2017 Property Tax Credit Claim - Missouri Department …dor.mo.gov/forms/MO-PTC Fillable...

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  • MO-PTC Page 1*17344010006*

    17344010006

    Birthdate (MM/DD/YYYY)

    Missouri Department of Revenue2017 Property Tax Credit Claim

    Form

    MO-PTC

    Nam

    e

    Spouses Birthdate (MM/DD/YYYY)

    Add

    ress

    Select Here for Amended Claim

    Print in BLACK ink only and DO NOT STAPLE.

    Social Security Number Spouses Social Security Numberin 2017

    DeceasedDeceased

    in 2017

    For Privacy Notice, see Instructions.

    - -- -

    In Care Of Name (Attorney, Executor, Personal Representative, etc.)

    Department Use Only

    M.I. Last NameFirst Name Suffix

    Spouses Last NameSpouses First Name M.I. Suffix

    County of Residence

    Present Address (Include Apartment Number or Rural Route)

    City, Town, or Post Office State ZIP Code

    _

    Select only one qualification. Copies of letters, forms, etc., must be included with claim.

    A. 65 years of age or older - You must be a full year resident. (Attach Form SSA-1099.)

    B. 100% Disabled Veteran as a result of military service (Attach letter from Department of Veterans Affairs - see instructions.)

    C. 100% Disabled (Attach letter from Social Security Administration or Form SSA-1099.)

    D. 60 years of age or older and received surviving spouse benefits (Attach Form SSA-1099.)

    Qua

    lific

    atio

    ns

    Select only one filing status. If married filing combined, you must report both incomes.

    Filin

    g S

    tatu

    s

    Single Married - Filing Combined Married - Living Separate for Entire Year

    MO-PTC Page 1

    0

    Vendor Code

    0 6

  • MO-PTC Page 2

    9. If you owned your home, enter the total amount of property tax paid for your home, less special assessments, or $1,100, whichever is less. Attach a copy of your paid real estate tax receipt(s). If your home is on more than five acres or you own a mobile home, attach the Assessors

    11. Enter the total of Lines 9 and 10, or $1,100, whichever is less . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Rea

    l Est

    ate

    Tax

    and

    Ren

    t Pai

    d

    00.7

    00.8

    10. If you rented, enter the total amount from Form(s) MO-CRP, Line 9 or $750, whichever is less. Attach rent receipts or a signed statement from your landlord. NOTE: If you rent from a facility that does not pay property tax, you are not eligible for a Property Tax Credit. . . . . . . . . . . . . . . . .

    00.11

    00.10

    00.9

    *17344020006*17344020006

    Certification (Form 948) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Failure to provide the following attachments will result in denial or delay of your claim:

    1. Enter the amount of social security benefits received by you, your spouse, and your minor children before any deductions and the amount of social security equivalent railroad retirement benefits. Attach Form(s) SSA-1099 or RRB-1099 (TIER I) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    2. Enter the total amount of wages, pensions, annuities, dividends, interest income, rental income, or other income. Attach Form(s) W-2, 1099, 1099-R, 1099-DIV, 1099-INT, 1099-MISC, etc. . . .

    3. Enter the amount of railroad retirement benefits (not included in Line 1) before any deductions. Attach Form RRB-1099-R (TIER II) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    4. Enter the amount of veterans payments or benefits before any deductions.

    5. Enter the total amount received by you, your spouse, and your minor children from: public assistance, SSI, child support, or Temporary Assistance payments (TA and TANF). Attach a letter from the Social Security Administration that includes the amount of assistance received and Form 1099 from Employment Security, if applicable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Hou

    seho

    ld In

    com

    e

    00.

    00.

    00.

    00.

    00.

    Attach letter from Veterans Affairs (see instructions on page 5) . . . . . . . . . . . . . . . . . . . . . . . . .

    1

    2

    3

    4

    5

    6. Total household income - Add Lines 1 through 5 and enter the total here . . . . . . . . . . . . . . . . . . . . 00.6

    7. Enter the appropriate amount from the options below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Single or Married Living Separate - Enter $0

    Married and Filing Combined - rented or did not own your home for the entire year - Enter $2,000

    Married and Filing Combined - owned and occupied your home for the entire year - Enter $4,000

    8. Net household income - Subtract Line 7 from Line 6 and enter the amount here . . . . . . . . . . . . .

    If you rented or did not own and occupy your home for the entire year and Line 8 is greater than $27,500, you are not eligible to file this claim.

    If you owned and occupied your home for the entire year and Line 8 is greater than $30,000, you are not eligible to file this claim.

    MO-PTC Page 2

    rent receipt(s), Verification of Rent Paid (Form 5674) or a signed landlord statement, Form(s) 1099, W-2, etc.

  • MO-PTC Page 3

    If you would like your refund deposited directly to your checking or savings account, complete boxes a, b, and c below:

    a. Routing Number b. Account Number

    c. SavingsChecking

    Mail to: Taxation Division Phone: (573) 751-3505 P.O. Box 3385 TTY: (800) 735-2966 Jefferson City, MO 65105-3385 Fax: (573) 751-2195 E-mail: [email protected]

    Form MO-PTC (Revised 12-2017)

    on any individual who files a frivolous return. I also declare under penalties of perjury that I employ no illegal or unauthorized

    the best of my knowledge and belief it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to

    information of which he or she has any knowledge. As provided in Chapter 143, RSMo a penalty of up to $500 shall be imposed

    aliens as defined under federal law and that I am not eligible for any tax exemption, credit or abatement if I employ such aliens.

    I authorize the Director of Revenue or delegate to discuss my claim and attachments with the preparer or any member of his or her firm, or if internally prepared, any member of the internal staff . . . . . . . . . . . . Yes No

    Preparers Telephone

    Signature

    Preparers Signature

    Spouses Signature (If filing combined, BOTH must sign)

    Daytime Telephone

    Date (MM/DD/YY)

    Preparers Address

    E-mail Address

    Preparers FEIN, SSN, or PTIN

    Date (MM/DD/YY)

    Date (MM/DD/YY)

    Sig

    natu

    re

    *17344030006*17344030006

    ZIP CodeState

    12. Apply amounts from Lines 8 and 11 to chart on pages 13-15 to figure your Property Tax Credit. You must use the chart on pages 13-15 to see how much refund you are allowed. . . . . . . . . . . . .

    Cred

    it

    00.12

    K RA U

    Department Use Only

    MO-PTC Page 3

  • 12

    Missouri Department of Revenue2017 Certification of Rent Paid

    Form

    MO-CRP

    1. Social Security Number

    Form MO-CRP (Revised 12-2017)

    *17315010001*17315010001

    Spouses Social Security Number

    5. Rental Period During YearFrom: (MM/DD/YY)

    To: (MM/DD/YY)

    8. Net rent paid - Multiply Line 6 by the percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . . 00 .For Privacy Notice, see instructions.

    Taxation Division Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

    00 .

    7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

    A. Apartment, House, Mobile Home, or Duplex - 100% F. Low Income Housing - 100% (Rent cannot exceed 40% of total

    B. Mobile Home Lot - 100%

    C. Boarding Home or Residential Care - 50%G . Shared Residence If you shared your rent with relatives or friends

    D. Skilled or Intermediate Care Nursing Home - 45%

    E. Hotel - 100%; if meals are included - 50%

    Select this box if related to your landlord. If so, explain.2. Name (First, Last)

    Physical Address of Rental Unit (P.O. Box Not Allowed) Apartment Number

    3. Landlords Name (First, Last)

    Landlords Street Address (Must be completed)

    4. Landlords Phone Number (Must be completed)

    City State ZIP Code

    1 (50%) 2 (33%) 3 (25%)

    8

    9

    Landlords Last 4 Digits of Social Security Number

    One Form MO-CRP must be provided for each rental location in which you resided.

    Failure to provide landlord information will result in denial or delay of your claim.

    household income.)

    (other than your spouse or children under 18), select the appropriate box based on the additional persons sharing rent:

    City State ZIP Code

    - -- -

    Apartment Number

    %

    the amount of rent you paid. Note: If you rent from a facility that does not pay property tax, you are not from your landlord, or copies of canceled checks (front and back). If you received housing assistance, enter 6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment for the entire year, a signed statement

    eligible for a Property Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 .6

    7

    Landlords Federal Employee Identification Number (FEIN) - if applicable

  • 12

    Missouri Department of Revenue2017 Certification of Rent Paid

    Form

    MO-CRP

    1. Social Security Number

    Form MO-CRP (Revised 12-2017)

    *17315010001*17315010001

    Spouses Social Security Number

    5. Rental Period During YearFrom: (MM/DD/YY)

    To: (MM/DD/YY)

    8. Net rent paid - Multiply Line 6 by the percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . . 00 .For Privacy Notice, see instructions.

    Taxation Division Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

    00 .

    7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

    A. Apartment, House, Mobile Home, or Duplex - 100% F. Low Income Housing - 100% (Rent cannot exceed 40% of total

    B. Mobile Home Lot - 100%

    C. Boarding Home or Residential Care - 50%G . Shared Residence If you shared your rent with relatives or friends

    D. Skilled or Intermediate Care Nursing Home - 45%

    E. Hotel - 100%; if meals are included - 50%

    Select this box if related to your landlord. If so, explain.2. Name (First, Last)

    Physical Address of Rental Unit (P.O. Box Not Allowed) Apartment Number

    3. Landlords Name (First, Last)

    Landlords Street Address (Must be completed)

    4. Landlords Phone Number (Must be completed)

    City State ZIP Code

    1 (50%) 2 (33%) 3 (25%)

    8

    9

    Landlords Last 4 Digits of Social Security Number

    One Form MO-CRP must be provided for each rental location in which you resided.

    Failure to provide landlord information will result in denial or delay of your claim.

    household income.)

    (other than your spouse or children under 18), select the appropriate box based on the additional persons sharing rent:

    City State ZIP Code

    - -- -

    Apartment Number

    %

    the amount of rent you paid. Note: If you rent from a facility that does not pay property tax, you are not from your landlord, or copies of canceled checks (front and back). If you received housing assistance, enter 6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment for the entire year, a signed statement

    eligible for a Property Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 .6

    7

    Landlords Federal Employee Identification Number (FEIN) - if applicable

  • 12

    Missouri Department of Revenue2017 Certification of Rent Paid

    Form

    MO-CRP

    1. Social Security Number

    Form MO-CRP (Revised 12-2017)

    *17315010001*17315010001

    Spouses Social Security Number

    5. Rental Period During YearFrom: (MM/DD/YY)

    To: (MM/DD/YY)

    8. Net rent paid - Multiply Line 6 by the percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . . 00 .For Privacy Notice, see instructions.

    Taxation Division Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

    00 .

    7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

    A. Apartment, House, Mobile Home, or Duplex - 100% F. Low Income Housing - 100% (Rent cannot exceed 40% of total

    B. Mobile Home Lot - 100%

    C. Boarding Home or Residential Care - 50%G . Shared Residence If you shared your rent with relatives or friends

    D. Skilled or Intermediate Care Nursing Home - 45%

    E. Hotel - 100%; if meals are included - 50%

    Select this box if related to your landlord. If so, explain.2. Name (First, Last)

    Physical Address of Rental Unit (P.O. Box Not Allowed) Apartment Number

    3. Landlords Name (First, Last)

    Landlords Street Address (Must be completed)

    4. Landlords Phone Number (Must be completed)

    City State ZIP Code

    1 (50%) 2 (33%) 3 (25%)

    8

    9

    Landlords Last 4 Digits of Social Security Number

    One Form MO-CRP must be provided for each rental location in which you resided.

    Failure to provide landlord information will result in denial or delay of your claim.

    household income.)

    (other than your spouse or children under 18), select the appropriate box based on the additional persons sharing rent:

    City State ZIP Code

    - -- -

    Apartment Number

    %

    the amount of rent you paid. Note: If you rent from a facility that does not pay property tax, you are not from your landlord, or copies of canceled checks (front and back). If you received housing assistance, enter 6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment for the entire year, a signed statement

    eligible for a Property Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 .6

    7

    Landlords Federal Employee Identification Number (FEIN) - if applicable

  • 12

    Missouri Department of Revenue2017 Certification of Rent Paid

    Form

    MO-CRP

    1. Social Security Number

    Form MO-CRP (Revised 12-2017)

    *17315010001*17315010001

    Spouses Social Security Number

    5. Rental Period During YearFrom: (MM/DD/YY)

    To: (MM/DD/YY)

    8. Net rent paid - Multiply Line 6 by the percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . . 00 .For Privacy Notice, see instructions.

    Taxation Division Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

    00 .

    7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

    A. Apartment, House, Mobile Home, or Duplex - 100% F. Low Income Housing - 100% (Rent cannot exceed 40% of total

    B. Mobile Home Lot - 100%

    C. Boarding Home or Residential Care - 50%G . Shared Residence If you shared your rent with relatives or friends

    D. Skilled or Intermediate Care Nursing Home - 45%

    E. Hotel - 100%; if meals are included - 50%

    Select this box if related to your landlord. If so, explain.2. Name (First, Last)

    Physical Address of Rental Unit (P.O. Box Not Allowed) Apartment Number

    3. Landlords Name (First, Last)

    Landlords Street Address (Must be completed)

    4. Landlords Phone Number (Must be completed)

    City State ZIP Code

    1 (50%) 2 (33%) 3 (25%)

    8

    9

    Landlords Last 4 Digits of Social Security Number

    One Form MO-CRP must be provided for each rental location in which you resided.

    Failure to provide landlord information will result in denial or delay of your claim.

    household income.)

    (other than your spouse or children under 18), select the appropriate box based on the additional persons sharing rent:

    City State ZIP Code

    - -- -

    Apartment Number

    %

    the amount of rent you paid. Note: If you rent from a facility that does not pay property tax, you are not from your landlord, or copies of canceled checks (front and back). If you received housing assistance, enter 6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment for the entire year, a signed statement

    eligible for a Property Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 .6

    7

    Landlords Federal Employee Identification Number (FEIN) - if applicable

  • 12

    Missouri Department of Revenue2017 Certification of Rent Paid

    Form

    MO-CRP

    1. Social Security Number

    Form MO-CRP (Revised 12-2017)

    *17315010001*17315010001

    Spouses Social Security Number

    5. Rental Period During YearFrom: (MM/DD/YY)

    To: (MM/DD/YY)

    8. Net rent paid - Multiply Line 6 by the percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9. Multiply Line 8 by 20%. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS . . . . . . . 00 .For Privacy Notice, see instructions.

    Taxation Division Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue.

    00 .

    7. Select the appropriate box below and enter the corresponding percentage on Line 7 . . . . . . . . . . . . . . . . . . . . . . . .

    A. Apartment, House, Mobile Home, or Duplex - 100% F. Low Income Housing - 100% (Rent cannot exceed 40% of total

    B. Mobile Home Lot - 100%

    C. Boarding Home or Residential Care - 50%G . Shared Residence If you shared your rent with relatives or friends

    D. Skilled or Intermediate Care Nursing Home - 45%

    E. Hotel - 100%; if meals are included - 50%

    Select this box if related to your landlord. If so, explain.2. Name (First, Last)

    Physical Address of Rental Unit (P.O. Box Not Allowed) Apartment Number

    3. Landlords Name (First, Last)

    Landlords Street Address (Must be completed)

    4. Landlords Phone Number (Must be completed)

    City State ZIP Code

    1 (50%) 2 (33%) 3 (25%)

    8

    9

    Landlords Last 4 Digits of Social Security Number

    One Form MO-CRP must be provided for each rental location in which you resided.

    Failure to provide landlord information will result in denial or delay of your claim.

    household income.)

    (other than your spouse or children under 18), select the appropriate box based on the additional persons sharing rent:

    City State ZIP Code

    - -- -

    Apartment Number

    %

    the amount of rent you paid. Note: If you rent from a facility that does not pay property tax, you are not from your landlord, or copies of canceled checks (front and back). If you received housing assistance, enter 6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment for the entire year, a signed statement

    eligible for a Property Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 .6

    7

    Landlords Federal Employee Identification Number (FEIN) - if applicable

    UF_L2: UF_L4: UF_L8: UF_L7: UF_L1: UF_L6: UF_L10: UF_L5: UF_L3: UF_L9: btnPrint: btnreset: btnCalculate: Instructions: (NOTE: For proper form functionality, utilize Internet Explorer browser and Adobe Reader for PDF viewer.)INSTRUCTIONS:- You must use the print button at the top of page to print form- Don't forget to attach all required forms- You can tab from one field to another or use the mouse to click in the field you want.- You must use your mouse to click in the check boxes.- If a field does not allow a negative number, and a negative number is entered, a zero will be displayed.

    ProtectBarcode: THIS IS A 2-D BARCODE. DO NOT ERASE IT OR WRITE ON IT.Texto1: Do automatic calculationsTexto2: Don't do any calculationsvendorid: 006CalcOption: Xprintlid: 1: PLEASE, USE THE PRINT BUTTON ON THE FORM TO PRINT THIS DOCUMENT. THANK YOU.2: PLEASE, USE THE PRINT BUTTON ON THE FORM TO PRINT THIS DOCUMENT. THANK YOU.3: PLEASE, USE THE PRINT BUTTON ON THE FORM TO PRINT THIS DOCUMENT. THANK YOU.4: PLEASE, USE THE PRINT BUTTON ON THE FORM TO PRINT THIS DOCUMENT. THANK YOU.5: PLEASE, USE THE PRINT BUTTON ON THE FORM TO PRINT THIS DOCUMENT. THANK YOU.6: PLEASE, USE THE PRINT BUTTON ON THE FORM TO PRINT THIS DOCUMENT. THANK YOU.

    c: amended: decease-1: decease-2: pts_65: pts_100disvet: pts_100disabled: pts_60orolder: pts_single: pts_married: pts_marrlivsep: ownfullyear: crp_relatedY: crp_7aa: crp_7ba: crp_7ca: crp_7da: crp_7ea: crp_7ha: crp_7fa: crp_7ga: crp_7ia: crp_7ja: crp_7ka: crp_relatedYb: crp_7ab: crp_7bb: crp_7cb: crp_7db: crp_7eb: crp_7hb: crp_7fb: crp_7gb: crp_7ib: crp_7jb: crp_7kb: crp_relatedYc: crp_7ac: crp_7bc: crp_7cc: crp_7dc: crp_7ec: crp_7hc: crp_7fc: crp_7gc: crp_7ic: crp_7jc: crp_7kc: crp_relatedYd: crp_7ad: crp_7bd: crp_7cd: crp_7dd: crp_7ed: crp_7hd: crp_7fd: crp_7gd: crp_7id: crp_7jd: crp_7kd: crp_relatedYe: crp_7ae: crp_7be: crp_7ce: crp_7de: crp_7ee: crp_7he: crp_7fe: crp_7ge: crp_7ie: crp_7je: crp_7ke: YES: NO:

    s: SSN_1: SSN_2: SSN-1: SSN-2:

    d: pts_bd_mm-1: pts_bd_dd-1: pts_bd_yy-1: pts_bd_mm-2: pts_bd_dd-2: pts_bd_yy-2: zipcode: zipext: crp_llphone1: crp_5fr_mm-1: crp_5fr_dd-1: crp_5to_mm-1: crp_5to_dd-1: crp_llphone1b: crp_5fr_mm-2: crp_5fr_dd-2: crp_5to_mm-2: crp_5to_dd-2: crp_llphone1c: crp_5fr_mm-3: crp_5fr_dd-3: crp_5to_mm-3: crp_5to_dd-3: crp_llphone1d: crp_5fr_mm-4: crp_5fr_dd-4: crp_5to_mm-4: crp_5to_dd-4: crp_llphone1e: crp_5fr_mm-5: crp_5fr_dd-5: crp_5to_mm-5: crp_5to_dd-5: emailaddress: dayphone: prepphone: prepzipcode:

    t: mini-1: title-1: firstname-2: mini-2: lastname-2: title-2: incareof: address: city: state: crp_explain: firstname-1: lastname-1: crp_address1: crp_apt1: crp_city1: crp_state1: crp_zip1: crp_llname1: crp_llssn1: crp_llfein1: crp_lladdress1: crp_llapt1: crp_llcity1: crp_llmo1: crp_llzip1: crp_explainb: crp_address1b: crp_apt1b: crp_city1b: crp_state1b: crp_zip1b: crp_llname1b: crp_llssn1b: crp_llfein1b: crp_lladdress1b: crp_llapt1b: crp_llcity1b: crp_llmo1b: crp_llzip1b: crp_explainc: crp_address1c: crp_apt1c: crp_city1c: crp_state1c: crp_zip1c: crp_llname1c: crp_llssn1c: crp_llfein1c: crp_lladdress1c: crp_llapt1c: crp_llcity1c: crp_llmo1c: crp_llzip1c: crp_explaind: crp_address1d: crp_apt1d: crp_city1d: crp_state1d: crp_zip1d: crp_llname1d: crp_llssn1d: crp_llfein1d: crp_lladdress1d: crp_llapt1d: crp_llcity1d: crp_llmo1d: crp_llzip1d: crp_explaine: crp_address1e: crp_apt1e: crp_city1e: crp_state1e: crp_zip1e: crp_llname1e: crp_llssn1e: crp_llfein1e: crp_lladdress1e: crp_llapt1e: crp_llcity1e: crp_llmo1e: crp_llzip1e: FEIN: prepaddress: prepstate: date1mm: date1dd: date1yy: date2mm: date2dd: date2yy: date3mm: date3dd: date3yy:

    COUNTY CODE: [ ]n: line1: line2: line3: line4: line5: line6: line7: line8: line9: line10: line11: crp_6a: crp_7a: crp_8a: crp_9a: crp_6b: crp_7b: crp_8b: crp_9b: crp_6c: crp_7c: crp_8c: crp_9c: crp_6d: crp_7d: crp_8d: crp_9d: crp_6e: crp_7e: crp_8e: crp_9e: line12:

    MO-PTC Line 1: MO-PTC Line 2: MO-PTC Line 3: MO-PTC Line 4: MO-PTC Line 5: MO-PTC Line 7: MO-PTC Line 8: Text1: Texto9: Check if you owned and occupied your home for the entire yearMO-PTC Line 9: GoToCRP: MO-PTC Line 10: MO-PTC Line 11: CRP2017: MO-CRP Lines 1-5: MO-CRP Line 6: MO-CRP Line 7: MO-CRP Line 8: MO-CRP Line 9: GoToPTC: MO-PTC Line 12: dd_debitcard: bankaccttype: dd_routingno: dd_acctno: dd_checking: dd_savings: fdata: Privacy Notice: