Fillable Printable CRP, Certificate of Rent Paid 2014 - Minnesota
Fillable Printable CRP, Certificate of Rent Paid 2014 - Minnesota
CRP, Certificate of Rent Paid 2014 - Minnesota
CRP, Certicate of Rent Paid 2014
Renter’s name and address of the unit rented Owner’s or managing agent’s name and address (including zip code)
Property ID number or parcel number County Number of units on this property
Rented from: to: Total months rented Number of adults living in unit Place an X in
— 2014 — 2014
(count married couple as 1) box if count includes
married couple
Place an X if: Nursing home Intermediate care facility Adult foster care Assisted living
A.Amount paid for the renter by medical assistance (Medicaid)............ . .
B.Group Residential Housing (GRH) payments received by landlord
on behalf of this renter ........................................... . .
1Rent paid to you by this individual renter or married couple for 2014 ............................1
If a government housing agency paid you part of the rent for this unit, place an X in this box,
but do not include the amounts paid by the government agency in line 1.
Place an X in this box if rent was for a mobile home lot.
2The percentage for all renters is17 percent (.17) ...........................................2
3Multiply line 1 by line 2. Renters: Include this amount on line 9 of Form M1PR ...................3
(month) (day) (month) (day)
.
17 %
.
Landlord: I declare that this certicate is correct and complete to the best of my knowledge and belief.
Owner’s or agent’s signature Date Business phone
Eligible renters (see eligibility requirements below) may receive a refund based on property taxes paid on their principal place of
residence in Minnesota and their income.
The landlord is required to give each renter a completed CRP, Certicate of Rent Paid, no later than January 31, 2015.
Renters will need this CRP to apply for a property tax refund.
You must le Form M1PR and include all CRPs to claim a refund.
Roommates: The landlord is required to give each unmarried renter living in a unit a separate CRP showing that each roommate
paid an equal portion of the rent, regardless of the portion actually paid or whose names are on the lease.
Purpose of CRP
Eligibility Requirements for Renters
You may qualify for the property tax refund if all of the following conditions apply to you for 2014:
•You were a full-year or part-year resident of Minnesota; and
•You cannot be claimed as a dependent on someone else’s 2014 federal income tax return; and
•Your total household income is less than $58,060. (Household income is your federal adjusted gross income plus most nontax-
able income. If you are married and living together, both incomes are included in household income. If you are single, use your
income only; do not include the income of any other person living with you. Also, to arrive at your total household income, a
subtraction is allowed if you have dependents, if you contribute to a qualied retirement plan, or if you or your spouse are age 65
or older or disabled.)
If you meet the above eligibility requirements, complete Form M1PR, Homeowners Homestead Credit Refund and Renters Property
Tax Refund, to determine the amount of your refund. You must include this CRP when you le your return.
You can nd Form M1PR and other tax-related information on our website at www.revenue.state.mn.us. Or, you can order forms by
calling 651-296-4444 or 1-800-657-3676. If you still have questions, call the department at 651-296-3781 or
1-800-652-9094.
If you qualify, complete and le Form M1PR. You must include this CRP when you le your M1PR return.
To be Completed by Landlord
Landlord’s
Signature
Important Information for Renters
