Printable Iowa 54 130A Form in PDF Modify Form Online

Printable Iowa 54 130A Form in PDF

The Iowa 54 130A form is a resource provided by the Iowa Department of Revenue and Finance, specifically designed for individuals seeking rent reimbursement for the year 2002. It's tailored for renters who were either 65 or older by the end of 2002 or were totally disabled and 18 or older by that same timeframe, among other eligibility criteria. To ensure a smoother process and possibly receive your rent reimbursement sooner, it’s encouraged to file this form promptly. Click the button below to get started with filling out your form.

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In the heart of financial assistance programs offered by the state, the Iowa 54 130A form stands out as a beacon of hope for those struggling with rent expenditures. This form, crucial for Iowa's Rent Reimbursement Claim for the year 2002, is hosted on the official website of the Iowa Department of Revenue and Finance. Aimed at individuals who found themselves burdened by rent in the previous year, this document lays a pathway to potentially reclaim some of that financial outflow. To qualify, claimants must navigate a series of eligibility questions that touch upon their age, disability status, residency in Iowa during 2002, current residency situation, and whether they resided in a nursing home or care facility within the same year. The form meticulously requires the claimant's personal and financial details, including total household income and the entirety of rent paid in Iowa for 2002. It then calculates the reimbursement through a series of straightforward mathematical steps, culminating in a potentially relieving fiscal return. Not just a simple reimbursement claim, this form encapsulates the state's effort to support its residents through detailed, thoughtful financial mechanisms. As the form advises to file early for a swifter reimbursement process, it also implicitly encourages applicants to pay strict attention to accuracy to avoid any processing delays, illustrating the importance of diligence in seeking financial assistance.

Iowa 54 130A Preview

I OWA

department of Revenue and Finance IOWA RENT REIMBURSEMENT CLAIM www.state.ia.us/tax

2002 TO BE FILED IN 2003

File early to receive your rent reimbursement sooner.

Claimant’s Last Name

First Name

 

Claimant’s Social Security Number

Claimant’s Birth Date

 

County

 

 

 

/

/

/

/

 

Number

Spouse’s Last Name

First Name

 

Spouse’s Social Security Number

 

 

 

 

Month Day

Year

 

___

___

 

 

 

/

/

 

 

 

 

 

 

 

 

 

Mailing Address

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt #, Lot #, Suite#, PO Box

 

Apt #, Lot #, Suite#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, Zip Code

 

City, State, Zip Code

 

 

 

 

 

 

 

 

 

 

Do not write in this space.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWER THESE QUESTIONS TO DETERMINE ELIGIBILITY:

 

 

YES

NO

 

1.Did you file a Rent Reimbursement claim last year? _____________________________________

2a. Were you 65 or older 12/31/02? __________________________________________________

2b. Were you totally disabled and 18 or older as of 12/31/02? Attach Proof of Disability _____________

3.Were you a resident of Iowa during any part of 2002? __________________________________

4.Do you presently live in Iowa? ____________________________________________________

5.Were you a resident of a nursing home or care facility during 2002? _________________________

COMPLETE THE WORKSHEET ON THE REVERSE SIDE

Use Whole Dollars Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.Total household income from line K side 2__________________________

 

 

 

,

 

 

 

 

 

.

0

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Rental period in Iowa from ___________ , 2002, to ____________ , 2002

 

 

 

 

 

 

 

 

 

 

 

 

8. Total rent paid in Iowa for 2002 _________________________________

 

 

 

,

 

 

 

 

 

.

0

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

9.Allowable percentage _________________________________________________________ X .

2

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Multiply line 8 by line 9 (NOT TO EXCEED $1,000) ____________________________

 

,

 

 

 

 

 

.

0

 

0

 

11. Reimbursement rate from table on reverse side 2 __________________________________ X

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.This is yourreimbursement(multiplyline10 byline 11) ____________________

 

,

 

 

 

 

 

.

0

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.Name of apartment, nursing home or facility: ____________________________________________________

Landlord: Name _______________________________________ Telephone ( ______ ) ______________

Address: ______________________________________________________________________

City, State, Zip Code: ____________________________________________________________

14.I declare under penalty of perjury that I have reviewed this claim and to the best of my knowledge and belief, it is true, correct and complete.

________________________________________

_________

_________________________________

Claimant’sSignature

Date

Preparer’s Signature

( _________ ) ___________________________

 

( __________ ) ___________________

Claimant’sTelephoneNumber

 

Preparer’s Telephone Number

Review your claim for accuracy. Incomplete claims and errors will delay processing of your reimbursement check.

Side 1

IT MAY TAKE AS LONG AS 14 WEEKS TO PROCESS YOUR CLAIM.

54-130a (07/25/02)

Worksheet for line 6

2002 TOTAL YEARLY HOUSEHOLD INCOME

“Household income” includes the income of the claimant, the claimant’s spouse and monetary contributions received from other persons living with the claimant.

Use Whole DOLLARS Only

A. Wages, salaries, tips, etc. ________________________________________

B. Rent subsidy/utilities assistance____________________________________

C. Title 19 Benefits for housing only (see instructions) ____________________

D. Social Security income received in 2002 ____________________________

E. Disability income for 2002 _______________________________________

F.All pensions and annuities from 2002 _______________________________

G. Interest and dividend income from 2002 ____________________________

H. Profit from business and/or farming and capital gains

if less than zero, enter 0 (see instructions) ________________________

I.Actual money received from others living with you in 2002 (see instructions) _ J. Other income (read instructions before making this entry) _______________

K. ADD amounts on lines A-J, enter here and on Line 6 Side 1_____________

This is your total household income

,

.

0

0

,

.

0

0

,

.

0

0

,

.

0

0

,

.

0

0

,

.

0

0

,

.

0

0

,

.

0

0

,

.

0

0

,

.

0

0

 

 

 

 

,

.

0

0

REIMBURSEMENT RATE TABLE FOR LINE 11

If your total household income from Line K above is:

$ 0.00

-

9,060.99 ----------

enter 1.00 on Line 11, Side 1

9,061

-

10,126.99 ----------

enter 0.85 on Line 11, Side 1

10,127

-

11,192.99 ----------

enter 0.70 on Line 11, Side 1

11,193

-

13,324.99 ----------

enter 0.50 on Line 11, Side 1

13,325

-

15,456.99 ----------

enter 0.35 on Line 11, Side 1

15,457

-

17,588.99 ----------

enter 0.25 on Line 11, Side 1

17,589 or greater -------------------

no reimbursement allowed

 

 

 

 

For assistance in completing this form, call 1-800-367-3388 or 515/281-3114.

 

Where’s my refund check?

Call 1-800-572-3944 or 515/281-4966

 

 

 

You must provide claimant’s Social Security Number

 

 

 

and date of birth when calling

 

 

Mail this form to:

IOWA DEPARTMENT OF REVENUE AND FINANCE

 

 

 

RENT REIMBURSEMENT PROCESSING

 

 

 

PO BOX 10459

 

 

 

DES MOINES IA 50306-0459

 

 

Claims must be filed no later than June 1, 2003, unless the Director of Revenue and Finance

Side 2

has granted an extension of the time to file through December 31, 2004.

54-130b (06/04/02)

Form Information

Fact Description
Form Number 54-130a
Title Iowa Rent Reimbursement Claim
Submission Year 2002 claims to be filed in 2003
Governing Body Iowa Department of Revenue and Finance
Eligibility 65 or older by 12/31/02 or totally disabled and 18 or older as of 12/31/02
Residency Requirement Must have been a resident of Iowa during any part of 2002 and currently living in Iowa
Income Consideration Total household income affects the reimbursement rate
Deadline for Filing June 1, 2003, with a possible extension through December 31, 2004

Detailed Guide for Writing Iowa 54 130A

Filing out the Iowa 54 130A form, also known as the Iowa Rent Reimbursement Claim, is a process that allows eligible residents to seek reimbursement for rent paid within the state. This form is designed for individuals who either were aged 65 or older by the end of 2002, or were totally disabled and 18 or older as of the same date. It's crucial to provide accurate information to ensure a smooth reimbursement process and to avoid any potential delays. Follow these steps carefully to complete your form accurately and efficiently.

  1. Start by writing your last name, first name, social security number, and birth date in the designated spaces at the top of the form.
  2. Include your spouse’s last name, first name, and social security number if applicable.
  3. Fill in your complete mailing address, including street address, apartment number (if applicable), city, state, and zip code. There's also space for a different street address if needed.
  4. Answer the eligibility questions on the form with a "Yes" or "No." These questions cover topics like previous claims, age or disability status, Iowa residency, current living situation, and if you lived in a nursing home or care facility in 2002.
  5. For the worksheet on the reverse side, list your total household income. Include all necessary categories like wages, rent subsidy, Title 19 benefits related to housing only, Social Security income, and any other applicable income sources.
  6. Write down the total household income from line K on the reverse side in the space provided on the front page.
  7. Enter the rental period in Iowa for the year 2002.
  8. Record the total rent paid in Iowa during 2002.
  9. Calculate the allowable percentage and fill in the designated spot.
  10. Multiply the total rent paid by the allowable percentage (do not exceed $1,000) and write down the result.
  11. Check the reimbursement rate table on the reverse side and enter the correct rate on the form.
  12. Calculate your reimbursement by multiplying the result from step 10 by the reimbursement rate and enter this amount.
  13. Provide the name of the apartment, nursing home, or facility where you lived, along with the landlord’s name, telephone number, and address.
  14. Sign and date the form in the designated section. If someone prepared the form for you, they must also sign and provide their telephone number.
  15. Before mailing, double-check your entries for accuracy to ensure prompt processing. Every detail counts and can affect the outcome of your claim.

Remember: The form must be mailed to the Iowa Department of Revenue and Finance at the address provided on the form. The deadline for filing is June 1, 2003. However, an extension up to December 31, 2004, may be granted by the Director of Revenue and Finance. Accurate completion and prompt submission of your Iowa 54 130A form can help you receive your reimbursement without unnecessary delay.

Get Answers on Iowa 54 130A

What is the Iowa 54 130A form?

The Iowa 54 130A form is a document used by individuals in Iowa to claim rent reimbursement from the state. This form is designed for residents who have paid rent in Iowa during the previous year and meet certain eligibility criteria, such as age or disability status.

Who is eligible to file an Iowa 54 130A rent reimbursement claim?

Eligibility for filing a rent reimbursement claim using the Iowa 54 130A form includes individuals who were either 65 years of age or older or totally disabled and aged 18 or older as of December 31 of the year prior to filing. Additionally, claimants must have been residents of Iowa for part or all of that year and continue to live in Iowa. Applicants who lived in a nursing home or care facility during the year may also be eligible.

What information is needed to complete the form?

To complete the Iowa 54 130A form, individuals must provide personal details such as their full name, social security number, date of birth, and mailing address. The form requires details about the rental period in Iowa, total rent paid for the year, and total household income. Supporting documents may be required to verify claims of disability.

How is the reimbursement amount calculated?

The reimbursement amount is calculated by first determining the total rent paid in Iowa during the eligible period and then applying an allowable percentage to this amount. This product is then multiplied by a reimbursement rate that is determined based on the claimant's total household income. The final reimbursement amount, however, cannot exceed $1,000.

When is the deadline to file the form?

The filing deadline for the Iowa 54 130A form is June 1 of the year following the rental period. However, extensions may be granted until December 31 of the following year if approved by the Director of Revenue and Finance.

Where can individuals get help with filling out the form?

Individuals seeking assistance with the Iowa 54 130A form can contact the Iowa Department of Revenue and Finance by calling their toll-free number or by consulting the department's website. There are also resources available for individuals who need help understanding the eligibility requirements and how to complete the form accurately.

How can claimants check the status of their reimbursement?

After filing the Iowa 54 130A form, claimants can check the status of their rent reimbursement claim by calling a designated number provided by the Iowa Department of Revenue and Finance. Claimants must have their Social Security Number and date of birth handy to verify their identity.

Common mistakes

When filling out the Iowa 54-130A form for rent reimbursement claims, people often make mistakes that can delay or invalidate their claim. Awareness and careful attention to detail can help avoid these common errors.
  1. Failing to verify eligibility before filling out the form, specifically regarding age, disability, residency, and income requirements outlined in the eligibility questions. It's crucial to answer these questions accurately to determine if you qualify for rent reimbursement.

  2. Incorrectly reporting income, including omitting or inaccurately reporting income from all sources. This includes wages, rent subsidies, Social Security income, and any other income that contributes to the total household income.

  3. Not providing complete landlord information, including the name, address, and telephone number of the landlord. This information is essential for processing the claim.

  4. Forgetting to sign and date the form. A claimant's signature and date verify that the information provided on the form is true and correct to the best of their knowledge.

  5. Misunderstanding the rental period requirement. The form specifically asks for the rental period in Iowa during the 2002 year, which needs to be filled out accurately.

  6. Omitting documentation for proof of disability if applicable. If answering 'yes' to being totally disabled and 18 or older as of 12/31/02, documentation is required to support this claim.

  7. Inaccurately calculating the total rent paid in Iowa for 2002 or misunderstanding allowable percentages for reimbursement. This could lead to requesting an incorrect reimbursement amount.

  8. Not checking for completeness and accuracy before submission. Reviewing the claim for any incomplete sections or errors is important as it ensures faster processing of the reimbursement.

Avoiding these common mistakes can significantly enhance the accuracy and timeliness of processing rent reimbursement claims.

Documents used along the form

When preparing to file the Iowa 54-130A form for rent reimbursement, it is essential to be aware of and possibly gather other related forms and documents that may be necessary to support your claim. These forms and documents play a critical role in ensuring the completeness and accuracy of your reimbursement filing, enabling a smoother process and helping to avoid any potential delays.

  • Iowa W-4 Form: This document is crucial for documenting state tax withholdings from wages or salaries, which can affect the claimant's total household income reported on the 54-130A form.
  • Proof of Disability Documentation: If claiming rent reimbursement due to disability, official documentation or letters from Social Security Administration or other relevant bodies are required to prove the claimant's disability status.
  • Rent Receipts or Lease Agreement: These serve as proof of rent payments made during the year in question, showing the total amount that can potentially be reimbursed.
  • Bank Statements: These can help prove the claimant's total household income, especially when direct deposits for wages, Social Security benefits, or other income sources are involved.
  • Property Tax Statement: For claimants who also own property besides renting, this statement can provide necessary information regarding property taxes, which might affect eligibility or reimbursement amounts.
  • Income Verification from All Sources: Includes documents like pay stubs, benefit statements, and any other official documents that verify the total household income from all sources, which is a crucial figure for the 54-130A form.

Each of these documents plays a vital role in the rent reimbursement process, whether by establishing eligibility, proving the veracity of claims made, or detailing financial circumstances that affect the reimbursement amount. By gathering and preparing these forms and documents ahead of time, claimants can ensure a more streamlined and efficient rent reimbursement filing process. For any assistance required or questions regarding these documents, the Iowa Department of Revenue and Finance provides resources and support to guide claimants through each step of the process.

Similar forms

The Iowa 54 130A form, also known as the Iowa Rent Reimbursement Claim form, has similarities with several other types of tax-related documents that individuals may encounter. One such document is the Federal 1040 form, which is used for filing individual federal income tax returns in the United States. Both forms require the claimant to report income, though the scope and purpose differ significantly. The Iowa 54 130A focuses on reimbursing rent paid within the state under certain conditions, while the Federal 1040 encompasses a broad range of income types and tax situations on a national level.

Another analogous document is the Property Tax Credit Claim form, often seen in various states, which like the Iowa Rent Reimbursement Claim, aims to provide financial relief to eligible residents. This tax credit form is designed for homeowners as opposed to renters and helps to reduce the property tax burden based on the homeowner's income and other qualifying factors. Both forms share the objective of supporting individuals with limited income, although they cater to different groups of residents—homeowners versus renters.

The Homestead Credit Claim, prevalent in some states, is similar to the Iowa 54 130A form, as it provides a tax benefit for residents with low to moderate income who own their homes and occupy them as their primary residence. While the Homestead Credit directly reduces property taxes for homeowners, the Iowa Rent Reimbursement Claim offers a reimbursement for renters, reflecting the diverse approaches states use to alleviate housing costs for their residents.

The Social Security Administration's SSA-1099 form, which reports the total amount of social security benefits received, is another document related to the Iowa 54 130A. Claimants of the Iowa Rent Reimbursement may need to refer to the SSA-1099 when reporting income on their claim form, as social security benefits are considered part of one's total household income. This interaction underscores the interconnectedness of different forms and systems in managing and reporting individual finances for tax and benefit purposes.

Lastly, the Disability Benefits form, provided by either private insurance or government programs, shares a specific similarity with the Iowa Rent Reimbursement Claim regarding eligibility criteria. For the Iowa 54 130A form, proving disability is a pathway to qualify for rent reimbursement alongside age criteria. Both documents thus require proof or documentation of disability, emphasizing the role that personal circumstances play in determining eligibility for financial assistance or reimbursements.

Dos and Don'ts

Filling out the Iowa 54 130A form, which is aimed at claiming rent reimbursement, involves some careful steps to ensure the process runs smoothly and efficiently. An accurate and timely submission can expedite the review and potential approval of your claim. Here are some dos and don'ts to help guide you through this process:

  • Do gather all necessary documentation regarding your income, rent payments, and any applicable disability proof before starting the form to make the process smoother.
  • Do make sure to answer all eligibility questions truthfully to avoid any discrepancies that could delay or invalidate your claim.
  • Do use whole dollars only when reporting financial amounts. This is in alignment with the form's requirements and helps to avoid confusion.
  • Do double-check your Social Security Number and other personal information for accuracy. Mistakes here can lead to significant delays.
  • Do review the reimbursement rate table carefully to ensure you enter the correct rate on your form based on your total household income.
  • Don't overlook the deadline for filing the claim. All documents must be submitted no later than June 1, 2003, unless you've received a specific extension.
  • Don't leave any required fields incomplete. Incomplete claims could be delayed or not processed.
  • Don't guess your income or rent amounts. Ensure all figures are accurate and verifiable should the Department of Revenue and Finance request documentation.
  • Don't hesitate to seek assistance if you have questions by calling the provided numbers. It's better to get clarification than make an incorrect entry on your claim.

By following these guidelines, you're on your way to a smoother submission process for your Iowa Rent Reimbursement Claim. Remember, the key to a successful claim is ensuring everything is filled out accurately and submitted on time. If in doubt, always ask for help to ensure your claim is processed as quickly as possible.

Misconceptions

When exploring the complexities of tax forms like Iowa's 54 130A, it’s quite easy to fall into a web of misconceptions. This form, designed for rent reimbursement claims in Iowa, often triggers misunderstandings among its potential filers, which can hinder their ability to benefit from the program. Let's clarify some of these myths to ensure accurate completion and submission.

  • Misconception 1: The form is only for senior citizens. While it’s true that individuals 65 or older as of December 31, 2002, are eligible, the form also accommodates those who were totally disabled and 18 or older by the same date, expanding its accessibility.

  • Misconception 2: Only Iowa residents can file. Although the form requires that you were a resident of Iowa during part of the tax year for which you are claiming reimbursement, it also asks if you presently live in Iowa, suggesting that recent movers can still claim if they meet other eligibility criteria.

  • Misconception 3: You can file this form at any time. This belief can lead to missed deadlines, as the form clearly states that claims must be filed no later than June 1, 2003, with extensions only granted by the Director of Revenue and Finance through December 31, 2004.

  • Misconception 4: Income from all sources is irrelevant. The form requires detailed income reporting, including wages, rent subsidies, Social Security, and more. This indicates a means test aspect to the eligibility, counter to the belief that all applicants qualify regardless of income.

  • Misconception 5: Filing this form guarantees reimbursement. The instructions make it clear that the total amount of rent paid and total household income impact both eligibility and the reimbursement rate, meaning not all filers will receive funds.

  • Misconception 6: The reimbursement process is quick. The form cautionarily notes that processing claims may take as long as 14 weeks, tempering expectations for those expecting immediate returns.

  • Misconception 7: The form is complicated and requires professional preparation. While the form does allow for a preparer’s signature, it is designed for direct filer completion, with informational resources provided for assistance, suggesting it’s user-friendly with available support.

  • Misconception 8: You must have lived in a fixed residence to be eligible. The requirement for the name of the apartment, nursing home, or care facility addresses various living situations, indicating flexibility in the type of eligible housing arrangements.

  • Misconception 9: The form only pertains to rent paid in 2002. While the form asks for rent paid within the 2002 calendar year, the broader context of eligibility questions implies that understanding your residency and condition across years is critical for establishing eligibility, highlighting the form’s attempt to encompass varying circumstances.

Correcting these misconceptions can significantly enhance understanding and utilization of the Iowa 54 130A form, benefiting eligible residents seeking rent reimbursement. It underscores the importance of thoroughly reading and comprehending form instructions to accurately claim any potential reimbursements.

Key takeaways

Filling out and using the Iowa 54 130A form, known as the Iowa Rent Reimbursement Claim, might seem daunting at first, but understanding its key components can help residents navigate the process efficiently. Here are several important takeaways to consider:

  • Eligibility is a pivotal first step. Applicants must assess whether they filed a claim last year, their age or disability status as of December 31, 2002, their residency in Iowa during 2002, their current residency status, and if they were residents of a nursing home or care facility during 2002.
  • Understanding household income is crucial. The form requires applicants to calculate their total yearly household income, which includes wages, benefits, pensions, and contributions from others living with them.
  • Applicants should know the rental period in Iowa for 2002 and the total rent paid within the state during this timeframe, as these figures are directly involved in the calculation of the reimbursement.
  • The allowable percentage and reimbursement rate from the table provided on the reverse side are used to determine the amount of reimbursement. These rates vary depending on the claimant's total household income.
  • Accuracy and completeness of the claim are essential for processing. Incomplete claims or errors can delay the reimbursement check.
  • The form asks for detailed information about the claimant’s landlord, including the landlord's name, telephone number, and address, along with the name of the apartment, nursing home, or facility.
  • Applicants must sign the form, certifying that the information provided is true, correct, and complete to the best of their knowledge, understanding that it is under penalty of perjury.
  • There is a strict filing deadline. Claims for the year 2002 must be filed no later than June 1, 2003, unless an extension has been granted by the Director of Revenue and Finance.

By keeping these key points in mind, applicants can approach filling out the Iowa 54 130A form with greater clarity and confidence, ensuring they accurately claim the rent reimbursement they are entitled to.

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