Fillable Printable CRP, Certificate of Rent Paid 2014 - Minnesota

CRP, Certificate of Rent Paid 2014 - Minnesota

CRP, Certicate 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 ........................................... . .

1 Rent 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.

2 The percentage for all renters is 17 percent (.17) ........................................... 2

3 Multiply 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 certicate 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, Certicate 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 qualied 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