to: Rent Reimbursement, Iowa Department of Revenue, PO Box 10459, Des Moines, IA 50306-0459. To check the status of a refund visit tax.iowa.gov or call 1-800-572-3944.

54-130b (07/01/2021)

File Breakdown

Fact Name Description
Form Title and Version 2020 IOWA RENT REIMBURSEMENT CLAIM
Ink Requirement Must be completed using blue or black ink only.
Filing Status for Married Couples Married couples living together are counted as one household and may only file one claim, combining both incomes.
Eligibility Criteria Applicants must have been born before 1956 or be totally disabled and born between 1956 and 2002.
Residency Requirement Claimants must have lived in Iowa during 2020 and currently reside there to qualify.
Income Inclusion Total annual household benefits and income, even if not reported for Iowa individual income tax purposes, must be sent with proof.
Ineligible Rental Situations Rent reimbursements are not available if the rental property is not subject to property tax.
Maximum Qualifying Amount If total annual household benefits and income exceed $24,206, the claimant does not qualify.
Submission Instructions Claims, along with proof of income and rent paid, should be mailed to the specified address. If under 65, proof of disability is also required.
Check Status Claim status can be verified online or by calling the provided number.

How to Use Iowa Renters Rebate

Filling out the Iowa Renters Rebate form is a straightforward way to potentially get some of your rent money back, but it requires attention to detail and accuracy. It’s essential to use blue or black ink and provide complete, accurate information to avoid delays. Here are the steps you need to follow to complete the form correctly.

  1. Prepare your documents: Gather all necessary documentation, including proof of income, rent paid, and, if applicable, proof of disability.
  2. Personal information: Write your last name, first name, and birthdate (MMDDYYYY) in the designated spaces. If married and living together, do the same for your spouse. Remember, you can file one claim per household.
  3. Mailing address: Fill in your current mailing address, including the unit number if applicable. This is crucial for receiving any correspondence or the rebate itself.
  4. Eligibility questions: Answer the eligibility questions about age, disability status, residency in Iowa during 2020, and current residency. If you don’t meet the criteria based on these questions, you do not qualify for the rebate.
  5. Income information: Report all sources of income, including HUD, Section 8, Social Security, wages, and any other benefits received. Attach proof of income and, if under 65, proof of disability.
  6. Rental information: List the address of your rental property, dates you rented in 2020, and the total Iowa rent paid. Properties must be subject to property tax to qualify.
  7. Calculate reimbursement: Optional - You may calculate the rent eligible for reimbursement and estimate your reimbursement based on the income and rent paid. Alternatively, you can leave it to the department to calculate for you.
  8. Direct deposit information: If you wish to receive your reimbursement via direct deposit, fill in your bank’s routing number, your account number, and indicate whether it's a checking or savings account.
  9. Signature: Sign and date the form. If you’re filling it out on behalf, include the preparer's name, signature, and phone number.
  10. Submit the form: Include all required supporting documents and mail the completed form to the provided address for the Rent Reimbursement, Iowa Department of Revenue.

After submitting the form, you can check the status of your refund by visiting the Iowa Department of Revenue's website or calling their provided number. Accurate and complete submissions help ensure your claim is processed efficiently and without unnecessary delays.

Key Details about Iowa Renters Rebate

Who is eligible for the Iowa Renters Rebate?

To qualify for the Iowa Renters Rebate, individuals or their spouses must have been born before 1956 or be totally disabled (born between 1956 and 2002). Proof of disability is required. Additionally, applicants must have lived in Iowa during the claim year and currently reside in Iowa. The total annual household income must also meet the eligibility criteria, as outlined in the form instructions. Married couples living together are considered one household and can submit only one claim.

How do I calculate my total annual household income for the Renters Rebate?

Total annual household income includes various sources such as HUD, Section 8, Title 19 benefits for housing only, gross Social Security income, disability income, wages, salaries, unemployment compensation, all pension, IRA, annuity income, interest, and dividend income, profits from business/farming/capital gains, cash or checks received from others living with you, and other benefits and income. Applicants must add lines 5 through 14 on the form to determine the total annual household benefits and income. Proof of income is required to be sent with the application.

What if I lived in more than one rental location in the claim year?

If you lived in more than one rental location during the claim year, you must complete the Statement of Rent Paid for all the locations where you resided. This information is crucial to accurately calculate the total Iowa rent you paid, which is necessary for determining your eligibility and the potential rebate amount. Make sure the rental locations were subject to property tax, as you are not eligible for a rent reimbursement if the location was not subject to property tax.

How is the rent eligible for reimbursement calculated?

The rent amount eligible for reimbursement is determined by multiplying the total Iowa rent you paid in 2020 (line 18) by 0.23. The result is entered on line 19 of the form, with the maximum eligible rent for reimbursement capped at $1,000. This figure is then used along with the rate derived from your total benefits and income on line 15 to estimate your reimbursement amount.

What should I do if my total annual household income is over the limit?

If your total annual household benefits and income exceeds $24,206, you do not qualify for the Iowa Renters Rebate. The intent of the program is to assist individuals with lower incomes. For those whose income is above this threshold, it's recommended to seek other forms of assistance or tax credits for which you may be eligible.

Common mistakes

When completing the Iowa Renters Rebate form, several common mistakes can significantly delay the processing of a claim or even result in disqualification. To ensure a smooth submission process, it's essential to be aware of these errors:

  1. Incorrect writing instruments: Applicants must use blue or black ink only. Pencil or gel pens are not acceptable, as they can smudge or fade, making the information unreadable.
  2. Claims filed by married couples living together as separate entities: The guidelines specify that married couples residing together are to be considered a single household. Therefore, they may only file one combined claim. Filing separate claims can lead to disqualification.
  3. Incomplete applications: Not thoroughly completing the form or omitting necessary information can cause significant delays. Additionally, applicants may be contacted to provide the missing details, prolonging the process further.
  4. Omitting income proof: All sources of income must be reported, and adequate proof of this income needs to be provided. Failure to include this documentation can result in the claim being delayed or denied.
  5. Eligibility misunderstandings: Not everyone qualifies for the rent reimbursement. For instance, only individuals born before 1956 or those born between 1956 and 2002 who are totally disabled (with sufficient proof) are eligible. Applicants often miss stopping at the necessary point when they don't qualify, leading to unnecessary processing.
  6. Failing to report all rents paid: If an applicant has lived in more than one location during the claim year, it's crucial to report the rent paid at all locations. Missing information can result in an inaccurate rebate calculation.
  7. Ignorance of residency requirements: The rebate requires applicants to have lived in Iowa during the entire claim year and to currently be residents. Overlooking these requirements can lead to disqualification.
  8. Incorrect calculation for rent reimbursement: The section that allows for the option to compute the eligible rent reimbursement or let the department do it is often filled out incorrectly. Mistakes in this calculation can alter the estimated reimbursement significantly.

Avoiding these common mistakes can greatly increase the likelihood of a successful claim. It's always a good idea to review the form multiple times before submission and ensure that all documentation is correct and complete. Taking care to provide accurate and thorough information can expediently lead to the deserved rebate.

Documents used along the form

When filing the Iowa Renters Rebate form, a claim designed to offer financial relief to eligible renters, including seniors and individuals with disabilities, it's common to include additional forms and documents. These not only support the application but also ensure eligibility and compliance with state requirements. Understanding these documents is crucial for a smooth and efficient process.

  • Proof of Income Documentation: This includes all forms that verify the income you report. Common examples are W-2 forms, pension distribution statements, and 1099 forms for various types of income like retirement, interest, and dividends. Social Security benefit statements are also required for applicants reporting Social Security income. These documents help in verifying the total annual household benefits and incomes declared on the rebate form.
  • Proof of Disability: For applicants under 65 claiming disability, it's essential to provide documents that prove the disability status. This may include letters or documentation from the Social Security Administration, Veterans Administration, or a note from a healthcare provider if applicable. Disability determinations should be official and current to be considered valid.
  • Rent and Utilities Documentation: Copies of lease agreements, rent receipts, or statements from the landlord can act as proof of the rent paid throughout the designated year. If utilities are included as part of the rental agreement, documentation specifying this arrangement can also be important. This evidence is critical in calculating the eligible rent for reimbursement.
  • Title 19 Benefits Documentation: For applicants living in nursing homes or receiving care facility benefits under Title 19, documentation that outlines the scope and extent of these benefits is necessary. This can include eligibility letters or statements from care facilities, which are used to calculate eligible rent amounts differently than in standard rental scenarios.

Each document plays a pivotal role in the application for the Iowa Rent Reimbursement Claim. Not only do they prove eligibility, but they also ensure the accuracy of the claim. Applicants should gather these documents in advance to facilitate a smoother filing process. Ensuring accuracy and completeness in both the application and supporting documentation is crucial for a successful claim submission.

Similar forms

The Federal Income Tax Return (IRS Form 1040) has significant similarities to the Iowa Renters Rebate Form due to its requirement for detailed personal and financial information. Both forms require applicants to report various types of income, including wages, social security benefits, and other sources. Additionally, each form mandates the disclosure of personal identification details and the submission of supplementary documents to substantiate claims.

The Free Application for Federal Student Aid (FAFSA) shares commonalities with the Iowa Renters Rebate Form, particularly in the collection of financial data to determine eligibility for benefits. Both applications assess household income and resources to allocate benefits or aid. Moreover, they each require information regarding residency and may request documentation for verification purposes.

The Medicare Application Form closely mirrors the Iowa Renters Rebate Form in that both involve eligibility criteria related to age or disability status. Applicants must provide personal information, including social security numbers and proof of qualifying conditions, such as disability documentation, to access benefits.

Housing assistance applications, such as those for Section 8 Housing Choice Vouchers, also resemble the Iowa Renters Rebate Form in their goals to provide financial support for housing-related expenses. Both require detailed information about household income, size, and composition, along with the necessity to verify income and residency status to qualify for assistance.

Veterans’ benefits forms, particularly those related to disability claims, share similarities with the Iowa Renters Rebate Form by requiring proof of eligibility through documentation like the Veterans Administration's disability determination. Additionally, both forms entail the provision of personal and financial information to assess qualification for benefits.

Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) applications are akin to the Iowa Renters Rebate Form due to their emphasis on disability status, income, and residency. Applicants must submit comprehensive information about their medical condition, employment history, and financial resources to establish eligibility.

The Unemployment Insurance Benefits Application parallels the Iowa Renters Rebate Form in terms of financial assistance provision based on previous income and current financial need. Claimants are required to provide personal data, employment information, and sometimes proof of income to qualify for benefits.

Lastly, state-specific property tax rebate or credit forms share a direct resemblance with the Iowa Renters Rebate Form, as they both aim to reduce the financial burden on eligible residents through rebates or credits against paid rent or property taxes. Such applications necessitate detailed financial information, proof of residency, and eligibility criteria similar to those found in the Iowa form.

Dos and Don'ts

Filling out the Iowa Renters Rebate form is an important process for those looking to receive reimbursement for rent paid within the state. Below is a compiled list of dos and don'ts to assist you in filling out this form correctly:

  • Do use blue or black ink only to complete the form, ensuring that all written information is clear and legible.
  • Do not use pencil or gel pen, as these can smear or fade, making your application difficult to read.
  • Do fill out the form completely to avoid delays in the processing of your claim. Incomplete claims may result in needing to provide additional information, slowing down your reimbursement.
  • Do not file more than one claim per household if you are a married couple living together. Combine both incomes and file a single claim.
  • Do include proof of income and proof of rent paid with your application, as these documents are essential for verifying your eligibility and calculating your reimbursement.
  • Do not proceed with filing if you, or your spouse if applicable, were born after 2002 and are not totally disabled. Verify your eligibility before dedicating time to complete the form.
  • Do provide accurate and current mailing information, including your unit number if applicable, to ensure that you receive any correspondence or your rebate without delays.
  • Do not leave sections blank or guess on figures relating to your rent or income. Incorrect information can lead to denial of your claim or a request for correction, thereby delaying processing.
  • Do confirm the eligibility requirements, such as age or disability status, before starting the application. This step prevents unnecessary effort on a claim that won't be accepted.
  • Do not forget to sign and date the form. An unsigned form is considered incomplete and will not be processed until all required signatures are received.

Following these guidelines can help streamline the process, reduce errors, and assist in getting your Renters Rebate claim processed more efficiently. Remember, this rebate can provide significant financial relief, so it's worth taking the time to fill out the form correctly.

Misconceptions

There exist several misunderstandings concerning the Iowa Renters Rebate form. Addressing these misconceptions can provide clearer guidance to potential applicants on the eligibility criteria, submission requirements, and other important aspects of the Rebate program.

  • Only seniors qualify for the rebate. While it's true that seniors, specifically those born before 1956, are eligible, the program also extends to persons born between 1956 and 2002 who are totally disabled. Thus, eligibility is not solely age-based; disability status can also qualify applicants, provided they have proper documentation, such as a letter from the Social Security Administration, Veterans Administration, or their doctor.

  • Applicants can use any writing instrument to complete the form. The form specifies that applicants must use blue or black ink only. This is likely to ensure the readability and scanability of the forms. Pencil, gel pens, or other colors of ink are not accepted, and using them can lead to processing delays or the need for submission correction.

  • Married couples must file separate claims. This is incorrect; married couples living together are considered a single household for the purposes of this form and can file only one claim, combining both incomes. However, if married individuals do not live together, they may file separate claims.

  • Any amount of income disqualifies you. There is a common misconception that any level of income automatically disqualifies applicants from the renters rebate. In reality, the program has specific income thresholds. The total annual household benefits and income is summed from various sources outlined in the form, and if the total exceeds $24,206, then the applicant does not qualify. It's important for applicants to accurately sum their incomes according to the form's specified lines to determine eligibility.

Understanding these aspects thoroughly helps in accurately completing and submitting the Iowa Renters Rebate form, potentially avoiding delays and increasing the likelihood of receiving the rebate. It's essential for applicants to read the form carefully, comply with the specified requirements, and supply all necessary documentation to support their claim.

Key takeaways

Understanding the Iowa Renters Rebate form is crucial for ensuring you receive your deserved rebate promptly and accurately. Here are some key takeaways to guide you through the process:

  • Use only blue or black ink when filling out the form. Pencil or gel pen usage is not permitted and may result in processing delays.
  • Ensure the form is complete before submission. Incomplete forms can significantly delay the processing, and additional information may be requested.
  • Married couples living together are treated as one household for this rebate. They should file a single claim with combined income. Separate claims are only permissible if they do not live together.
  • To qualify for the rebate, applicants or their spouses must have been born before 1956, or be totally disabled and born between 1956 and 2002. Proof of disability must be attached.
  • Applicants must have lived in Iowa during 2020 and currently reside in Iowa to be eligible for the rebate.
  • The form requires detailed information on income and benefits, including Social Security, disability income, wages, pensions, and any other benefits or income received within the household.
  • To be eligible, the total annual household benefits and income must not exceed $24,206. Any amount above this disqualifies the applicant.
  • Rental information is critical: The location where the applicant lived must be subject to property tax. Applicants living in a place not subject to property tax, including certain nursing homes or care facilities, do not qualify for rent reimbursement.
  • Direct deposit information is optional but recommended for a faster reimbursement process. Applicants must provide their bank routing and account numbers and specify if it is a checking or savings account.

Before submitting, verify that all income and rent paid have been documented accurately. For those under 65, attaching proof of disability is mandatory. Once everything is in order, mail your completed form and attachments to the provided address. Checking the status of your refund is straightforward through the Department of Revenue's website or by their contact number.

Remember, accuracy and completeness are your best tools for a smooth process in claiming your Iowa Renters Rebate.

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