Homepage Fill in Your Iowa 54 130A Template

Similar forms

The Iowa 54 130A form is similar to the IRS Form 1040, which is the standard individual income tax return form. Both documents require personal information, including Social Security numbers and income details. They serve the purpose of assessing eligibility for financial benefits, with the 1040 focusing on tax liabilities while the Iowa form targets rent reimbursement. Each form necessitates accurate reporting of income and residency status, ensuring that the claims made are valid and verifiable.

Another comparable document is the Iowa 54-130B form, which is the worksheet for calculating total household income. This form is used in conjunction with the 54 130A, as it provides a breakdown of income sources that contribute to the overall household income. Both forms require similar financial disclosures and help determine eligibility for benefits. The 54-130B allows for detailed reporting of various income types, just as the 54 130A uses this information to calculate potential rent reimbursement.

The Application for Rental Assistance (ARA) is also similar to the Iowa 54 130A form. Like the 54 130A, the ARA collects personal and financial information to determine eligibility for rental assistance programs. Both forms require applicants to provide proof of income and residency, ensuring that assistance is directed to those who meet specific criteria. The ARA is aimed at helping individuals and families facing housing instability, paralleling the rent reimbursement focus of the Iowa form.

The HUD Form 50058, which is used for reporting information about families applying for housing assistance, shares similarities with the Iowa 54 130A form. Both documents require personal information and details about household income. The HUD form focuses on eligibility for public housing programs, while the Iowa form is specifically for rent reimbursement. Each form emphasizes the importance of accurate income reporting to assess eligibility for financial support.

The SSI (Supplemental Security Income) application form also bears resemblance to the Iowa 54 130A form. Both forms are designed to determine eligibility for financial assistance based on income and residency. The SSI application requires detailed information about income sources and living arrangements, similar to the requirements of the Iowa rent reimbursement claim. Both forms aim to assist low-income individuals in receiving necessary financial support.

The Section 8 Housing Choice Voucher application is another document similar to the Iowa 54 130A form. This application collects personal and financial information to determine eligibility for housing assistance. Like the Iowa form, it requires proof of income and residency. Both forms are essential for individuals seeking assistance in affording housing, emphasizing the need for accurate reporting of financial circumstances.

When dealing with the complexities of all-terrain vehicle ownership, it is crucial to utilize the appropriate documentation, such as the Top Forms Online, to facilitate a clear and legally binding transfer of ownership. Ensuring that both vendor and purchaser are aligned on the details helps to mitigate any potential disputes and guarantees proper registration during the sales process.

The Low-Income Home Energy Assistance Program (LIHEAP) application shares characteristics with the Iowa 54 130A form. Both documents collect information about household income and residency to assess eligibility for financial aid. While the LIHEAP application focuses on energy assistance, it parallels the Iowa form's goal of providing financial support to low-income households. Each form requires detailed reporting to ensure that assistance is appropriately allocated.

Lastly, the Medicaid application form is similar to the Iowa 54 130A form in that both require personal and financial information to determine eligibility for assistance programs. Medicaid focuses on health care coverage for low-income individuals, while the Iowa form addresses rent reimbursement. Both forms emphasize the importance of accurate income reporting and residency status to ensure that applicants receive the benefits they qualify for.

Documents used along the form

The Iowa 54 130A form is used to claim rent reimbursement for eligible residents in Iowa. Along with this form, several other documents may be necessary to support the claim or provide additional information. Below is a list of commonly associated forms and documents.

  • Iowa 54 130B Form: This form is a worksheet that helps claimants calculate their total household income. It includes various sources of income that must be reported to determine eligibility for the rent reimbursement program.
  • Proof of Disability: If a claimant is under 65 but is totally disabled, they must provide documentation proving their disability. This may include medical records or a letter from a healthcare provider.
  • Rental Agreement: A copy of the rental agreement or lease may be required to confirm the amount of rent paid during the claim period. This document serves as evidence of the claimant's residency and rental obligations.
  • Colorado ATV Bill of Sale Form: To ensure a smooth transaction process, refer to the essential Colorado ATV Bill of Sale documentation for secure ownership transfers.
  • Tax Returns: Claimants may need to submit copies of their federal and state tax returns for the year in question. These documents help verify income levels and support the information provided on the claim.
  • Landlord Verification: A statement or form completed by the landlord may be necessary to confirm the rental payments and the duration of the rental period. This helps validate the claim and ensures accuracy.
  • Identification Documents: Claimants might be asked to provide identification, such as a driver's license or Social Security card. This is to verify the identity of the claimant and their eligibility for the program.

Gathering these documents can help streamline the claims process and ensure that all necessary information is submitted. It is advisable to review the requirements carefully to avoid delays in processing the rent reimbursement claim.

Dos and Don'ts

When filling out the Iowa 54 130A form, it's essential to approach the process with care. Here are ten important dos and don'ts to consider:

  • Do read the instructions thoroughly before starting the form.
  • Do ensure that all personal information is accurate and up-to-date.
  • Do file your claim early to expedite the reimbursement process.
  • Do use whole dollars only when reporting your income and rent amounts.
  • Do double-check your calculations to avoid mistakes that could delay processing.
  • Don't leave any sections of the form blank; incomplete forms can lead to delays.
  • Don't forget to attach any required documentation, such as proof of disability.
  • Don't write in the designated spaces that are meant for official use only.
  • Don't miss the filing deadline; claims must be submitted by June 1, 2003.
  • Don't hesitate to seek assistance if you have questions about the form or the process.

By adhering to these guidelines, you can ensure a smoother experience while completing the Iowa 54 130A form.

Document Preview Example

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)