APPLICATION INSIDE
PENNSYLVANIA
RENT REBATE PROGRAM
2019
PROPERTY TAX
or
PA-1000 Booklet 09-19
Rebates for eligible seniors, widows,
widowers and people with disabilities.
HARRISBURG PA 17128-0503
www.revenue.pa.gov
IMPORTANT DATES
Application deadline: JUNE 30, 2020
Rebates begin: EARLY JULY, 2020
NOTE: The department may extend the
application deadline if funds are available.
2 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
WHAT IS THE PROPERTY TAX/RENT
REBATE PROGRAM?
A Pennsylvania program providing rebates on
property tax or rent paid the previous year by
income-eligible seniors and people with disabilities.
HOW TO APPLY?
Submit the paper application in this booklet to the
Department of Revenue. Instructions are inside.
AM I ELIGIBLE?
The program benefits income-eligible Pennsylvanians
age 65 and older; widows and widowers age 50 and
older; and people with disabilities age 18 and older.
CHECK APPLICATION STATUS
Online: Visit www.revenue.pa.gov and select
Where’s my Property Tax/Rent Rebate
Phone: 1-888-PA-TAXES
Include your phone number on the application to
get updates on your rebate. The department makes
automated calls in April and June.
DIRECT DEPOSIT
Get your rebate faster with direct deposit.
See Pages 12 and 13 for details.
www.revenue.pa.gov
HOMEOWNERS
Income Maximum Rebate
$0 to $8,000 $650
$8,001 to $15,000 $500
$15,001 to $18,000 $300
$18,001 to $35,000 $250
RENTERS
Income Maximum Rebate
$0 to $8,000 $650
$8,001 to $15,000 $500
2019
NEW FOR 2019
Retired federal civil service employees receiving
benefit payments from the federal Civil Service
Retirement System (CSRS) who deduct the average
retired worker Social Security payment from eligibili-
ty income will now deduct $9,514 from each retiree’s
total CSRS benefit payments received. See the
instructions for Line 12 for additional information.
STATE SUPPLEMENTARY PAYMENT RECIPIENTS
The State Supplementary Payment (SSP) is not included
on your SSA-1099 form. The Department of Human
Services will issue annual statements to verify your SSP
benefit. SSP is still considered reportable income. As with
other Social Security income, only half of the SSP income
needs to be included on Line 4 of the Property Tax/Rent
Rebate claim form.
SOCIAL SECURITY RECIPIENTS WITH
PA ADDRESSES
If you were a Pennsylvania resident for all of 2019, you do
not have to submit proof of your Social Security income
including Social Security retirement and Supplemental
Security benefits. The Social Security Administration
provides Social Security income information to the PA
Department of Revenue. The PA Department of Human
Services will provide State Supplementary Payment
information to the department.
However, you or the person who prepares your claim will
need these statements to correctly calculate the amount of
your rebate. If none of these documents are available, you
or your preparer will need to estimate the amount you
received during the year. If the dollar amount you provide
is not correct, the department will adjust the amount of
your rebate based upon income amounts reported directly
to the department by the Social Security Administration or
the Department of Human Services.
SOCIAL SECURITY RECIPIENTS WITHOUT
PA ADDRESSES
If your address in Social Security Administration records
was not a Pennsylvania address for 2019, you must submit
a copy of one of the following documents as proof of your
2019 Social Security income: Form SSA-1099 reporting
your 2019 Social Security benefits, a statement from
Social Security that reports the monthly or yearly Social
Security/Supplemental Security Income benefits you
received during 2019, or a bank statement showing the
amount of Social Security/Supplemental Security Income
benefits deposited into your account during 2019.
PHILADELPHIA RESIDENTS
Please read the special filing instructions on Page 11.
You are eligible for a Property Tax/Rent Rebate for claim
year 2019, if you meet the requirements in each of the
three categories below:
a. You were 65 or older as of Dec. 31, 2019;
b. You were not 65, but your spouse who lived with you
was 65 or older as of Dec. 31, 2019;
c. You were a widow or widower during all or part of
2019 and were 50 or older as of Dec. 31, 2019; or
d. You were permanently disabled and 18 or older
during all or part of 2019, you were unable to work
because of your medically determined physical or
mental disability, and your disability is expected to
continue indefinitely. If you received Supplemental
Security Income (SSI) payments, you are eligible for
a rebate if you meet all other requirements.
NOTE: If you applied for Social Security disability benefits
and the Social Security Administration did not rule in your
favor, you are not eligible for a Property Tax/Rent Rebate
as a disabled claimant.
When calculating your total eligible annual household
income, exclude one-half of your Social Security benefits
as shown in Box 5 of your SSA-1099 statement, one-half
of your Supplemental Security Income benefits, one-half of
your State Supplementary Payment benefits and one-half
of any Railroad Retirement Tier 1 benefits as shown on
Form RRB-1099.
a. Property Owners - Your total eligible annual house-
hold income, including the income that your spouse
earned and received while residing with you, was
$35,000 or less in 2019.
b. Renters - Your total eligible annual household
income, including the income that your spouse
earned and received while residing with you, was
$15,000 or less in 2019.
You must report all items of income, except the nonre-
portable types of income listed on Pages 8 and 9, whether
or not the income is taxable for federal or PA income tax
purposes.
NOTE: There may be differences between eligibility
income and PA-taxable income. Please see specific line
instructions for each category of income.
To file as a property owner, renter, or owner/renter, you must
meet all requirements for one of the following categories:
OWNER
a. You owned and occupied your home, as evidenced
by a contract of sale, deed, trust, or life estate held by
a grantee;
b. You occupied your home (rebates are for your
primary residence only); and
c. You or someone on your behalf paid the 2019
property taxes on your home.
BEFORE YOU BEGIN
ELIGIBILITY REQUIREMENTS
CATEGORY 1 – TYPE OF FILER
CATEGORY 2 – ELIGIBILITY INCOME
CATEGORY 3 – OWNER, RENTER OR
OWNER/RENTER
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 3
RENTER
a. You rented and occupied a home, apartment, nursing
home, boarding home, or similar residence in
Pennsylvania;
b. Your landlord paid property taxes or agreed to make
a payment in lieu of property taxes on your rental
property for 2019 (see Page 12); and
c. You or someone on your behalf paid the rent on your
residence for 2019.
OWNER/RENTER
a. You owned, occupied, and paid property taxes for
part of the year and were a renter for part of the year;
b. You owned and occupied your home and paid
property taxes and paid rent for the land upon which
your home is situated; or
c. You paid rent for the home you occupied, and paid
property taxes on the land upon which your home is
situated.
CAUTION: As a renter, if you received cash public assis-
tance during 2019, you are not eligible for any rebate for
those months you received cash public assistance. Please
complete a PA-1000 Schedule D (enclosed in this booklet).
IMPORTANT: Please send photocopies, since the depart-
ment cannot return original documents. Print your Social
Security Number (SSN) on each proof document that you
submit with your claim form.
If you are age 65 or older, provide proof of your age.
If you are under age 65 and your spouse is age 65 or
older, provide proof of your spouse’s age.
If you are a widow or widower age 50 to 64, provide
proof of your age and a photocopy of your spouse’s
death certificate.
If you are permanently disabled, age 18 to 64, you must
provide proof of your age and proof of your permanent
disability.
PROOF OF AGE
NOTE: If you receive Social Security or SSI benefits and
have proven your age with the Social Security
Administration, you do not need to submit proof of age.
IMPORTANT: The department accepts photocopies of the
following documents as proof of your age. Do not send
your original documents since the department cannot
return original documents.
Birth certificate
Blue Cross or Blue Shield 65 Special Card
Church baptismal record
Driver’s license or PA identification card
Hospital birth record
Naturalization/immigration paper, if age is shown
Military discharge paper, if age is shown
Medicare card
PACE/PACENET card
Passport
The department will not accept a Social Security card or
hunting or fishing license as proof of age.
If you have questions on other types of acceptable
documents, please call the department at 1-888-222-9190.
PROOF OF DISABILITY
For Social Security disability, SSI permanent and total
disability, Railroad Retirement permanent and total
disability, or Black Lung disability, provide a copy of your
award letter.
For Veterans Administration disability, provide a letter
from the Veterans Administration stating that you are
100 percent disabled.
For Federal Civil Service disability, provide a letter from
Civil Service stating that you are 100 percent disabled.
If you do not qualify under any of the disability programs
mentioned above, did not apply for Social Security
benefits, or do not have a letter from the Veterans
Administration or Civil Service Administration, you must
submit a Physician’s Statement of Permanent Disability
(PA-1000 PS), enclosed in this booklet. The form must
describe your disability as permanent and your
physician must sign the statement to certify that the
information is true and accurate to the best of his/her
knowledge and belief.
IMPORTANT: The Physician’s Statement of Permanent
Disability cannot be used if you were denied Social
Security disability. The Department of Revenue has the
legal authority to require additional evidence that you are
permanently disabled and eligible for a rebate.
HOUSEHOLDS WITH MORE THAN
ONE QUALIFIED CLAIMANT
Only one member of your household may file a claim even
if more than one person qualifies for a rebate. If someone
other than your spouse appears on the deed or the lease,
please complete a PA-1000 Schedule F (enclosed in this
booklet). You may apply for only one rebate each year.
DECEASED CLAIMANT
To be eligible for a rebate, the claimant must have lived at
least one day of a claim year, owned and occupied and
paid taxes or rented and occupied and paid rent for the
claim year during the time period the claimant was alive.
The property tax paid for a deceased claimant will be
prorated based upon the number of days the claimant lived
during the claim year. See Schedule A for the calculation of
the prorated property tax rebate.
To determine if a deceased claimant is eligible for a rebate, a
deceased claimant’s claim form must also include an
PROOF DOCUMENTS THAT FIRST
TIME FILERS MUST SUBMIT
4 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
annualized income amount in the calculation of total
household income. See Schedule G, specifically the
instructions for Line 11g, for information on the calculation of
annualized income to be included in household income. A
copy of the death certificate must also be included with the
claim form.
A surviving spouse, estate or personal representative may
file a claim on behalf of a deceased claimant. A personal
representative can also have a previously filed rebate issued
in his or her name, instead of the name of the decedent, in
certain circumstances. Please see sections entitled
SURVIVING SPOUSE, AN ESTATE, and PERSONAL
REPRESENTATIVE for details.
SURVIVING SPOUSE
The surviving spouse can file the completed claim and
include a copy of the death certificate and a letter stating that
he/she was the spouse of the claimant at the time of death.
The surviving spouse may sign on the claimant’s signature
line.
OR
If the surviving spouse is eligible to file a claim, he/she can
file under his/her own name instead of submitting a claim
using the deceased individual’s claim form.
The surviving spouse should print his/her name, address,
and Social Security Number (SSN) in Section I, and follow
the filing instructions. The surviving spouse should furnish
proof required for a first time filer. Do not use the label the
department sent to the decedent in the booklet. The surviving
spouse should enter the deceased spouse’s SSN and name
in the spouse information area, and fill in the oval “if Spouse
is Deceased”, located in the area next to the Spouse’s SSN
on the claim form.
AN ESTATE
The executor or the administrator of the claimant’s estate
may file the claim and submit a Short Certificate showing the
will was registered or probated. When there is no will and
there are assets (an estate), submit a copy of the Letters of
Administration. A Short Certificate or Letters of Administration
can be obtained from the county courthouse where the death
is recorded. The person filing the claim form on behalf of the
deceased person may sign on the claimant’s signature line.
PERSONAL REPRESENTATIVE
If a person dies and there is no will, the will has not been reg-
istered or probated or there is no estate, then a personal rep-
resentative may file a claim on behalf of an eligible decedent.
A decedent’s personal representative must submit a copy of
the decedent’s death certificate, a DEX-41, Application for
Refund/Rebate Due the Decedent, and a receipted copy of
the decedent’s funeral bill showing that the personal repre-
sentative personally paid the decedent’s funeral expenses in
an amount that is greater than or equal to the amount of the
property tax/rent rebate to which the decedent is entitled.
If a person dies after filing a claim and there is no will, or if
the will has not been registered or probated, or there is no
estate, then a personal representative can also request
that the department change the rebate to be issued into
his/her name. In cases where the rebate check has been
received but cannot be cashed, the check must be
returned with a request to have the rebate issued in the
name of the personal representative. The decedent’s per-
sonal representative must submit a copy of the decedent’s
death certificate, a DEX-41, Application for Refund/Rebate
Due the Decedent, and a receipted copy of the claimant’s
funeral bill showing that the personal representative
personally paid the funeral expenses in an amount that is
greater than or equal to the amount of the property tax/rent
rebate to the claimant is entitled.
The DEX-41, Application for Refund/Rebate Due the
Decedent, can be obtained by visiting the department’s
website at www.revenue.pa.gov or by using one of the
department’s Forms Ordering Services found on Page 18.
If you have any questions regarding the filing of a claim on
behalf of a deceased claimant, please call the department
at 1-888-222-9190.
PRIVACY NOTIFICATION
By law, (42 U.S.C. § 405(c)(2)(C)(i); 61 Pa. Code §117.16)
the Pennsylvania Department of Revenue has the authority
to use the Social Security Number (SSN) to administer the
Property Tax or Rent Rebate Program, the Pennsylvania
personal income tax and other Commonwealth of Pennsyl-
vania tax laws. The department uses the SSN to identify
individuals and verify their incomes. The department also
uses the SSN to administer a number of tax-offset and
child-support programs federal and Pennsylvania laws
require. The commonwealth may also use the SSN in
exchange-of-tax-information agreements with governmental
authorities.
Pennsylvania law prohibits the commonwealth from
disclosing information that individuals provide on income
tax returns and rebate claims, including the SSN(s), except
for official purposes.
You must fill in your Social Security Number and enter
your county and school district codes even if using
the preprinted label. If you are not using software to
prepare your claim and your label is correct, place your
label in Section I. If you or your preparer are using software
to prepare your claim, or if any information on the preprint-
ed label is incorrect, discard the label. If not using a label,
follow the instructions for printing letters and numbers and
completing your name and address.
If your spouse lived in a nursing home the entire year do
not include his/her Social Security Number on the claim
form. He or she may qualify for a separate rebate on the
rent paid to the nursing home.
PA - 1000 FILING INSTRUCTIONS
SECTION I - SOCIAL SECURITY NUMBER, NAME,
ADDRESS AND RESIDENCE INFORMATION
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 5
IMPORTANT TIPS: There are two lines to enter your
address. For the First Line of Address, enter the street
address. If the address has an apartment number (APT),
suite (STE), floor (FL) or rural route number (RR), enter
it after the street address. If the street address and the
apartment number, suite, etc. do not fit on the First Line of
Address, enter the street address on the Second Line of
Address and the apartment number, suite, etc. on the First
Line of Address. For the Second Line of Address, enter the
post office box, if applicable. If there is no post office box,
leave the Second Line of Address blank.
The U.S. Postal Service prefers that the actual delivery
address appears on the line immediately above the city,
state and ZIP code. Do not include any punctuation such
as apostrophes, commas, periods and hyphens.
Use black ink. Another color such as red ink will delay
the processing of your rebate claim.
Do not use pencil or pens labeled as gel pens or any red
ink.
Print all information on your claim neatly inside the
boxes.
Use upper case (capital) letters. Use a blank box to
separate words.
Print one letter or number in each box when entering
your Social Security Number, name, address, dollar
amounts, and other information. If your name, address,
or city begins with Mc, Van, O’, etc., do not enter a
space or a punctuation mark.
Completely fill in all the appropriate ovals on your
claim form.
As a claimant, you must provide your birth date, telephone
number, county code, school district code, and, if applicable,
your spouse’s Social Security Number, birth date, and name.
If your spouse is deceased, completely fill in the oval “If
Spouse is Deceased” in Section I of the form.
IMPORTANT: County & School Codes - You must enter
the two-digit county code and five-digit school district code
for where you lived on Dec. 31, 2019, even if you moved
after Dec. 31, 2019. Using incorrect codes may affect your
property tax rebate. The lists of county and school district
names and the respective codes are on Pages 15, 16 and
17. If you do not know the name of the county or school
district where you reside, you can either 1) check the
county and school property tax bills used to complete
this claim if you are a property owner, or 2) obtain this
information from the Online Customer Service Center at
www.revenue.pa.gov.
NOTE: Be sure to include your phone number when com-
pleting the claim form. The department will make automat-
ed phone calls to advise when claims are received and
again when they are approved for payment.
Line 1 - Please fill in the oval that shows your correct
filing status. Fill in only one oval. Filling in more than one
oval may reduce the amount of your rebate.
(P) Property Owners: Fill in this oval if you owned and
occupied your home for all or part of 2019 and did not rent
for any part of the year. If your deceased spouse’s name is
on your deed or tax bills, include the decedent’s Social
Security Number and name.
(R) Renters: Fill in this oval if you rented and occupied
your residence for all or part of 2019.
(B) Owner/Renter: Fill in this oval if you owned and occu-
pied your residence for part of 2019, and also rented and
occupied another residence for the rest of 2019, or if you
owned your residence and rented the land where your
residence is located.
EXAMPLE: John pays property taxes on a mobile home
that he owns and occupies. His mobile home is on land
that he leases. John may claim a property tax rebate on
the mobile home and a rent rebate on the land. See Pages
9, 11 and 12 for documents you must send as proof of
property taxes or rents paid.
Line 2 - Certification. Please read each description and
select the type of filer that applies best to your situation
as of Dec. 31, 2019. A surviving spouse age 50 to 64 is
eligible for a rebate as a widow or widower, while a
surviving spouse who is 65 or older can file as a claimant.
A surviving spouse under 50 may be able to file a claim for
a deceased claimant if the deceased was 65 or older.
Please complete the claim form using your Social Security
Number, name and address, and supply all appropriate
documentation.
a. Claimant age 65 or older
b. Claimant under age 65, with a spouse age 65 or older
who resided in the same household (You must submit
proof of your spouse’s age the first time you file.)
c. Widow or widower, age 50 to 65 (If your most recent
marriage ended in divorce, you do not qualify as a
widow/widower.)
d. Permanently disabled and age 18 to 64
See Page 4 for acceptable proof of age documents.
Line 3 - If you are filing on behalf of a decedent (a
claimant who died during the claim year who otherwise
would have been an eligible claimant under a, b, c or d
for Line 2 above), completely fill in the oval. The type
of claimant under which the decedent qualifies under
Sample
M C D O E J O H N
A P T 4 5 6
1 2 3 A N Y S
T
H A R R I S B U R G P A
2
1 7 1 2 8
J A N E 2 2 2 7 5
A
2
SECTION II - FILING STATUS CATEGORIES
6 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
Line 2 above must also be included. A copy of the death
certificate must be submitted and Schedule G must be
completed.
You must report the total household income you earned
and/or received during 2019 for each category, which
includes your spouse’s income earned and/or received
while residing with you.
All claimants must submit proof of annual income.
IMPORTANT: The department reserves the right to
request additional information or make adjustments to
federal data if credits or deductions were taken to reduce
income.
CAUTION: Spouses may not offset each other’s income
and losses.
The department has the legal authority to require evidence
of the income you report on your claim. The following lists
the kinds of income you must report and the documents
you must submit as proof of the reported income. You must
include the income that your spouse received while
residing with you. See Pages 8 and 9 for a list of the kinds
of income that you do not need to report.
NOTE: Print your Social Security Number on each Proof
Document that you submit with your claim form.
Line 4 - Include one-half of your 2019 Social Security
Benefits as shown in Box 5 of your benefit statement
SSA-1099, one-half of your 2019 SSI, one-half of your
2019 Social Security Disability Income, and one-half of
your 2019 State Supplementary Payment. No documenta-
tion is required, if using a PA address.
Line 5 - Include one-half of your Railroad Retirement
Tier 1 Benefits. Submit a copy of form RRB-1099.
CAUTION: The total income from old age benefit
programs from other countries, such as Service Canada
Old Age Security, must be converted into U.S. dollars and
reported on Line 6.
Line 6 - Include the gross amount (not the taxable
amount) of pensions, annuities, Individual Retirement
Account distributions, Tier 2 Railroad Retirement Benefits,
and Civil Service Disability Benefits. Do not include Black
Lung Benefits federal veterans’ disability payments, or
state veterans’ benefits. State veterans’ benefits include
service connected compensation or benefits of any kind
provided to a veteran or unmarried surviving spouse
paid by a commonwealth agency or authorized under
the laws of the commonwealth. Submit photocopies of
pension/annuity benefits statements along with other
forms 1099 showing income for 2019.
IMPORTANT: Do not include rollovers from Individual
Retirement Accounts and employer pensions. However,
proof must be provided. Proof includes, but is not limited
to, a federal Form 1099-R showing a rollover or other
documentation indicating that the distribution was rolled
into a new account.
If you have one or more distributions from annuity, life
insurance or endowment contracts reported on Form
1099-R that are included as interest income on your PA-40
Personal Income Tax Return, please write “Included as
Interest Income on PA-40” across the top of any Form
1099-R for such distributions and include copies of all your
Forms 1099-R with your claim form.
Line 7 - Report interest and dividends received or credited
during the year, whether or not you actually received
the cash. If you received dividends and capital gains
distributions from mutual funds, report the capital gains
distributions portion of the income as dividends, not
as gains from the sale or exchange of property. Include
interest received from government entities. You must also
include all tax-exempt interest income from direct obliga-
tions of the U.S. government, any state government, or any
political subdivision thereof in the amount shown on Line 7.
SUBMIT THE FOLLOWING:
A copy of your federal Form 1040 Schedule B or your
PA-40 Schedule A and/or B; or copies of any federal
Forms 1099 you received; OR
A copy of the front page of your PA or federal income tax
return verifying the income reported on Line 7.
IMPORTANT: If you received capital gains distributions
from a mutual fund, you must use PA Schedule B or the
front page of your PA tax return to verify your income. If
you have PA tax-exempt interest income, you must include
federal Form 1040 Schedule B along with a copy of the
front page of your federal tax return.
Line 8 - Include gains or losses you realized from the sale
of stocks, bonds, and other tangible or intangible property
as well as any gains or losses realized as a partner in a
partnership or shareholder in a PA S corporation. Do not
include capital gains distributions from mutual funds
required to be reported on Line 7.
NOTE: The nontaxable gain on the sale of your principal
residence must also be reported on this line. If you realized
a loss from the sale of your principal residence, this loss
may be used to offset any other gains you realized from
the sale of tangible or intangible property. However, any
net loss reported on this line cannot be deducted from any
other income. You may also submit photocopies of each
PA Schedule RK-1, PA Schedule NRK-1 or federal
Schedule K-1 that shows your gains or losses for each
partnership or PA S corporation.
Submit a copy of your federal Form 1040 Schedule D, a
copy of your PA-40 Schedule D, or copies of any federal
Forms 1099 you received which will verify any gains or
losses you realized. If you received capital gains distribu-
tions from mutual funds, do not include a copy of federal
Form 1040 Schedule D. You must include a copy of your
PA-40 Schedule D.
SECTION III - LINES 4 THROUGH 18
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 7
If you sold your personal residence during this claim
year, submit a statement showing the sale price less
selling expenses, minus the sum of the original cost and
permanent improvements.
CAUTION: You may only use losses from the sale or
exchange of property to offset gains from the sale or
exchange of property.
Line 9 - Include net rental, royalty, and copyright income or
loss realized during 2019 from property owned and rented
to others, oil and gas mineral rights royalties or income
received from a copyright as well as any net income or loss
realized as a partner in a partnership or shareholder in a
PA S corporation.
CAUTION: You may only use rental losses to offset
rental income.
IMPORTANT: If you receive income from the rental of a
portion of your own home, you must complete and submit
a PA-1000 Schedule E (enclosed in this booklet). Submit a
copy of your federal Form 1040 Schedule E, Part I, or
PA-40 Schedule E from your income tax return. You may
also submit photocopies of each PA Schedule RK-1,
PA Schedule NRK-1 or federal Schedule K-1 that shows
your net income or loss from rents, royalties, patents and
copyrights for each partnership or PA S corporation.
Line 10 - Include net income or loss from a business,
profession, or farm, and net income or loss you realized
as a partner in a partnership or a shareholder in a PA
S corporation.
CAUTION: You may only use business losses to offset
business income.
IMPORTANT: If you operate your business or profession at
your residence, you must complete and submit a PA-1000
Schedule E (enclosed in this booklet).
Submit a photocopy of each federal Form 1040 Schedule
C or F, or PA-40 Schedule C or F from your income tax
return. You may also submit photocopies of each PA
Schedule RK-1, PA Schedule NRK-1, or federal Schedule
K-1 that shows your income or loss for each business.
Lines 11a - 11g - Other Income - Complete Lines 11a
through 11g to report all other income that you and your
spouse earned, received, and realized.
For each category of income on Lines 11a through 11g,
you must submit proof, such as photocopies of Forms
W-2, Department of Human Services cash assistance
statements, your federal or PA income tax returns, and any
other documents verifying income.
Line 11a. - Gross salaries, wages, bonuses, commis-
sions, and estate or trust income not included in business,
profession, or farm income.
Line 11b. - Gambling and lottery winnings, including
PA Lottery, Powerball and Mega Millions winnings, prize
winnings, and the value of other prizes and awards. (A
PA-40 Schedule T must be submitted to verify these winnings,
as well as a W-2G to document PA Lottery winnings.)
Line 11c. - Value of inheritance, alimony, and spousal
support money.
Line 11d. - Cash public assistance/relief, unemployment
compensation, and workers’ compensation benefits,
except Section 306(c) benefits.
Line 11e. - Gross amount of loss of time insurance benefits,
disability insurance benefits, long-term care insurance
benefits (if received directly by the claimant), and life
insurance benefits and proceeds, except the first $5,000 of
the total death benefit payments.
Line 11f. - Gifts of cash or property totaling more than
$300, except gifts between members of a household.
Line 11g. - Miscellaneous income and annualized
income amount. Include any income not identified above
prior to the calculation of annualized income. If a claimant
died during the claim year, an annualized income amount
must also be included. To calculate the annualized income
amount, complete Schedule G. When adding amounts for
Line 3 of Schedule G, do not add any negative amounts
reported on Lines 8, 9 or 10.
Do not report the following income:
Medicare or health insurance reimbursements;
Food stamps, surplus foods, or other such non-cash
relief supplied by a governmental agency;
Property Tax/Rent Rebate received in 2019;
The amount of any damages due to personal injuries or
sickness. Damages include Black Lung benefits and
benefits granted under Section 306(c) of the Workers’
Compensation Security Fund Act (relating to Schedule
of Compensation for disability from permanent injuries
of certain classes);
Payments provided to eligible low-income households
under the commonwealth’s Low Income Home Energy
Assistance Program;
Payments received by home providers of the domiciliary
care program administered by the Department of Aging,
except those payments in excess of the actual expenses
of the care;
Disability income received by disabled children in the
household;
Federal veterans’ disability payments or state veterans’
benefits received by the veteran or unmarried surviving
spouse;
The difference between the purchase price of your
residence and its selling price, if you used the proceeds
from the sale to purchase a new residence. This new
residence must be your principal residence;
Federal or state tax refunds;
Spouse’s income earned or received while not living
with you;
Public Assistance benefits received by children in the
household, even though the check is issued in
claimant’s name;
8 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
Child support; and
Individual Retirement Account and employer pension
rollovers (must provide a copy of federal Form 1099-R
indicating rollover or other supporting documentation).
CAUTION: If a claimant had significant income that is not
typically received in equal amounts throughout the claim
year, or if the number-of-days method does not accurately
calculate the annualized income, the claim may be filed
using an alternative method for determining the annualized
income amount to be included on Line 11g. A worksheet
must be included to show how the amount of annualized
income was determined in those instances. The worksheet
must clearly show how the income was determined and an
explanation of the reason for deviating from the Schedule
G method. Examples of when the claim would be filed
using an alternative method would include instances
where there is income from a one-time event such as a
gain on the sale of stock, lump sum payments from an IRA
or annuity, an amount is reported as an inheritance or a
payment is received as a beneficiary on a life insurance
policy. Proof of the deviation from the number-of-days
method may be required by the department. The depart-
ment will accept reasonable methods of calculating the
annualized income amount.
Line 12 - If you and/or your spouse received benefits
from the federal Civil Service Retirement System (CSRS)
as (a) retired federal civil service employee(s) or as a sur-
viving spouse, you may reduce your total eligibility income
by 50% of the average retired worker Social Security pay-
ment for 2018. The average retired worker Social Security
payment for 2018 is $9,514. Enter $9,514 on Line 12 only
if you include CSRS benefits in Line 6. If both you and your
spouse received CSRS benefits, or if you received your
own CSRS benefits and CSRS benefits as a surviving
spouse, enter $19,028 on Line 12. Otherwise, enter $0.
Line 13 - Add the positive income figures reported on
Lines 4 through 11g, subtract the amount on Line 12 (if
applicable) and enter the net result on Line 13 and 23. Do
not include losses reported on Lines 8, 9 and/or 10.
IMPORTANT: If you have over $35,000 of income claimed
on Line 13, you are not eligible for either Property Tax or
Rent Rebate relief under this program.
Line 14 - For Property Owners Only
Before completing Line 14 of the claim form, complete any
schedules listed in the instructions for this line. If you must
complete more than one schedule, you must complete
them in alphabetical order. If one schedule does not apply
to you, skip it, and go to the next schedule. You must carry
forward, as the total tax paid, the last amount shown on the
previous schedule you complete to the next schedule
you complete.
Enter the total amount of the property taxes paid for
your primary residence, or the amount shown as eligible
property taxes paid on the last schedule completed.
IMPORTANT: If you do not enter the amount of all taxes
paid on the primary residence, you will limit the
department’s ability to determine your eligibility for and
amount of a supplemental rebate. See Page 14 for more
information on supplemental rebates.
You must deduct interest or penalty payments, municipal
assessments, per capita taxes, or occupation taxes included
in your payment. If you paid early and received a discount,
you enter the amount you actually paid on Line 14. You
must also deduct other charges included in your tax bills.
See taxes that are not acceptable on Page 11.
If your name does not appear on the receipted tax bills,
you must submit proof of ownership. Examples of proper
proof are: a copy of the deed or a copy of the trust
agreement, will, or decree of distribution if you inherited
your property. If your address is not on your receipted
property tax bill or mortgage statement, you also must
submit a letter from your tax collector or mortgage company
verifying your home address.
NOTE: If your tax bills include a name and/or names other
than yours and your spouse’s, you must complete PA-1000
Schedule F or submit proof that you are the sole owner of
the property.
Include only the property tax on the amount of land that is
necessary for your personal use.
PA-1000 Schedule A - If you owned and occupied your
home for less than the entire year of 2019 or a claim
is being filed on behalf of a deceased owner who died
during 2019.
PA-1000 Schedule B - If you were a widow or widower
age 50 to 64 who remarried in 2019.
PA-1000 Schedule E - If you used part of your residence
for a purpose other than living quarters in 2019.
PA-1000 Schedule F - If your deed shows owners other
than your spouse.
As proof of property tax paid, homeowners must
provide photocopies of one of the following real estate
documents:
All 2019 real estate tax bills that have been marked
“paid” by the tax collector (see the instructions beginning
on this page for the proper calculation of the amount on
Line 14). If you paid your taxes in quarterly installments,
a tax bill must be submitted for each period. For tax bills
that are not marked paid by the tax collector, the depart-
ment will accept a photocopy of both sides of the
cancelled check along with a copy of the tax bill;
Your year-end mortgage statement showing the amount
of real estate taxes paid;
A letter signed by the tax collector certifying that you
paid your 2019 real estate taxes. The letter should also
declare the total tax does not include nuisance taxes or
penalty; OR
A receipted copy of your tax billing from your owner’s
association or corporation. Resident stockholders of a
cooperative housing corporation, such as a condominium,
may qualify as property owners based on their pro rata
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 9
PA-1000
Property Tax or Rent
Rebate Claim 04-19
PA Department of Revenue
P.O. Box 280503
Harrisburg PA 17128-0503
OFFICIAL USE ONLY
Spouse’s Social Security NumberYour Social Security Number
Check your label for accuracy. If incorrect, do not use the label. Complete Section I.
Fill in only one oval in each
section.
I
III
II
If Spouse is
Deceased, fill
in the oval.
1. I am filing for a rebate as a:
P. Property Owner – See
instructions
R. Renter – See instructions
B. Owner/Renter – See
instructions
2. I Certify that as of Dec. 31, 2019,
I am (a):
A. Claimant age 65 or older
B. Claimant under age 65,
with a spouse age 65 or
older who resided in the
same household
C. Widow or widower, age
50 to 64
D. Permanently disabled
and age 18 to 64
3.
Filing on behalf of a
decedent
Dollars Cents
4.
5.
6.
8.
7.
9.
11a.
10.
11b.
13.
IMPORTANT: You must submit proof of the income you reported – See the instructions on Pages 7 to 9.
11c.
11d.
11e.
11f.
11g.
12.
2019
4. Social Security, SSI and SSP Income (Total benefits $ divided by 2) . . . . . . . . . .
5. Railroad Retirement Tier 1 Benefits (Total benefits $ divided by 2) . . . . . . . . . . .
8. Gain or Loss on the Sale or Exchange of Property. . . . . . . . . If a loss, fill in this oval. . . . .
7. Interest and Dividend Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11a. Salaries, wages, bonuses, commissions, and estate and trust income. . . . . . . . . . . . . . . . . . . . .
12. Claimants with Federal Civil Service Retirement System Benefits enter $9,514 or $19,028.
See the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOSS
9. Net Rental Income or Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . If a loss, fill in this oval. . . . .
10. Net Business Income or Loss . . . . . . . . . . . . . . . . . . . . . . . . . If a loss, fill in this oval. . . . .
LOSS
LOSS
11b. Gambling and Lottery winnings, including PA Lottery winnings, prize winnings and the value
of other prizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11c. Value of inheritances, alimony and spousal support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11d. Cash public assistance/relief. Unemployment compensation and workers’ compensation,
except Section 306(c) benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11e. Gross amount of loss of time insurance benefits and disability insurance benefits,
and life insurance benefits, except the first $5,000 of total death benefit payments. . . . . . . . . . . .
11f. Gifts of cash or property totaling more than $300, except gifts between
members of a household. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11g. Miscellaneous income and annualized income amount. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Income.
13. TOTAL INCOME. Add only the positive income amounts from Lines 4 through 11g and subtract
the amount on Line 12. See Page 3 for income limitations. Enter this amount on Line 23. . . . . . . .
6. Total Benefits from Pension, Annuity, IRA Distributions and Railroad Retirement Tier 2 (Do not
include federal veterans’ disability payments or state veterans’ payments.) . . . . . . . . . . . . . . . . . . .
TOTAL INCOME received by you and your spouse during 2019
1905010011
L
L
L
L
L
L
L
L
L
Claimant’s Birthdate
M M D D Y Y
Spouse’s Birthdate
M M D D Y Y
Spouse’s First Name County Code School District CodeMI
PLEASE WRITE IN YOUR SOCIAL SECURITY NUMBER(S) ABOVE
Last Name First Name MI
First Line of Address
Second Line of Address
State ZIP CodeCity or Post Office
PLACE   LABEL   HERE
Daytime Telephone Number
L
L
L
L
L
L
L
1905010011
REQUIRED
Claim filing deadline – June 30, 2020
You can call 1-888-728-2937 after June 1 to verify the status of your claim.
14.
15.
16.
17.
19.
15. Property Tax Rebate. Enter the maximum standard rebate Compare this amount to line 14 and
amount from Table A for your income level here: (_______) enter the lesser amount to the right.
17. Multiply Line 16 by 20 percent (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OWNER – RENTER ONLY
19. Property Tax/Rent Rebate. Enter the maximum Compare this amount to the sum of
rebate amount from Table A for your income Lines 15 and 18 and enter the lesser
level here: (_______) amount to the right.
RENTERS ONLY
16. Total 2019 rent paid. Submit PA Rent Certificate and/or rent receipts . . . . . . . . . . . . . . . . . . . . . .
PROPERTY OWNERS ONLY
14. Total 2019 property tax. Submit copies of receipted tax bills. . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. Place an X in one box to authorize the Department of Revenue to directly deposit your rebate
into your: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DIRECT DEPOSIT. Banking rules do not permit direct deposits to bank accounts outside the U.S. If your bank account is outside the U.S.,
do not complete the direct deposit Lines 20, 21 and 22. The department will mail you a paper check. If your rebate will be going to a bank
account within the U.S., you have the option to have your rebate directly deposited. If you want the department to directly deposit your rebate
into your checking or savings account, complete Lines 20, 21 and 22.
21.
22.
Checking
Savings
22. Account number. Enter in boxes to the right. . . . . . . . . .
21. Routing number. Enter in boxes to the right. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18. Rent Rebate. Enter the maximum rebate amount Compare this amount to line 17 and
from Table B for your income level here: (_______) enter the lesser amount to the right.
18.
Your Social Security Number
Your Name:
20.
CLAIMANT OATH: I declare that this claim is true, correct and complete to the best of my knowledge and belief, and this is the only claim filed by
members of my household. I authorize the PA Department of Revenue access to my federal and state Personal Income Tax records, my PACE records, my
Social Security Administration records and/or my Department of Human Services records. This access is for verifying the truth, correctness and
completeness of the information reported in this claim.
Claimant’s Signature Date
Spouse’s Signature Date
PREPARER: I declare that I prepared this return, and that it is to the best of my
knowledge and belief, true, correct and complete.
Preparer’s Signature, if other than the claimant Date
Preparer’s Name. Please print.
Preparer’s telephone number
( )
Witnesses’ Signatures: If the claimant cannot sign, but only makes a mark.
1.
2.
Name of claimant’s power of attorney or nearest relative.
Please print.
Telephone number of claimant’s power of attorney or nearest relative
.
(
)
Home address of
claimant’s power of attorney or nearest relative.
Please print
.
City or Post Office State ZIP Code
An excessive claim with intent to defraud is a misdemeanor punishable by a maximum fine of $1,000, and/or imprisonment for up to one year
upon conviction. The claimant is also subject to a penalty of 25 percent of the entire amount claimed.
IV
TABLE A - OWNERS ONLY
INCOME LEVEL Maximum Standard
Rebate
$ 0 to $ 8,000 $650
$ 8,001 to $15,000 $500
$15,001 to $18,000 $300
$18,001 to $35,000 $250
TABLE B - RENTERS ONLY
INCOME LEVEL Maximum
Rebate
$ 0 to $ 8,000 $650
$ 8,001 to $15,000 $500
Enter the amount from Line 13 of
the claim form on this line and circle
the corresponding Maximum Rebate
amount for your income level.
Owners use Table A and Renters
use Table B.
23.
PA-1000 2019 04-19
(I)
1905110027
1905110027
1905110027
L
L
Fill in this oval if your spouse is deceased.
If your label
is correct,
place it here.
Discard label if
it is not correct
and fill in all
data in Section I.
If you were both a Property
Owner and a Renter,
complete Lines 14 through 19
.
Fill in your Social Security Number.
Fill in only one oval for Line 1.
Fill in only one oval for Line 2.
Sample
Sample
Report your total Social
Security, SSI, and SSP benefits
here. Divide the total by 2 and
enter the result on Line 4.
Enter the total of Lines 4
through 11g, less Line 12.
Report your total Railroad
Retirement Tier 1 benefits here.
Divide the total by 2 and enter
the result on Line 5.
PA-1000 COMPLETION SAMPLE
Property Owners
complete Lines
14 and 15.
Renters complete
Lines 16, 17 and 18.
If you want your
rebate directly
deposited, complete
Lines 20,
21 and 22.
Claimant signs here.
Fill in School District Code
(see Pages 16 and 17). Fill in
County Code (see Page 15).
10 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
Enter your Routing Number
here (direct deposit only)
.
Enter your Account Number
here (direct deposit only)
.
Fill in this oval on behalf
of decedent.
PA-1000
Property Tax or Rent
Rebate Claim 04-19
PA Department of Revenue
P.O. Box 280503
Harrisburg PA 17128-0503
OFFICIAL USE ONLY
Spouse’s Social Security NumberYour Social Security Number
Check your label for accuracy. If incorrect, do not use the label. Complete Section I.
Fill in only one oval in each
section.
I
III
II
If Spouse is
Deceased, fill
in the oval.
1. I am filing for a rebate as a:
P. Property Owner – See
instructions
R. Renter – See instructions
B. Owner/Renter – See
instructions
2. I Certify that as of Dec. 31, 2019,
I am (a):
A. Claimant age 65 or older
B. Claimant under age 65,
with a spouse age 65 or
older who resided in the
same household
C. Widow or widower, age
50 to 64
D. Permanently disabled
and age 18 to 64
3.
Filing on behalf of a
decedent
Dollars Cents
4.
5.
6.
8.
7.
9.
11a.
10.
11b.
13.
IMPORTANT: You must submit proof of the income you reported – See the instructions on Pages 7 to 9.
11c.
11d.
11e.
11f.
11g.
12.
2019
4. Social Security, SSI and SSP Income (Total benefits $ divided by 2) . . . . . . . . . .
5. Railroad Retirement Tier 1 Benefits (Total benefits $ divided by 2) . . . . . . . . . . .
8. Gain or Loss on the Sale or Exchange of Property. . . . . . . . . If a loss, fill in this oval. . . . .
7. Interest and Dividend Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11a. Salaries, wages, bonuses, commissions, and estate and trust income. . . . . . . . . . . . . . . . . . . . .
12. Claimants with Federal Civil Service Retirement System Benefits enter $9,514 or $19,028.
See the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOSS
9. Net Rental Income or Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . If a loss, fill in this oval. . . . .
10. Net Business Income or Loss . . . . . . . . . . . . . . . . . . . . . . . . . If a loss, fill in this oval. . . . .
LOSS
LOSS
11b. Gambling and Lottery winnings, including PA Lottery winnings, prize winnings and the value
of other prizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11c. Value of inheritances, alimony and spousal support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11d. Cash public assistance/relief. Unemployment compensation and workers’ compensation,
except Section 306(c) benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11e. Gross amount of loss of time insurance benefits and disability insurance benefits,
and life insurance benefits, except the first $5,000 of total death benefit payments. . . . . . . . . . . .
11f. Gifts of cash or property totaling more than $300, except gifts between
members of a household. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11g. Miscellaneous income and annualized income amount. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Income.
13. TOTAL INCOME. Add only the positive income amounts from Lines 4 through 11g and subtract
the amount on Line 12. See Page 3 for income limitations. Enter this amount on Line 23. . . . . . . .
6. Total Benefits from Pension, Annuity, IRA Distributions and Railroad Retirement Tier 2 (Do not
include federal veterans’ disability payments or state veterans’ payments.) . . . . . . . . . . . . . . . . . . .
TOTAL INCOME received by you and your spouse during 2019
(FI)
Claimant’s Birthdate Spouse’s Birthdate
Spouse’s First Name County Code School District CodeMI
PLEASE WRITE IN YOUR SOCIAL SECURITY NUMBER(S) ABOVE
Last Name First Name MI
First Line of Address
Second Line of Address
State ZIP CodeCity or Post Office
Daytime Telephone Number
1905010052
1905010052
REQUIRED
START
MM/DD/YY
MM/DD/YY
NEXT PAGE
Reset Entire Form
Claim filing deadline – June 30, 2020
You can call 1-888-728-2937 after June 1 to verify the status of your claim.
14.
15.
16.
17.
19.
15. Property Tax Rebate. Enter the maximum standard rebate Compare this amount to line 14 and
amount from Table A for your income level here: (_______) enter the lesser amount to the right.
17. Multiply Line 16 by 20 percent (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OWNER – RENTER ONLY
19. Property Tax/Rent Rebate. Enter the maximum Compare this amount to the sum of
rebate amount from Table A for your income Lines 15 and 18 and enter the lesser
level here: (_______) amount to the right.
RENTERS ONLY
16. Total 2019 rent paid. Submit PA Rent Certificate and/or rent receipts . . . . . . . . . . . . . . . . . . . . . .
PROPERTY OWNERS ONLY
14. Total 2019 property tax. Submit copies of receipted tax bills. . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. Place an X in one box to authorize the Department of Revenue to directly deposit your rebate
into your: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DIRECT DEPOSIT. Banking rules do not permit direct deposits to bank accounts outside the U.S. If your bank account is outside the U.S.,
do not complete the direct deposit Lines 20, 21 and 22. The department will mail you a paper check. If your rebate will be going to a bank
account within the U.S., you have the option to have your rebate directly deposited. If you want the department to directly deposit your rebate
into your checking or savings account, complete Lines 20, 21 and 22.
21.
22.
Checking
Savings
22. Account number. Enter in boxes to the right. . . . . . . . . .
21. Routing number. Enter in boxes to the right. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18. Rent Rebate. Enter the maximum rebate amount Compare this amount to line 17 and
from Table B for your income level here: (_______) enter the lesser amount to the right.
18.
Your Social Security Number
Your Name:
20.
CLAIMANT OATH: I declare that this claim is true, correct and complete to the best of my knowledge and belief, and this is the only claim filed by
members of my household. I authorize the PA Department of Revenue access to my federal and state Personal Income Tax records, my PACE records, my
Social Security Administration records and/or my Department of Human Services records. This access is for verifying the truth, correctness and
completeness of the information reported in this claim.
Claimant’s Signature Date
Spouse’s Signature Date
PREPARER: I declare that I prepared this return, and that it is to the best of my
knowledge and belief, true, correct and complete.
Preparers Signature, if other than the claimant Date
Preparer’s Name. Please print.
Preparer’s telephone number
( )
Witnesses’ Signatures: If the claimant cannot sign, but only makes a mark.
1.
2.
Name of claimant’s power of attorney or nearest relative.
Please print.
Telephone number of claimant’s power of attorney or nearest relative
.
(
)
Home address of
claimant’s power of attorney or nearest relative.
Please print
.
City or Post Office State ZIP Code
An excessive claim with intent to defraud is a misdemeanor punishable by a maximum fine of $1,000, and/or imprisonment for up to one year
upon conviction. The claimant is also subject to a penalty of 25 percent of the entire amount claimed.
IV
TABLE A - OWNERS ONLY
INCOME LEVEL Maximum Standard
Rebate
$ 0 to $ 8,000 $650
$ 8,001 to $15,000 $500
$15,001 to $18,000 $300
$18,001 to $35,000 $250
TABLE B - RENTERS ONLY
INCOME LEVEL Maximum
Rebate
$ 0 to $ 8,000 $650
$ 8,001 to $15,000 $500
Enter the amount from Line 13 of
the claim form on this line and circle
the corresponding Maximum Rebate
amount for your income level.
Owners use Table A and Renters
use Table B.
23.
PA-1000 2019 04-19
(FI)
1905110050
1905110050
1905110050
START
MM/DD/YY
Please sign the PA-1000 after printing.
Please sign the PA-1000 after printing.
Please sign the PA-1000 after printing.
Please sign the PA-1000 after printing.
MM/DD/YY
Please sign the PA-1000 after printing.
Reset Entire Form
RETURN TO PAGE 1
OFFICIAL USE ONLY
Notarize:
Subscribed and sworn before me this
day of 20
x x
OCCUPANCY AFFIDAVIT
I am, or am filing on behalf of, the claimant named above. I certify that I was unable to obtain the landlord’s signature on the PA Rent Certificate
for the following reason(s):
Affidavit: I certify that I am, or am filing on behalf of, the claimant named
above. I also affirm all the information on the above PA Rent Certificate
and Occupancy Affidavit is true, correct and complete to the best of my
knowledge, information and belief.
Claimant's Signature
Signature of Notary Public
Date
LANDLORD’S OATH: (Read carefully before signing)
I certify that the information provided on this PA Rent Certificate is true, correct and complete to the best of my knowledge, information and
belief. I further certify that – fill in the applicable oval(s).
I was required to pay 2019 property taxes on the property in which the claimant resided in 2019.
I made, or was required to make, a payment in lieu of taxes for 2019 on the property in which the claimant resided in 2019.
The property in which the claimant resided in 2019 was tax exempt.
Other names, excluding the spouse or minor children, appear on the lease.
X
Landlord’s Signature
Date
1. Street address of the residence for which the claimant paid rent 3. Rental unit is (fill in the appropriate oval):
City, State, ZIP Code
2. Owner’s business name or landlord’s name (last, first, middle initial) if an individual
Landlord’s Address
City, State, ZIP Code
Landlord’s EIN (if applicable) and daytime telephone number
( )
Name as shown on PA-1000 Social Security Number
You may make photocopies of this form as needed.
If filing as a renter, you must provide proof of the rent you paid. If you rented at more than one address, you must submit proof for each address.
PA RENT CERTIFICATE
Your landlord must provide all the information on Lines 1 through 8. Your landlord, or your landlord’s authorized agent, must sign this PARent
Certificate. If your landlord, or your landlord’s authorized agent, does not sign this PA Rent Certificate, you must complete Lines 1 through 8
and the Rental Occupancy Affidavit below. Your Rental Occupancy Affidavit must be notarized.
4. What was the amount of rent per month? (Include only the amount charged for rental.
Do not include security deposits or amounts paid for food, medicine, medical care
or personal care.) If your rental amounts changed during the year, please explain in the
space provided. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. How much of the monthly rental amount was paid or subsidized
by a governmental agency? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
6. Total monthly amount of rent paid. (Subtract Line 5 from Line 4.) . . . . . . . . . . . . . . 6.
7. Number of months unit was occupied by the claimant in 2019.
(If less than 12 months, please explain in the space provided.) . . . . . . . . . . . . . . . . . . 7.
8. What was the total rent paid in 2019 by the claimant?
(Multiply Line 6 by Line 7.) Enter the amount here and on Line 16 of the claim form
or the appropriate line(s) of Schedules D, E or F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
YOU MUST COMPLETE ALL LINES. IF NONE, ENTER “0”.
Explanation of Item 4.
Explanation of Item 7.
Dollars Cents
Apartment in a House Mobile Home Lot
Apartment Building Nursing Home
Boarding Home Private Home
Mobile Home Assisted Living
Personal Care Home
Building Name:
Domiciliary Care
Foster Care
If Domiciliary or Foster Care or if a Boarding or Personal Care
Home, you must submit a copy of your contract agreement.
PA Rent Certificate
PA Rent Certificate and
Rental Occupancy Affidavit
2019
PA-1000 RC 04-19
PA Department of Revenue
(FI)
1905210058
1905210058
1905210058
START
Please sign and date after printing.
MM/DD/YY
Claimant's Signature. Please sign after printing.
MM/DD/YY
Signature of Notary Public. Please sign after printing.
Reset Entire Form
OFFICIAL USE ONLY
Name as shown on PA-1000 Social Security Number
Instructions
A claimant not covered under the federal Social Security Act or the federal Railroad Retirement Act who is unable
to submit proof of permanent and total disability may submit this Physician’s Statement. The physician must deter-
mine the claimant’s status using the same standards used for determining permanent and total disability
under the federal Social Security Act or the federal Railroad Retirement Act. CAUTION: If the claimant applied
for Social Security disability benefits and the Social Security Administration did not rule in the claimant’s favor,
the claimant is not eligible for a Property Tax or Rent Rebate.
Confidentiality Statement.
All information on this Physician’s Statement and claim form is confidential. The
department shall only use this information for the purposes of determining the claimant’s eligibility for a Property
Tax or Rent Rebate.
CERTIFICATION
I certify the claimant named above is my patient and is permanently and totally disabled under the standards that
the federal Social Security Act or the federal Railroad Retirement Act requires for determining permanent and total
disability. Upon request from the PA Department of Revenue, I will provide the medical reports or records indicat-
ing diagnosis and prognosis of the claimant’s condition, including signs, symptoms and laboratory findings, if
applicable or appropriate.
Physician Signature Date
Description of Claimant’s Permanent and Total Disability.
Briefly describe the reason(s) the above-named
claimant is totally and permanently disabled.
Physician Identification Information. Please print.
Name National Provider Identifier
Business name, if applicable
Address
City State ZIP Code
Office telephone number Office email address
( )
PHYSICIAN’S STATEMENT
Physician’s Statement of
Permanent and Total Disability
2019
PA-1000 PS 04-19
PA Department of Revenue
1905310056
1905310056
1905310056
(FI)
START
Please sign after printing.
MM/DD/YY
Reset Entire Form
OFFICIAL USE ONLY
PA SCHEDULE A
Deceased Claimant and/or
Multiple Home Prorations
2019
PA-1000 A 04-19
PA Department of Revenue
You may make photocopies of this form as needed.
Street address (First Home)
City or Post Office
State ZIP Code
State ZIP Code
Street address (Second Home)
City or Post Office
If you owned, paid the property taxes on and resided in a Pennsylvania located home during 2019, then sold that residence and bought
another Pennsylvania located home, paid the property taxes on and resided in that home for the remainder of the year, fill in the appropriate
dates for each residence. Complete the address and occupancy dates along with Lines 1 through 5 for each home in the applicable columns.
If you owned, paid the property taxes on and resided in a Pennsylvania located home during 2019, then sold the property and moved into a
rental property and paid rent or if you lived in a rental property and paid rent, then bought a Pennsylvania located home, paid the property
taxes and resided in that home for the remainder of the year, complete the address and occupancy dates and complete the information for
the First Home column on Lines 1 through 5 for the portion of the year that you owned your home. You should also complete a PA Rent
Certificate for the portion of the year that you rented a Pennsylvania located rental property. NOTE: If you resided part of the year in a home
located outside PA, do not claim the property tax paid for that period. Enter zero in the appropriate column on Line 1.
Additionally, if a deceased individual owned, paid property taxes on and resided in a Pennsylvania located home during 2019 and died during
the claim year, complete the address and occupancy dates and complete the information for the First Home column for Lines 1 through 5. If
the deceased previously owned another Pennsylvania located home before owning the Pennsylvania located home he or she was living in
preceding death, complete the address and occupancy dates along with Lines 1 through 5 for both columns of the form. If the deceased
resided part of a year outside PA, do not claim the property tax paid for that period. Enter zero in the appropriate column on Line 1. If the
deceased paid property taxes and resided in a Pennsylvania located home during 2019, then sold the property, moved into a rental property
and paid rent; or if the deceased lived in a rental property and paid rent, then bought a Pennsylvania located home, paid the property taxes
and resided in that home for the remainder of his or her life, complete the address and occupancy dates and complete the information for the
First Home column for Lines 1 through 5 for the portion of the year that the deceased owned the home. The surviving spouse, estate or
personal representative claiming the rebate on behalf of the deceased should also complete a PA Rent Certificate for the portion of the year
the deceased rented a Pennsylvania located rental property.
Total taxes paid on Line 1 for the First Home Column includes the amount of property taxes paid by the claimant directly or on the claimant’s
behalf from an escrow account for a claimant that owned the first home as of Jan. 1 of the claim year. For first homes purchased during the
claim year, include the amount of property taxes paid by the claimant directly or on the claimant’s behalf from an escrow account and the total
property taxes, before any pro-rata allocation of the property taxes, from a HUD-1 Closing Statement from the purchase of the property. Total
taxes paid on Line 1 for the Second Home Column includes the amount of property taxes paid by the claimant directly or on the claimant’s
behalf from an escrow account and the total property taxes, before any pro-rata allocation of the property taxes, from a HUD-1 Closing
Statement from the purchase of the property.
Social Security Number
Name as shown on PA-1000
Month Day 2019 until
Month Day 2019
Month Day 2019 until
Month Day 2019
First Home
1. Total property taxes paid on each home. See above instructions. $ $
$
$
$
2. Number of days you or the deceased owned and occupied each home.
3. Percentage of the year that you or the deceased owned and occupied
each home. Divide Line 2 by the number of days in the claim year
(365 or 366). Round to two decimal places.
4. Multiply Line 1 by Line 3.
5. Total property taxes paid. Add Line 4 for both homes. Enter the amount on
Line 14 of your or the deceased’s claim form or the next schedule you or the
deceased must complete.
Second Home
I/The deceased owned and
occupied this home from
I/The deceased owned and
occupied this home from
(Date moved into this home):
1905410054
1905410054
1905410054
(FI)
START
Reset Entire Form
OFFICIAL USE ONLY
You may make photocopies of this form as needed.
Renter SCHEDULE D. Renters who received cash public assistance are not eligible for rebates for those months when they
received that assistance. If you received cash public assistance during any part of
2019
, use this schedule to determine the
amount of rent for which you qualify for a rebate. IMPORTANT: If you received cash public assistance for all of
2019
, you
may not claim a rebate.
1. Total number of months during which you received cash public assistance: 1.
NOTE: If you received cash public assistance for a full year, you may not claim a rebate.
2. Total rent that you paid in 2019 from Line 8 of Schedule RC, or if you
completed Schedule B, enter the result from Line 4 of Schedule B. . . . . . . 2. $
3. Total rent you paid during the months that you received
cash public assistance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $
4. Eligible rent paid. Subtract Line 3 from Line 2. Enter this amount on the
next schedule you must complete, or on Line 16 of your claim form. . . . 4. $
Owner/Renter SCHEDULE E. You must complete this schedule if you also used part of your homestead for a purpose other
than your personal residence.
If you operated a business in part of your home, you must submit a 1040 Schedule C or PA-40 Schedule C.
If you rented part of your home to others, you must submit a 1040 Schedule E or PA-40 Schedule E.
1. Total property taxes or rent paid on your residence in 2019. Enter the
amount of your total property taxes paid or total rent paid from Line 8 of
Schedule RC, or, if you completed Schedule A, B or D, enter the result
from that schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $
2. Enter the percentage of your home that you used as your residence
from the chart below. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. . or %
3. Eligible property taxes or rent paid. Multiply Line 1 by Line 2.
Enter this amount on the next schedule you must complete or. . . . . . . . . . . 3. $
a) If an owner, enter the amount on Line 14 of your claim form
b) If a renter, enter the amount on Line 16 of your claim form
____% Other percentage
. ____
20%
0.20
25%
0.25
30%
0.30
33%
0.33
40%
0.40
50%
0.50
67%
0.67
75%
0.75
80%
0.80
90%
0.90
CHART OF PERSONAL
USE PERCENTAGE
Name as shown on PA-1000 Social Security Number
– –
Widow/Widower SCHEDULE B. If you were a widow or widower age 50 to 64 during 2019, and you remarried, use this
schedule to determine the percentage of the year for which you qualify for a Property Tax or Rent Rebate.
Date you remarried: Month / Day / 2019
1. Total property tax or rent that you paid in 2019. If you were an owner and
completed Schedule A, enter the amount from Line 5. If you were a renter,
enter the amount from Line 8 of Schedule RC. . . . . . . . . . . . . . . . . . . . . . . . 1. $
2. Number of days you were a widow or widower during 2019 . . . . . . . . . . . . 2.
3. Percentage of the year you were a widow or widower. Divide Line 2 by
the number of days in the claim year (365 or 366).
Round to two decimal places. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Eligible property taxes or rent paid. Multiply Line 1 by Line 3. Enter this amount
on the next schedule you must complete or . . . . . . . . . . . . . . . . . . . . . . . . . 4. $
a) If an owner, enter the amount on Line 14 of your claim form.
b) If a renter, enter the amount on Line 16 of your claim form.
PA SCHEDULE B/D/E
Widow or Widower/Public Assistance/
Business Use Prorations
2019
PA-1000 B/D/E 04-19
PA Department of Revenue
1905510051
1905510051
1905510051
(FI)
START
Reset Entire Form
1. Total property taxes or rent paid on your residence in 2019. Enter the
amount of your total property taxes paid or total rent paid from Line 8
of Schedule RC, or, if you completed Schedule A, B, D or E, enter the
result from that schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
$
2. Eligible claimant percentage. Divide the number of owners or renters
that qualify as claimants by the total number of persons listed on the
deed or lease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
. or %
3. Eligible property taxes or rent paid. Multiply the amount on Line 1 by the
percentage on Line 2, and enter the result: . . . . . . . . . . . . . . . . . . . . . . . . .
3.
$
a) If an owner, enter the amount on Line 14 of your claim form
b) If a renter, enter the amount on Line 16 of your claim form
Owner/Renter SCHEDULE F. If your deed or lease shows additional names (other than your spouse or minor children)
during 2019, complete this schedule. You must list all owners and renters. If your deed or lease shows more than three names,
make copies of this schedule or make your own schedule.
Claimant’s name Address, if different than claim form Age
Name Address, if different than claim form Age Relationship Social Security No.
Name Address, if different than claim form Age Relationship Social Security No.
OFFICIAL USE ONLY
You may make photocopies of this form as needed.
Owner/Renter SCHEDULE G. Annualized income calculation for owners and renters.
1. Enter the date of death of the claimant: Month / Day / 2019
2. Number of days the claimant lived during the claim year. . . . . . . . . . . . . . . 2.
3. Add the positive amounts from Lines 4 through 11f of your claim form plus
any amount for Line 11g before the calculation of the annualized income
amount and enter the result here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. $
4. Enter the result of dividing the days in the claim year (365 or 366) by
Line 2. Round to two decimal places. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Multiply Line 3 times Line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. $
6. Subtract Line 3 from Line 5 and enter the result here and include in
Line 11g of the claim form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. $
– –
– –
Name as shown on PA-1000 Social Security Number
PA SCHEDULE F/G
Multiple Owner or Lessor Prorations/
Income Annualization
2019
PA-1000 F/G 04-19
PA Department of Revenue
1905610059
1905610059
1905610059
(FI)
START
Reset Entire Form
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 11
share of the property taxes paid to the corporation for
their residence.
The following types of receipted real estate tax bills
are acceptable:
County
School district
City
Borough
Township
Taxes/charges that are not acceptable (even if based
on millage):
Flat rate charges
Footage charges
Personal property tax
Per capita tax
Occupational privilege tax
Sewer rent
Garbage collection charges
Municipal assessments such as, or including, road,
institution, street, library, light, water, fire, debt, and
sinking fund taxes
Interest or penalty payments
If your tax bills contain any of these charges, you must
deduct them when completing Line 14.
Line 15 - To determine the amount for Line 15, start with
the amount of your total income on Line 23. In Table A, find
the income range that includes your Line 23 amount and
circle the corresponding maximum standard rebate
amount. Compare your maximum standard rebate amount
to the amount on Line 14 and enter the lesser amount on
Line 15. The department will not pay a rebate for less than
$10. The maximum standard rebate cannot exceed $650.
Line 16 - For Renters Only
IMPORTANT: If you have over $15,000 of income on Line
13, you are not eligible for the rent rebate relief portion of
this program.
PA Rent Certificate (PA-1000 Schedule RC) - You must
always complete this schedule before completing Line 16
or the additional schedules noted later in the instructions
for this line. If none of the additional schedules apply,
report the amount from Line 8 of Schedule RC on Line 16
of your claim form.
You may claim a rebate only if you pay rent to a property
owner for a dwelling that you rent for use as a home that is
a self-contained unit.
NOTE: A landlord-tenant relationship exists when the
landlord (lessor) provides the claimant (lessee) with a
lease for a self-contained unit. This usually means a
separate kitchen, bath and bedroom.
The landlord (lessor) must maintain a lease agreement,
have separate utility bills, have other evidence of a self-
contained unit and report the rental income on federal and
PA tax returns. If the landlord (lessor) also claims a
Property Tax/Rent Rebate, they must submit a PA-1000
Schedule E (enclosed in this booklet), and provide their
federal or PA tax return. You, as the claimant for a rebate,
are responsible to prove a landlord-tenant relationship.
Self-contained dwellings for rent eligible for rent rebates
can include:
Apartment in a house
Apartment building
Boarding home
Mobile home
Mobile home lot
Nursing home
Private home
Personal care home
Assisted living
Domiciliary care
Foster care
Rent Payment Subsidies - For the purpose of this rebate
claim, subtract rent payment subsidies provided by or
through a governmental agency from the total rent you
paid. See Line 5 of the PA Rent Certificate.
Renters must provide one of the following
proof documents:
1. A fully completed PA Rent Certificate (PA-1000
Schedule RC), filled out by the landlord, for
each place you rented during the year. Keep
copies for your records. Your landlord or his/her
ATTENTION PHILADELPHIA RESIDENTS:
The City of Philadelphia has provided the department
with electronic records of all receipted 2019 property tax
bills for Philadelphia that were paid by Dec. 31, 2019. If
you live in the City of Philadelphia and paid your 2019
property taxes by Dec. 31, 2019, do not include a copy
of your receipted property tax bills. If you live in
Philadelphia and paid your 2019 property taxes in 2020,
please submit proof of payment as outlined in the
preceding information.
NOTE: You or the person who prepares your claim will
need to know the amount of tax you paid in order to
correctly calculate your rebate. If you do not have a
copy of your original tax bill or a copy of your tax
payment, you or your preparer will need to estimate the
amount of taxes you paid. If the tax amount you provide
is not correct, the department will adjust the amount of
your rebate based upon the paid taxes reported to the
department by the City of Philadelphia.
12 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
authorized agent should complete Lines 1 through 8
and sign the PA Rent Certificate.
2. A fully completed PA Rent Certificate, filled out by
the claimant, along with a notarized Occupancy
Affidavit or rent receipts. If you cannot get your
landlord to sign the form, you must still complete and
submit the PA Rent Certificate (PA-1000 Schedule
RC) along with the notarized Occupancy Affidavit that
is below the PA Rent Certificate. The reason the land-
lord’s signature could not be obtained must be includ-
ed. You may also submit the form with copies of your
rent receipts. The rent receipts for each period in
which you paid the rent must include the landlord or
his/her agent’s signature, the full amount of rent paid,
your name and the complete address of the rental
property.
NOTE: The department will not accept cancelled checks as
proof of rent paid. Print your Social Security Number on
each proof document that you submit with your claim form.
IMPORTANT: If your landlord is a tax-exempt entity and is
not required to pay property taxes on your rental property,
you do not qualify for a rent rebate unless your landlord
makes payments in lieu of taxes. In this situation, landlords
agree to make reasonable cash payments in lieu of taxes
to a local government authority (county, municipality,
school district, fire/police department, etc.) in order to allow
their residents to claim rent rebates.
Before completing Line 16 of the claim form, complete any
schedules listed in the instructions for this line. If you must
complete more than one schedule, you must complete
them in alphabetical order.
If one schedule does not apply to you, skip it, and go to the
next schedule. You must carry forward, as the total rent
paid, the last amount shown on the previous schedule you
complete to the next schedule you complete.
Report the amount shown on the last schedule that applies
to you on Line 16 of the claim form.
PA-1000 Schedule B - If you were a widow or widower age
50 to 64 who remarried in 2019.
PA-1000 Schedule D - If you were a renter who received
cash public assistance in 2019.
PA-1000 Schedule E - If you used part of your residence
for a purpose other than living quarters in 2019.
PA-1000 Schedule F - If your lease shows persons other
than your spouse or minor children.
If you were required to complete Schedules B, D, E, or F,
enter the lesser amount of the total rent paid in 2019 or the
amount shown as eligible rents paid, on the last schedule
completed.
Line 17 - Multiply Line 16 by 20 percent (0.20).
Line 18 - To determine the amount for Line 18, start with
the amount of your total income on Line 23. In Table B, find
the income range that includes your Line 23 amount and
circle the corresponding maximum rebate amount.
Compare your maximum rebate amount to the amount on
Line 17 and enter the lesser amount on Line 18. The
department will not pay a rebate for less than $10. The
maximum standard rebate cannot exceed $650.
Line 19 - For Owner/Renter Only
IMPORTANT: If you have over $15,000 of income claimed
on Line 13, you are not eligible for the rent rebate relief
portion of this program.
CAUTION: As an owner/renter, only fill in Oval B
(Owner/Renter) in Section B of the claim form. Do not fill in
Oval P or R. Filling in other ovals may reduce your rebate
amount. If you were both a property owner and a renter
in 2019, you must calculate your property tax rebate
separately from your rent rebate. Complete Lines 14 and
15 to calculate your property tax rebate and complete
Lines 16 through 18 to calculate your rent rebate.
Add Lines 15 and 18 - To determine the amount for Line
19, start with the amount of your total income in Line 23. In
Table A, find the income range that includes your Line 23
amount and circle the corresponding maximum standard
rebate amount. Compare your maximum standard rebate
amount to the sum of Lines 15 and 18 and enter the lesser
amount on Line 19. The department will not pay a
rebate for less than $10. The maximum standard rebate
cannot exceed $650.
Line 20 - In order to comply with banking rules, direct
deposits are not available for rebates going to bank
accounts outside the U.S. If your bank account is outside
the U.S., do not complete the direct deposit Lines 20, 21
and 22. The department will send you a paper check.
If your rebate will be going to a bank account within the
U.S., you have the option to have your rebate directly
deposited.
If you want the Department of Revenue to directly deposit
your rebate into your checking or savings account at your
bank, credit union, or other financial institution, place an X
in the appropriate box on Line 20. Then complete Lines 21
and 22.
IMPORTANT: If the direct deposit request is to a represen-
tative payee bank account or bank account for anyone
other than the claimant or the claimant’s spouse (in the
case of a joint claim), each claim filed requesting payment
to that account must include a copy of the contract, agree-
ment, or other document authorizing the payee as the
proper receiver of the claimant’s rebate.
CAUTION: Be sure to enter the correct routing and account
numbers. Please check with your financial institution to
make sure your direct deposit will be accepted and to get
the correct routing and account numbers. The Department
of Revenue:
Is not responsible for a lost rebate if you enter the
wrong account information.
DIRECT DEPOSIT
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 13
SAMPLE CHECK
Routing Number
Account Number Check Number
Joe & Jane Taxpayer 50-42 0001
123 Drive Avenue 370
Nowhere, PA 78910 1234567890
Date
Pay To The Order Of:
$
Dollars
Your Bank
Commonwealth Region
Harrisburg, PA
Memo Signature
I: 250250025 :I 202III02III086 III0001
Please do not send a copy of a blank or voided check with your rebate application.
Cannot change the banking information you enter in
these spaces.
Will send a check instead of making a direct deposit
into your account if the information you entered is not
accurate or up to date.
Will convert a direct deposit payment request into a
paper check to be mailed to the claimant if the depart-
ment cannot verify the rebate is authorized for direct
deposit into a representative payee bank account.
By placing an X in either box on Line 20, you are authoriz-
ing the department to directly deposit your rebate into your
checking or savings account. Direct deposits cannot be
made to Social Security Direct Express ® cards.
IMPORTANT: Do not include a copy of a blank check
with your rebate application. The department cannot
complete this information on your application.
Line 21 - Routing Number
Enter your bank or financial institution’s nine-digit routing
number. The first two digits must be 01 through 12, or 21
through 32. Do not use spaces or special characters when
entering the routing number. EXAMPLE: The routing
number on the sample check above is 250250025.
If you are attempting to complete this line using a deposit
slip, please contact your financial institution to determine if
the routing number is correct. Many times the number on
the deposit slip is for internal use by the institution and
using it may delay the payment of your rebate.
NOTE: This number must be nine digits. Otherwise,
your financial institution will reject the direct deposit, and
the department will mail you a check.
IMPORTANT: Your check may state that it is payable
through a bank different from the financial institution where
you have your account (i.e. your check may have two banks
listed on the face). If so, do not use the routing number on
your check. Instead, ask your financial institution for the
correct routing number and enter it on Line 21.
Line 22 - Checking or Savings Account Number
Enter your checking or savings account number. Your
account number may be as many as 17 digits and may
contain both numbers and letters.
Enter the numbers and letters from left to right. Do not use
spaces or special characters when you enter your account
number and leave any unused boxes blank. EXAMPLE:
The checking account number on the sample check above
is 20202086. Do not include the check number. The
check number on the sample check is 0001. If you are
attempting to complete this line using a direct deposit slip,
please contact your financial institution to determine if the
account number is correct. Many times the number on the
deposit slip is for internal use by the institution and using it
may delay the payment of your rebate.
CAUTION: If your bank has recently changed ownership,
the routing and account numbers on your check may be
incorrect. Please verify the routing and account numbers
with your bank before you enter them on Lines 21 and 22.
IMPORTANT: If you apply before the end of May and opt
for direct deposit of your rebate, you may notice a zero
dollar transaction on your April or May bank statement.
This transaction is part of a security process conducted to
verify your account information and ensure your rebate
arrives quickly and accurately. If account information
cannot be verified for direct deposit, the department will
send you a paper check.
Line 23 - Total Income
Line 23 is used to determine the correct rebate amount.
Enter the amount from Line 13 of the claim form on this line
and circle the corresponding Maximum Standard Rebate
or Maximum Rebate amount for your income level. Owners
use Table A and Renters use Table B.
14 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
Maximum Standard
Rebate
TOTAL INCOME
From Line 13 of your claim form
$ 0 to $ 8,000 $ 650
$ 8,001 to $ 15,000 $ 500
$ 15,001 to $ 18,000 $ 300
$ 18,001 to $ 35,000 $ 250
Please read the following oath before signing the claim
form.
CLAIMANT OATH: I declare that this claim is true, correct,
and complete to the best of my knowledge and belief, and
this is the only claim filed by members of my household. I
authorize the PA Department of Revenue access to my
federal and Pennsylvania personal income tax records, my
PACE records, my Social Security Administration records,
and/or my Department of Human Services records. This
access is for verifying the truth, correctness, and complete-
ness of the information reported in this claim.
If you do not agree with the oath, do not sign the claim
form. However, the department will not process the claim
form or issue a rebate without a signature.
NOTE: The Property Tax or Rent Rebate program is a
benefit provided to qualifying homeowners who apply.
The Department of Revenue will not place a lien or
judgment on your property because of a Property Tax/Rent
Rebate paid to you.
SIGNATURES: Sign and date the claim form in the space
provided. The signature must match the name listed on the
label or printed on the name line. If someone other than the
claimant signs the claim form, a copy of the Power of
Attorney, guardianship papers, or other documents entitling
that person to sign must accompany the claim form. In
the case of a deceased claimant, see the instructions
beginning on Page 4.
If the claimant makes a mark instead of a signature, two
people must sign the form as witnesses to the claimant’s
mark.
Also please provide the name, address, and telephone
number of the claimant’s nearest relative. This helps the
department locate claimants if the Post Office returns a
rebate check as undeliverable.
If you are signing the claim form on the behalf of the
claimant(s) under the authority of a Power of Attorney,
complete the name, telephone number and address lines
as indicated on Page 2 of the PA-1000, Property Tax or
Rent Rebate Claim Form. You must also include a copy of
the Power of Attorney form with the PA-1000 claim form
when filed.
You must complete and submit one original claim form to
the Department of Revenue. Do not submit a photocopy
of the claim form. For your convenience, the department
provides two claim forms. If you need another claim form,
visit www.revenue.pa.gov or call the Forms Ordering
Message Service at 1-800-362-2050.
IMPORTANT: Do not use staples. Using staples delays
the processing of your claim and damages your claim form
and other documents.
Place your completed claim form and other necessary
documents in the envelope provided. Use the checklist
on the back of the envelope to verify that your claim is
complete. Incomplete claims will delay your rebate. If you
do not have the envelope the department provided, mail
your completed claim form and necessary documents to:
PA DEPARTMENT OF REVENUE
PROPERTY TAX OR RENT REBATE PROGRAM
PO BOX 280503
HARRISBURG PA 17128-0503
Revenue from slots gaming is providing general property
tax relief to all Pennsylvania homeowners. Supplemental
property tax rebates, equal to 50 percent of taxpayers’
base rebates, are available to provide extra relief to
homeowners who need it the most.
Homeowners in Pittsburgh, Scranton and Philadelphia with
eligibility income of $30,000 or less will receive additional
payments, as will homeowners in the rest of the state who
meet the same income-eligibility requirement and pay more
than 15 percent of their household income in property taxes.
IMPORTANT: If you are eligible for a supplemental
payment above the maximum rebate, the department will
calculate it for you. Please follow the instructions for Lines
14 and 15 on Pages 9 and 11 of this booklet to complete
your rebate application; do not adjust the amounts on
Line 15.
REBATE TABLES
MAILING INSTRUCTIONS
SUPPLEMENTAL PROPERTY TAX REBATES
SECTION IV - OATH
TABLE A - OWNERS ONLY
Maximum
Rebate
TOTAL INCOME
From Line 13 of your claim form
$ 0 to $ 8,000 $ 650
$ 8,001 to $ 15,000 $ 500
TABLE B - RENTERS ONLY
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 15
PENNSYLVANIA COUNTIES & CODES
Where does the money go*?
THE PENNSYLVANIA LOTTERY
RETAILER AND
BENEFIT VENDOR OPERATING
WINNER PRIZES PROGRAMS COMMISSIONS EXPENSES
65 cents 26 cents 7 cents 2 cents
*Profits based on sales and interest income
The Pennsylvania Lottery established by law in 1971, remains the only U.S. lottery to dedicate all
proceeds to benefit older adults.
Adams . . . . . . . . . . . . . . . . . . . 01
Allegheny . . . . . . . . . . . . . . . . . 02
Armstrong . . . . . . . . . . . . . . . . 03
Beaver . . . . . . . . . . . . . . . . . . . 04
Bedford . . . . . . . . . . . . . . . . . . 05
Berks . . . . . . . . . . . . . . . . . . . . 06
Blair . . . . . . . . . . . . . . . . . . . . 07
Bradford . . . . . . . . . . . . . . . . . . 08
Bucks . . . . . . . . . . . . . . . . . . . . 09
Butler . . . . . . . . . . . . . . . . . . . . 10
Cambria . . . . . . . . . . . . . . . . . . 11
Cameron . . . . . . . . . . . . . . . . . 12
Carbon . . . . . . . . . . . . . . . . . . . 13
Centre . . . . . . . . . . . . . . . . . . . 14
Chester . . . . . . . . . . . . . . . . . . 15
Clarion . . . . . . . . . . . . . . . . . . . 16
Clearfield . . . . . . . . . . . . . . . . . 17
Clinton . . . . . . . . . . . . . . . . . . . 18
Columbia . . . . . . . . . . . . . . . . . 19
Crawford . . . . . . . . . . . . . . . . . 20
Cumberland . . . . . . . . . . . . . . . 21
Dauphin . . . . . . . . . . . . . . . . . . 22
Delaware . . . . . . . . . . . . . . . . . 23
Elk . . . . . . . . . . . . . . . . . . . . 24
Erie . . . . . . . . . . . . . . . . . . . . 25
Fayette . . . . . . . . . . . . . . . . . . . 26
Forest . . . . . . . . . . . . . . . . . . . . 27
Franklin . . . . . . . . . . . . . . . . . . 28
Fulton . . . . . . . . . . . . . . . . . . . . 29
Greene . . . . . . . . . . . . . . . . . . . 30
Huntingdon . . . . . . . . . . . . . . . 31
Indiana . . . . . . . . . . . . . . . . . . . 32
Jefferson . . . . . . . . . . . . . . . . . 33
Juniata . . . . . . . . . . . . . . . . . . . 34
Lackawanna . . . . . . . . . . . . . . . 35
Lancaster . . . . . . . . . . . . . . . . . 36
Lawrence . . . . . . . . . . . . . . . . . 37
Lebanon . . . . . . . . . . . . . . . . . . 38
Lehigh . . . . . . . . . . . . . . . . . . . 39
Luzerne . . . . . . . . . . . . . . . . . . 40
Lycoming . . . . . . . . . . . . . . . . . 41
McKean . . . . . . . . . . . . . . . . . . 42
Mercer . . . . . . . . . . . . . . . . . . . 43
Mifflin . . . . . . . . . . . . . . . . . . . . 44
Monroe . . . . . . . . . . . . . . . . . . . 45
Montgomery . . . . . . . . . . . . . . . 46
Montour . . . . . . . . . . . . . . . . . . 47
Northampton . . . . . . . . . . . . . . 48
Northumberland . . . . . . . . . . . . 49
Perry . . . . . . . . . . . . . . . . . . . . 50
Philadelphia . . . . . . . . . . . . . . . 51
Pike . . . . . . . . . . . . . . . . . . . . 52
Potter . . . . . . . . . . . . . . . . . . . . 53
Schuylkill . . . . . . . . . . . . . . . . . 54
Snyder . . . . . . . . . . . . . . . . . . . 55
Somerset . . . . . . . . . . . . . . . . . 56
Sullivan . . . . . . . . . . . . . . . . . . 57
Susquehanna . . . . . . . . . . . . . . 58
Tioga . . . . . . . . . . . . . . . . . . . . 59
Union . . . . . . . . . . . . . . . . . . . . 60
Venango . . . . . . . . . . . . . . . . . . 61
Warren . . . . . . . . . . . . . . . . . . . 62
Washington . . . . . . . . . . . . . . . 63
Wayne . . . . . . . . . . . . . . . . . . . 64
Westmoreland . . . . . . . . . . . . . 65
Wyoming . . . . . . . . . . . . . . . . . 66
York . . . . . . . . . . . . . . . . . . . . 67
In the 2018-2019 fiscal year, the Pennsylvania Lottery
achieved sales of more than $4.5 billion, from which it gener-
ated more than $1.14 billion in net revenue to support benefits
for older Pennsylvanians. In addition, Lottery winners claimed
more than $2.9 billion in prizes.
Since its very first game went on sale in 1972, the Pennsylvania
Lottery has contributed $30 billion to programs that include
property tax and rent rebates; transportation services; care
services; prescription assistance; and a broad range of local
services provided by Area Agencies on Aging.
The Pennsylvania Lottery is a bureau of the Pennsylvania
Department of Revenue, and a successful enterprise of which
all state residents may be proud.
Players must be 18 or older. Please play responsibly.
Problem Gambling Helpline: 1-800-GAMBLER.
For more information about Lottery games and benefits for
older Pennsylvanians, visit palottery.com.
For more information about Lottery games and benefits for older Pennsylvanians, visit palottery.com.
ADAMS
Bermudian Springs . . . . . . . . . . . . . .01110
Conewago Valley . . . . . . . . . . . . . . .01160
Fairfield Area . . . . . . . . . . . . . . . . . .01305
Gettysburg Area . . . . . . . . . . . . . . . .01375
Littlestown Area . . . . . . . . . . . . . . . .01520
Upper Adams . . . . . . . . . . . . . . . . . .01852
ALLEGHENY
Allegheny Valley . . . . . . . . . . . . . . .02060
Avonworth . . . . . . . . . . . . . . . . . . . .02075
Baldwin Whitehall . . . . . . . . . . . . . . .02110
Bethel Park . . . . . . . . . . . . . . . . . . .02125
Brentwood Borough . . . . . . . . . . . . .02145
Carlynton . . . . . . . . . . . . . . . . . . . .02160
Chartiers Valley . . . . . . . . . . . . . . . .02175
Clairton City . . . . . . . . . . . . . . . . . . .02190
Cornell . . . . . . . . . . . . . . . . . . . . . . .02210
Deer Lakes . . . . . . . . . . . . . . . . . . .02225
Duquesne City . . . . . . . . . . . . . . . . .02250
East Allegheny . . . . . . . . . . . . . . . . .02280
Elizabeth Forward . . . . . . . . . . . . . .02315
Fort Cherry . . . . . . . . . . . . . . . . . . . .63240
Fox Chapel Area . . . . . . . . . . . . . . .02391
Gateway . . . . . . . . . . . . . . . . . . . . . .02410
Hampton Township . . . . . . . . . . . . .02460
Highlands . . . . . . . . . . . . . . . . . . . . .02475
Keystone Oaks . . . . . . . . . . . . . . . .02500
McKeesport Area . . . . . . . . . . . . . . .02600
Montour . . . . . . . . . . . . . . . . . . . . . .02630
Moon Area . . . . . . . . . . . . . . . . . . . .02634
Mount Lebanon . . . . . . . . . . . . . . . .02640
North Allegheny . . . . . . . . . . . . . . . .02685
Northgate . . . . . . . . . . . . . . . . . . . . .02687
North Hills . . . . . . . . . . . . . . . . . . . .02690
Penn Hills . . . . . . . . . . . . . . . . . . . . .02735
Penn-Trafford . . . . . . . . . . . . . . . . . .65710
Pine-Richland . . . . . . . . . . . . . . . . .02100
Pittsburgh . . . . . . . . . . . . . . . . . . . . .02745
Plum Borough . . . . . . . . . . . . . . . . .02750
Quaker Valley . . . . . . . . . . . . . . . . .02775
Riverview . . . . . . . . . . . . . . . . . . . . .02820
Shaler Area . . . . . . . . . . . . . . . . . . .02830
South Allegheny . . . . . . . . . . . . . . . .02865
South Fayette Township . . . . . . . . .02870
South Park . . . . . . . . . . . . . . . . . . . .02875
Steel Valley . . . . . . . . . . . . . . . . . . .02883
Sto-Rox . . . . . . . . . . . . . . . . . . . . . .02885
Upper Saint Clair Township . . . . . . .02920
West Allegheny . . . . . . . . . . . . . . . .02940
West Jefferson Hills . . . . . . . . . . . . .02955
West Mifflin Area . . . . . . . . . . . . . . .02960
Wilkinsburg Borough . . . . . . . . . . . .02980
Woodland Hills . . . . . . . . . . . . . . . . .02990
ARMSTRONG
Allegheny Clarion Valley . . . . . . . . .16030
Apollo-Ridge . . . . . . . . . . . . . . . . . .03060
Armstrong . . . . . . . . . . . . . . . . . . . .03085
Freeport Area . . . . . . . . . . . . . . . . . .03305
Karns City Area . . . . . . . . . . . . . . . .10360
Kiski Area . . . . . . . . . . . . . . . . . . . . .65440
Leechburg Area . . . . . . . . . . . . . . . .03450
Redbank Valley . . . . . . . . . . . . . . . .16800
BEAVER
Aliquippa Borough . . . . . . . . . . . . .04050
Ambridge Area . . . . . . . . . . . . . . . . .04070
Beaver Area . . . . . . . . . . . . . . . . . . .04120
Big Beaver Falls Area . . . . . . . . . . .04150
Blackhawk . . . . . . . . . . . . . . . . . . . .04160
Central Valley . . . . . . . . . . . . . . . . . .04200
Ellwood City Area . . . . . . . . . . . . . .37200
Freedom Area . . . . . . . . . . . . . . . . .04285
Hopewell Area . . . . . . . . . . . . . . . . .04410
Midland Borough . . . . . . . . . . . . . . .04530
New Brighton Area . . . . . . . . . . . . . .04565
Riverside Beaver County . . . . . . . . .04585
Rochester Area . . . . . . . . . . . . . . . .04690
South Side Area . . . . . . . . . . . . . . . .04740
Western Beaver County . . . . . . . . . .04930
BEDFORD
Bedford Area . . . . . . . . . . . . . . . . . .05100
Chestnut Ridge . . . . . . . . . . . . . . . .05150
Claysburg-Kimmel . . . . . . . . . . . . . .07150
Everett Area . . . . . . . . . . . . . . . . . . .05300
Northern Bedford County . . . . . . . . .05600
Tussey Mountain . . . . . . . . . . . . . . .05800
SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE
Palmerton Area . . . . . . . . . . . . . . . .13650
Panther Valley . . . . . . . . . . . . . . . . .13660
Weatherly Area . . . . . . . . . . . . . . . .13900
CENTRE
Bald Eagle Area . . . . . . . . . . . . . . . .14100
Bellefonte Area . . . . . . . . . . . . . . . . .14110
Keystone Central . . . . . . . . . . . . . . .18360
Penns Valley Area . . . . . . . . . . . . . .14700
Philipsburg-Osceola Area . . . . . . . .17700
State College Area . . . . . . . . . . . . . .14800
Tyrone Area . . . . . . . . . . . . . . . . . . .07800
CHESTER
Avon Grove . . . . . . . . . . . . . . . . . . .15050
Coatesville Area . . . . . . . . . . . . . . . .15190
Downingtown Area . . . . . . . . . . . . . .15200
Great Valley . . . . . . . . . . . . . . . . . . .15350
Kennett Consolidated . . . . . . . . . . .15400
Octorara Area . . . . . . . . . . . . . . . . .15650
Owen J. Roberts . . . . . . . . . . . . . . .15660
Oxford Area . . . . . . . . . . . . . . . . . . .15670
Phoenixville Area . . . . . . . . . . . . . . .15720
Spring-Ford Area . . . . . . . . . . . . . . .46730
Tredyffrin Easttown . . . . . . . . . . . . .15780
Twin Valley . . . . . . . . . . . . . . . . . . . .06810
Unionville-Chadds Ford . . . . . . . . . .15850
West Chester Area . . . . . . . . . . . . . .15900
CLARION
Allegheny Clarion Valley . . . . . . . . .16030
Armstrong . . . . . . . . . . . . . . . . . . . .03085
Clarion Area . . . . . . . . . . . . . . . . . . .16120
Clarion-Limestone Area . . . . . . . . . .16170
Keystone . . . . . . . . . . . . . . . . . . . . .16650
North Clarion County . . . . . . . . . . . .16750
Redbank Valley . . . . . . . . . . . . . . . .16800
Union . . . . . . . . . . . . . . . . . . . . . . . .16900
CLEARFIELD
Clearfield Area . . . . . . . . . . . . . . . . .17100
Curwensville Area . . . . . . . . . . . . . .17180
Dubois Area . . . . . . . . . . . . . . . . . . .17200
Glendale . . . . . . . . . . . . . . . . . . . . .17300
Harmony Area . . . . . . . . . . . . . . . . .17350
Moshannon Valley . . . . . . . . . . . . .17500
Philipsburg-Osceola Area . . . . . . . .17700
Purchase Line . . . . . . . . . . . . . . . . .32730
West Branch Area . . . . . . . . . . . . . .17900
CLINTON
Jersey Shore Area . . . . . . . . . . . . . .41400
Keystone Central . . . . . . . . . . . . . . .18360
West Branch Area . . . . . . . . . . . . . .17900
COLUMBIA
Benton Area . . . . . . . . . . . . . . . . . . .19100
Berwick Area . . . . . . . . . . . . . . . . . .19110
Bloomsburg Area . . . . . . . . . . . . . . .19120
Central Columbia . . . . . . . . . . . . . . .19150
Millville Area . . . . . . . . . . . . . . . . . . .19500
Mount Carmel Area . . . . . . . . . . . . .49510
North Schuylkill . . . . . . . . . . . . . . . .54500
Southern Columbia Area . . . . . . . . .19750
CRAWFORD
Conneaut . . . . . . . . . . . . . . . . . . . . .20103
Corry Area . . . . . . . . . . . . . . . . . . . .25145
Crawford Central . . . . . . . . . . . . . . .20135
Jamestown Area . . . . . . . . . . . . . . .43360
Penncrest . . . . . . . . . . . . . . . . . . . . .20470
Titusville Area . . . . . . . . . . . . . . . . . .61720
Union City Area . . . . . . . . . . . . . . . .25910
CUMBERLAND
Big Spring . . . . . . . . . . . . . . . . . . . .21050
Camp Hill . . . . . . . . . . . . . . . . . . . . .21100
Carlisle Area . . . . . . . . . . . . . . . . . . .21110
Cumberland Valley . . . . . . . . . . . . . .21160
East Pennsboro Area . . . . . . . . . . . .21250
Mechanicsburg Area . . . . . . . . . . . .21650
Shippensburg Area . . . . . . . . . . . . .21800
South Middleton . . . . . . . . . . . . . . . .21830
West Shore . . . . . . . . . . . . . . . . . . .21900
DAUPHIN
Central Dauphin . . . . . . . . . . . . . . . .22140
Derry Township . . . . . . . . . . . . . . . .22175
Halifax Area . . . . . . . . . . . . . . . . . . .22250
Harrisburg City . . . . . . . . . . . . . . . . .22275
Lower Dauphin . . . . . . . . . . . . . . . . .22400
Middletown Area . . . . . . . . . . . . . . .22600
Millersburg Area . . . . . . . . . . . . . . . .22610
Steelton Highspire . . . . . . . . . . . . . .22800
Susquehanna Township . . . . . . . . . .22830
Susquenita . . . . . . . . . . . . . . . . . . . .50600
Upper Dauphin Area . . . . . . . . . . . .22900
Williams Valley . . . . . . . . . . . . . . . . .54880
DELAWARE
Chester Upland . . . . . . . . . . . . . . . .23123
Chichester . . . . . . . . . . . . . . . . . . . .23130
Garnet Valley . . . . . . . . . . . . . . . . . .23410
Haverford Township . . . . . . . . . . . . .23450
Interboro . . . . . . . . . . . . . . . . . . . . .23510
Marple Newtown . . . . . . . . . . . . . . .23550
Penn-Delco . . . . . . . . . . . . . . . . . . .23690
Radnor Township . . . . . . . . . . . . . . .23760
Ridley . . . . . . . . . . . . . . . . . . . . . . . .23770
Rose Tree Media . . . . . . . . . . . . . . .23790
Southeast Delco . . . . . . . . . . . . . . .23840
Springfield . . . . . . . . . . . . . . . . . . . .23850
Unionville-Chadds Ford . . . . . . . . . .15850
Upper Darby . . . . . . . . . . . . . . . . . .23945
Wallingford Swarthmore . . . . . . . . . .23960
West Chester Area . . . . . . . . . . . . . .15900
William Penn . . . . . . . . . . . . . . . . . .23965
ELK
Brockway Area . . . . . . . . . . . . . . . . .33070
Forest Area . . . . . . . . . . . . . . . . . . .27200
Johnsonburg Area . . . . . . . . . . . . . .24350
Kane Area . . . . . . . . . . . . . . . . . . . .42230
Ridgway Area . . . . . . . . . . . . . . . . . .24600
Saint Marys Area . . . . . . . . . . . . . . .24800
ERIE
Corry Area . . . . . . . . . . . . . . . . . . . .25145
Erie City . . . . . . . . . . . . . . . . . . . . . .25260
Fairview . . . . . . . . . . . . . . . . . . . . . .25330
Fort Leboeuf . . . . . . . . . . . . . . . . . .25355
General McLane . . . . . . . . . . . . . . .25390
Girard . . . . . . . . . . . . . . . . . . . . . . . .25405
Harbor Creek . . . . . . . . . . . . . . . . . .25435
Iroquois . . . . . . . . . . . . . . . . . . . . . .25655
Millcreek Township . . . . . . . . . . . . . .25760
North East . . . . . . . . . . . . . . . . . . . .25830
Northwestern . . . . . . . . . . . . . . . . . .25850
Union City Area . . . . . . . . . . . . . . . .25910
Wattsburg Area . . . . . . . . . . . . . . . .25970
FAYETTE
Albert Gallatin Area . . . . . . . . . . . . .26030
Belle Vernon Area . . . . . . . . . . . . . .65060
Brownsville Area . . . . . . . . . . . . . . .26080
Connellsville Area . . . . . . . . . . . . . .26130
Frazier . . . . . . . . . . . . . . . . . . . . . . .26290
Laurel Highlands . . . . . . . . . . . . . . .26400
Southmoreland . . . . . . . . . . . . . . . .65750
Uniontown Area . . . . . . . . . . . . . . . .26800
FOREST
Forest Area . . . . . . . . . . . . . . . . . . .27200
FRANKLIN
Chambersburg Area . . . . . . . . . . . . .28130
Fannett-Metal . . . . . . . . . . . . . . . . . .28200
Greencastle-Antrim . . . . . . . . . . . . .28300
Shippensburg Area . . . . . . . . . . . . .21800
Tuscarora . . . . . . . . . . . . . . . . . . . . .28600
Waynesboro Area . . . . . . . . . . . . . .28900
FULTON
Central Fulton . . . . . . . . . . . . . . . . .29130
Forbes Road . . . . . . . . . . . . . . . . . .29230
Southern Fulton . . . . . . . . . . . . . . . .29750
GREENE
Carmichaels Area . . . . . . . . . . . . . .30130
Central Greene . . . . . . . . . . . . . . . .30140
Jefferson-Morgan . . . . . . . . . . . . . . .30350
Southeastern Greene . . . . . . . . . . .30650
West Greene . . . . . . . . . . . . . . . . . .30850
HUNTINGDON
Huntingdon Area . . . . . . . . . . . . . . .31250
Juniata Valley . . . . . . . . . . . . . . . . . .31280
Mount Union Area . . . . . . . . . . . . . .31600
Southern Huntingdon County . . . . .31750
Tussey Mountain . . . . . . . . . . . . . . .05800
Tyrone Area . . . . . . . . . . . . . . . . . . .07800
BERKS
Antietam . . . . . . . . . . . . . . . . . . . . . .06050
Boyertown Area . . . . . . . . . . . . . . . .06075
Brandywine Heights Area . . . . . . . .06085
Conrad Weiser Area . . . . . . . . . . . . .06110
Daniel Boone Area . . . . . . . . . . . . . .06150
Exeter Township . . . . . . . . . . . . . . .06200
Fleetwood Area . . . . . . . . . . . . . . . .06250
Governor Mifflin . . . . . . . . . . . . . . . .06300
Hamburg Area . . . . . . . . . . . . . . . . .06350
Kutztown Area . . . . . . . . . . . . . . . . .06400
Muhlenberg Township . . . . . . . . . . .06550
Oley Valley . . . . . . . . . . . . . . . . . . . .06650
Reading . . . . . . . . . . . . . . . . . . . . . .06700
Schuylkill Valley . . . . . . . . . . . . . . . .06750
Tulpehocken Area . . . . . . . . . . . . . .06800
Twin Valley . . . . . . . . . . . . . . . . . . . .06810
Upper Perkiomen . . . . . . . . . . . . . . .46860
Wilson . . . . . . . . . . . . . . . . . . . . . . .06910
Wyomissing . . . . . . . . . . . . . . . . . . .06935
BLAIR
Altoona Area . . . . . . . . . . . . . . . . . .07050
Bellwood Antis . . . . . . . . . . . . . . . . .07100
Claysburg-Kimmel . . . . . . . . . . . . . .07150
Hollidaysburg Area . . . . . . . . . . . . . .07350
Spring Cove . . . . . . . . . . . . . . . . . . .07750
Tyrone Area . . . . . . . . . . . . . . . . . . .07800
Williamsburg Community . . . . . . . . .07900
BRADFORD
Athens Area . . . . . . . . . . . . . . . . . . .08050
Canton Area . . . . . . . . . . . . . . . . . . .08100
Northeast Bradford County . . . . . . .08300
Sayre Area . . . . . . . . . . . . . . . . . . . .08600
Towanda Area . . . . . . . . . . . . . . . . .08650
Troy Area . . . . . . . . . . . . . . . . . . . . .08665
Wyalusing Area . . . . . . . . . . . . . . . .08900
BUCKS
Bensalem Township . . . . . . . . . . . . .09100
Bristol Borough . . . . . . . . . . . . . . . .09130
Bristol Township . . . . . . . . . . . . . . . .09135
Centennial . . . . . . . . . . . . . . . . . . . .09200
Central Bucks . . . . . . . . . . . . . . . . .09210
Council Rock . . . . . . . . . . . . . . . . . .09235
Easton Area . . . . . . . . . . . . . . . . . . .48330
Morrisville Borough . . . . . . . . . . . . .09720
Neshaminy . . . . . . . . . . . . . . . . . . . .09750
New Hope Solebury . . . . . . . . . . . . .09760
North Penn . . . . . . . . . . . . . . . . . . . .46570
Palisades . . . . . . . . . . . . . . . . . . . . .09800
Pennridge . . . . . . . . . . . . . . . . . . . .09810
Pennsbury . . . . . . . . . . . . . . . . . . . .09820
Quakertown Community . . . . . . . . .09840
Souderton Area . . . . . . . . . . . . . . . .46710
BUTLER
Allegheny Clarion Valley . . . . . . . . .16030
Butler Area . . . . . . . . . . . . . . . . . . . .10125
Freeport Area . . . . . . . . . . . . . . . . . .03305
Karns City Area . . . . . . . . . . . . . . . .10360
Mars Area . . . . . . . . . . . . . . . . . . . .10500
Moniteau . . . . . . . . . . . . . . . . . . . . .10535
Seneca Valley . . . . . . . . . . . . . . . . .10790
Slippery Rock Area . . . . . . . . . . . . .10750
South Butler County . . . . . . . . . . . .10780
CAMBRIA
Blacklick Valley . . . . . . . . . . . . . . . . .11060
Cambria Heights . . . . . . . . . . . . . . . .11120
Central Cambria . . . . . . . . . . . . . . . .11130
Conemaugh Valley . . . . . . . . . . . . . .11140
Ferndale Area . . . . . . . . . . . . . . . . .11200
Forest Hills . . . . . . . . . . . . . . . . . . . .11220
Glendale . . . . . . . . . . . . . . . . . . . . .17300
Greater Johnstown . . . . . . . . . . . . . .11250
Northern Cambria . . . . . . . . . . . . . .11450
Penn Cambria . . . . . . . . . . . . . . . . .11600
Portage Area . . . . . . . . . . . . . . . . . .11630
Richland . . . . . . . . . . . . . . . . . . . . . .11650
Westmont Hilltop . . . . . . . . . . . . . . .11850
Windber Area . . . . . . . . . . . . . . . . . .56910
CAMERON
Cameron County . . . . . . . . . . . . . . .12270
CARBON
Hazleton Area . . . . . . . . . . . . . . . . .40330
Jim Thorpe Area . . . . . . . . . . . . . . .13500
Lehighton Area . . . . . . . . . . . . . . . . .13550
PA SCHOOL DISTRICTS & CODES BY COUNTY
16 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 17
UNION
Lewisburg Area . . . . . . . . . . . . . . . .60400
Mifflinburg Area . . . . . . . . . . . . . . . .60500
Milton Area . . . . . . . . . . . . . . . . . . . .49500
Warrior Run . . . . . . . . . . . . . . . . . . .49800
VENANGO
Allegheny Clarion Valley . . . . . . . . .16030
Cranberry Area . . . . . . . . . . . . . . . . .61130
Forest Area . . . . . . . . . . . . . . . . . . .27200
Franklin Area . . . . . . . . . . . . . . . . . .61220
Oil City Area . . . . . . . . . . . . . . . . . . .61620
Penncrest . . . . . . . . . . . . . . . . . . . . .20470
Titusville Area . . . . . . . . . . . . . . . . . .61720
Valley Grove . . . . . . . . . . . . . . . . . .61860
WARREN
Corry Area . . . . . . . . . . . . . . . . . . . .25145
Titusville Area . . . . . . . . . . . . . . . . . .61720
Warren County . . . . . . . . . . . . . . . . .62830
WASHINGTON
Avella Area . . . . . . . . . . . . . . . . . . . .63050
Bentworth . . . . . . . . . . . . . . . . . . . . .63090
Bethlehem-Center . . . . . . . . . . . . . .63100
Brownsville Area . . . . . . . . . . . . . . .26080
Burgettstown Area . . . . . . . . . . . . . .63120
California Area . . . . . . . . . . . . . . . . .63150
Canon-McMillan . . . . . . . . . . . . . . . .63170
Charleroi . . . . . . . . . . . . . . . . . . . . .63180
Chartiers-Houston . . . . . . . . . . . . . .63190
Fort Cherry . . . . . . . . . . . . . . . . . . . .63240
McGuffey . . . . . . . . . . . . . . . . . . . . .63390
Peters Township . . . . . . . . . . . . . . .63650
Ringgold . . . . . . . . . . . . . . . . . . . . . .63700
Trinity Area . . . . . . . . . . . . . . . . . . . .63800
Washington . . . . . . . . . . . . . . . . . . .63880
WAYNE
Forest City Regional . . . . . . . . . . . .58300
North Pocono . . . . . . . . . . . . . . . . . .35650
Susquehanna Community . . . . . . . .58650
Wallenpaupack Area . . . . . . . . . . . .64830
Wayne Highlands . . . . . . . . . . . . . . .64870
Western Wayne . . . . . . . . . . . . . . . .64890
WESTMORELAND
Belle Vernon Area . . . . . . . . . . . . . .65060
Blairsville-Saltsburg . . . . . . . . . . . . .32110
Burrell . . . . . . . . . . . . . . . . . . . . . . .65070
Derry Area . . . . . . . . . . . . . . . . . . . .65160
Franklin Regional . . . . . . . . . . . . . . .65260
Greater Latrobe . . . . . . . . . . . . . . . .65310
Greensburg Salem . . . . . . . . . . . . . .65320
Hempfield Area . . . . . . . . . . . . . . . .65380
Jeannette City . . . . . . . . . . . . . . . . .65410
Kiski Area . . . . . . . . . . . . . . . . . . . . .65440
Leechburg Area . . . . . . . . . . . . . . . .03450
Ligonier Valley . . . . . . . . . . . . . . . . .65490
Monessen City . . . . . . . . . . . . . . . . .65580
Mount Pleasant Area . . . . . . . . . . . .65590
New Kensington-Arnold . . . . . . . . . .65630
Norwin . . . . . . . . . . . . . . . . . . . . . . .65650
Penn-Trafford . . . . . . . . . . . . . . . . . .65710
Southmoreland . . . . . . . . . . . . . . . .65750
Yough . . . . . . . . . . . . . . . . . . . . . . . .65890
WYOMING
Elk Lake . . . . . . . . . . . . . . . . . . . . . .58250
Lackawanna Trail . . . . . . . . . . . . . . .66500
Lake-Lehman . . . . . . . . . . . . . . . . . .40390
Tunkhannock Area . . . . . . . . . . . . . .66750
Wyalusing Area . . . . . . . . . . . . . . . .08900
Wyoming Area . . . . . . . . . . . . . . . . .40920
YORK
Central York . . . . . . . . . . . . . . . . . . .67130
Dallastown Area . . . . . . . . . . . . . . . .67160
Dover Area . . . . . . . . . . . . . . . . . . . .67180
Eastern York . . . . . . . . . . . . . . . . . .67220
Hanover Public . . . . . . . . . . . . . . . .67280
Northeastern . . . . . . . . . . . . . . . . . .67440
Northern York County . . . . . . . . . . .67460
Red Lion Area . . . . . . . . . . . . . . . . .67550
South Eastern . . . . . . . . . . . . . . . . .67620
South Western . . . . . . . . . . . . . . . . .67640
Southern York County . . . . . . . . . . .67650
Spring Grove Area . . . . . . . . . . . . . .67670
West Shore . . . . . . . . . . . . . . . . . . .21900
West York Area . . . . . . . . . . . . . . . .67850
York City . . . . . . . . . . . . . . . . . . . . . .67900
York Suburban . . . . . . . . . . . . . . . . .67940
SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE
INDIANA
Apollo-Ridge . . . . . . . . . . . . . . . . . .03060
Armstrong . . . . . . . . . . . . . . . . . . . .03085
Blairsville-Saltsburg . . . . . . . . . . . . .32110
Harmony Area . . . . . . . . . . . . . . . . .17350
Homer Center . . . . . . . . . . . . . . . . .32330
Indiana Area . . . . . . . . . . . . . . . . . . .32370
Marion Center Area . . . . . . . . . . . . .32520
Penns Manor Area . . . . . . . . . . . . . .32630
Punxsutawney Area . . . . . . . . . . . . .33800
Purchase Line . . . . . . . . . . . . . . . . .32730
United . . . . . . . . . . . . . . . . . . . . . . .32800
JEFFERSON
Brockway Area . . . . . . . . . . . . . . . . .33070
Brookville Area . . . . . . . . . . . . . . . . .33080
Clarion-Limestone Area . . . . . . . . . .16170
Dubois Area . . . . . . . . . . . . . . . . . . .17200
Punxsutawney Area . . . . . . . . . . . . .33800
JUNIATA
Greenwood . . . . . . . . . . . . . . . . . . .50300
Juniata County . . . . . . . . . . . . . . . . .34360
LACKAWANNA
Abington Heights . . . . . . . . . . . . . . .35030
Carbondale Area . . . . . . . . . . . . . . .35130
Dunmore . . . . . . . . . . . . . . . . . . . . .35220
Forest City Regional . . . . . . . . . . . .58300
Lackawanna Trail . . . . . . . . . . . . . . .66500
Lakeland . . . . . . . . . . . . . . . . . . . . .35460
Mid Valley . . . . . . . . . . . . . . . . . . . .35550
North Pocono . . . . . . . . . . . . . . . . . .35650
Old Forge . . . . . . . . . . . . . . . . . . . . .35660
Riverside . . . . . . . . . . . . . . . . . . . . .35700
Scranton City . . . . . . . . . . . . . . . . . .35740
Valley View . . . . . . . . . . . . . . . . . . . .35840
LANCASTER
Cocalico . . . . . . . . . . . . . . . . . . . . . .36130
Columbia Borough . . . . . . . . . . . . . .36150
Conestoga Valley . . . . . . . . . . . . . . .36170
Donegal . . . . . . . . . . . . . . . . . . . . . .36220
Eastern Lancaster County . . . . . . . .36230
Elizabethtown Area . . . . . . . . . . . . .36240
Ephrata Area . . . . . . . . . . . . . . . . . .36260
Hempfield . . . . . . . . . . . . . . . . . . . . .36310
Lampeter-Strasburg . . . . . . . . . . . . .36360
Lancaster . . . . . . . . . . . . . . . . . . . . .36400
Manheim Central . . . . . . . . . . . . . . .36440
Manheim Township . . . . . . . . . . . . .36450
Octorara Area . . . . . . . . . . . . . . . . .15650
Penn Manor . . . . . . . . . . . . . . . . . . .36520
Pequea Valley . . . . . . . . . . . . . . . . .36530
Solanco . . . . . . . . . . . . . . . . . . . . . .36700
Warwick . . . . . . . . . . . . . . . . . . . . . .36900
LAWRENCE
Blackhawk . . . . . . . . . . . . . . . . . . . .04160
Ellwood City Area . . . . . . . . . . . . . .37200
Laurel . . . . . . . . . . . . . . . . . . . . . . . .37400
Mohawk Area . . . . . . . . . . . . . . . . . .37500
Neshannock Township . . . . . . . . . . .37520
New Castle Area . . . . . . . . . . . . . . .37530
Shenango Area . . . . . . . . . . . . . . . .37620
Union Area . . . . . . . . . . . . . . . . . . . .37700
Wilmington Area . . . . . . . . . . . . . . . .37800
LEBANON
Annville-Cleona . . . . . . . . . . . . . . . .38030
Cornwall-Lebanon . . . . . . . . . . . . . .38130
Eastern Lebanon County . . . . . . . . .38230
Lebanon . . . . . . . . . . . . . . . . . . . . . .38460
Northern Lebanon . . . . . . . . . . . . . .38500
Palmyra Area . . . . . . . . . . . . . . . . . .38530
LEHIGH
Allentown City . . . . . . . . . . . . . . . . .39030
Bethlehem Area . . . . . . . . . . . . . . . .48100
Catasauqua Area . . . . . . . . . . . . . . .39130
East Penn . . . . . . . . . . . . . . . . . . . .39230
Northern Lehigh . . . . . . . . . . . . . . . .39450
Northwestern Lehigh . . . . . . . . . . . .39460
Parkland . . . . . . . . . . . . . . . . . . . . . .39510
Salisbury Township . . . . . . . . . . . . .39560
Southern Lehigh . . . . . . . . . . . . . . .39570
Whitehall-Coplay . . . . . . . . . . . . . . .39780
LUZERNE
Berwick Area . . . . . . . . . . . . . . . . . .19110
Crestwood . . . . . . . . . . . . . . . . . . . .40140
Dallas . . . . . . . . . . . . . . . . . . . . . . . .40160
Greater Nanticoke Area . . . . . . . . . .40260
Hanover Area . . . . . . . . . . . . . . . . . .40300
Hazleton Area . . . . . . . . . . . . . . . . .40330
Lake-Lehman . . . . . . . . . . . . . . . . . .40390
Northwest Area . . . . . . . . . . . . . . . .40600
Pittston Area . . . . . . . . . . . . . . . . . .40660
Wilkes-Barre Area . . . . . . . . . . . . . .40885
Wyoming Area . . . . . . . . . . . . . . . . .40920
Wyoming Valley West . . . . . . . . . . .40930
LYCOMING
Canton Area . . . . . . . . . . . . . . . . . . .08100
East Lycoming . . . . . . . . . . . . . . . . .41200
Jersey Shore Area . . . . . . . . . . . . . .41400
Loyalsock Township . . . . . . . . . . . . .41420
Montgomery Area . . . . . . . . . . . . . .41500
Montoursville Area . . . . . . . . . . . . . .41510
Muncy . . . . . . . . . . . . . . . . . . . . . . .41530
South Williamsport Area . . . . . . . . .41610
Southern Tioga . . . . . . . . . . . . . . . .59700
Wellsboro Area . . . . . . . . . . . . . . . .59850
Williamsport Area . . . . . . . . . . . . . . .41720
MCKEAN
Bradford Area . . . . . . . . . . . . . . . . . .42080
Kane Area . . . . . . . . . . . . . . . . . . . .42230
Oswayo Valley . . . . . . . . . . . . . . . . .53750
Otto-Eldred . . . . . . . . . . . . . . . . . . .42600
Port Allegany . . . . . . . . . . . . . . . . . .42630
Smethport Area . . . . . . . . . . . . . . . .42750
MERCER
Commodore Perry . . . . . . . . . . . . . .43130
Crawford Central . . . . . . . . . . . . . . .20135
Farrell Area . . . . . . . . . . . . . . . . . . .43250
Greenville Area . . . . . . . . . . . . . . . .43280
Grove City Area . . . . . . . . . . . . . . . .43290
Hermitage . . . . . . . . . . . . . . . . . . . .43330
Jamestown Area . . . . . . . . . . . . . . .43360
Lakeview . . . . . . . . . . . . . . . . . . . . .43390
Mercer Area . . . . . . . . . . . . . . . . . . .43500
Reynolds . . . . . . . . . . . . . . . . . . . . .43530
Sharon City . . . . . . . . . . . . . . . . . . .43560
Sharpsville Area . . . . . . . . . . . . . . . .43570
West Middlesex Area . . . . . . . . . . . .43750
Wilmington Area . . . . . . . . . . . . . . . .37800
MIFFLIN
Mifflin County . . . . . . . . . . . . . . . . . .44460
Mount Union Area . . . . . . . . . . . . . .31600
MONROE
East Stroudsburg Area . . . . . . . . . .45200
Pleasant Valley . . . . . . . . . . . . . . . .45520
Pocono Mountain . . . . . . . . . . . . . . .45540
Stroudsburg Area . . . . . . . . . . . . . . .45600
MONTGOMERY
Abington . . . . . . . . . . . . . . . . . . . . . .46030
Boyertown Area . . . . . . . . . . . . . . . .06075
Bryn Athyn Borough . . . . . . . . . . . .46050
Cheltenham Township . . . . . . . . . . .46130
Colonial . . . . . . . . . . . . . . . . . . . . . .46160
Hatboro-Horsham . . . . . . . . . . . . . .46360
Jenkintown . . . . . . . . . . . . . . . . . . . .46380
Lower Merion . . . . . . . . . . . . . . . . . .46450
Lower Moreland Township . . . . . . . .46460
Methacton . . . . . . . . . . . . . . . . . . . .46530
Norristown Area . . . . . . . . . . . . . . . .46560
North Penn . . . . . . . . . . . . . . . . . . . .46570
Perkiomen Valley . . . . . . . . . . . . . . .46610
Pottsgrove . . . . . . . . . . . . . . . . . . . .46630
Pottstown . . . . . . . . . . . . . . . . . . . . .46640
Souderton Area . . . . . . . . . . . . . . . .46710
Springfield Township . . . . . . . . . . . .46720
Spring-Ford Area . . . . . . . . . . . . . . .46730
Upper Dublin . . . . . . . . . . . . . . . . . .46830
Upper Merion Area . . . . . . . . . . . . .46840
Upper Moreland Township . . . . . . . .46850
Upper Perkiomen . . . . . . . . . . . . . . .46860
Wissahickon . . . . . . . . . . . . . . . . . . .46930
MONTOUR
Danville Area . . . . . . . . . . . . . . . . . .47180
Warrior Run . . . . . . . . . . . . . . . . . . .49800
NORTHAMPTON
Bangor Area . . . . . . . . . . . . . . . . . . .48080
Bethlehem Area . . . . . . . . . . . . . . . .48100
Catasauqua Area . . . . . . . . . . . . . . .39130
Easton Area . . . . . . . . . . . . . . . . . . .48330
Nazareth Area . . . . . . . . . . . . . . . . .48480
Northampton Area . . . . . . . . . . . . . .48490
Northern Lehigh . . . . . . . . . . . . . . . .39450
Pen Argyl Area . . . . . . . . . . . . . . . . .48560
Saucon Valley . . . . . . . . . . . . . . . . .48600
Wilson Area . . . . . . . . . . . . . . . . . . .48860
NORTHUMBERLAND
Danville Area . . . . . . . . . . . . . . . . . .47180
Line Mountain . . . . . . . . . . . . . . . . .49350
Milton Area . . . . . . . . . . . . . . . . . . . .49500
Mount Carmel Area . . . . . . . . . . . . .49510
Shamokin Area . . . . . . . . . . . . . . . .49650
Shikellamy . . . . . . . . . . . . . . . . . . . .49660
Southern Columbia Area . . . . . . . . .19750
Warrior Run . . . . . . . . . . . . . . . . . . .49800
PERRY
Fannett-Metal . . . . . . . . . . . . . . . . . .28200
Greenwood . . . . . . . . . . . . . . . . . . .50300
Newport . . . . . . . . . . . . . . . . . . . . . .50400
Susquenita . . . . . . . . . . . . . . . . . . . .50600
West Perry . . . . . . . . . . . . . . . . . . . .50800
PHILADELPHIA
Philadelphia City . . . . . . . . . . . . . . .51500
PIKE
Delaware Valley . . . . . . . . . . . . . . . .52200
East Stroudsburg Area . . . . . . . . . .45200
Wallenpaupack Area . . . . . . . . . . . .64830
POTTER
Austin Area . . . . . . . . . . . . . . . . . . .53030
Coudersport Area . . . . . . . . . . . . . . .53130
Galeton Area . . . . . . . . . . . . . . . . . .53280
Keystone Central . . . . . . . . . . . . . . .18360
Northern Potter . . . . . . . . . . . . . . . .53550
Oswayo Valley . . . . . . . . . . . . . . . . .53750
Port Allegany . . . . . . . . . . . . . . . . . .42630
SCHUYLKILL
Blue Mountain . . . . . . . . . . . . . . . . .54080
Hazleton Area . . . . . . . . . . . . . . . . .40330
Mahanoy Area . . . . . . . . . . . . . . . . .54450
Minersville Area . . . . . . . . . . . . . . . .54470
North Schuylkill . . . . . . . . . . . . . . . .54500
Panther Valley . . . . . . . . . . . . . . . . .13660
Pine Grove Area . . . . . . . . . . . . . . .54600
Pottsville Area . . . . . . . . . . . . . . . . .54610
Saint Clair Area . . . . . . . . . . . . . . . .54680
Shenandoah Valley . . . . . . . . . . . . .54720
Schuylkill Haven Area . . . . . . . . . . .54730
Tamaqua Area . . . . . . . . . . . . . . . . .54760
Tri-Valley . . . . . . . . . . . . . . . . . . . . .54780
Williams Valley . . . . . . . . . . . . . . . .54880
SNYDER
Midd-West . . . . . . . . . . . . . . . . . . . .55500
Selinsgrove Area . . . . . . . . . . . . . . .55710
SOMERSET
Berlin Brothersvalley . . . . . . . . . . . .56100
Conemaugh Township Area . . . . . . .56180
Meyersdale Area . . . . . . . . . . . . . . .56520
North Star . . . . . . . . . . . . . . . . . . . .56550
Rockwood Area . . . . . . . . . . . . . . . .56630
Salisbury-Elk Lick . . . . . . . . . . . . . .56700
Shade-Central City . . . . . . . . . . . . .56720
Shanksville-Stonycreek . . . . . . . . . .56740
Somerset Area . . . . . . . . . . . . . . . . .56770
Turkeyfoot Valley Area . . . . . . . . . . .56840
Windber Area . . . . . . . . . . . . . . . . . .56910
SULLIVAN
Sullivan County . . . . . . . . . . . . . . . .57630
SUSQUEHANNA
Blue Ridge . . . . . . . . . . . . . . . . . . . .58100
Elk Lake . . . . . . . . . . . . . . . . . . . . . .58250
Forest City Regional . . . . . . . . . . . .58300
Montrose Area . . . . . . . . . . . . . . . . .58450
Mountain View . . . . . . . . . . . . . . . . .58460
Susquehanna Community . . . . . . . .58650
TIOGA
Canton Area . . . . . . . . . . . . . . . . . . .08100
Galeton Area . . . . . . . . . . . . . . . . . .53280
Northern Tioga . . . . . . . . . . . . . . . . .59600
Southern Tioga . . . . . . . . . . . . . . . .59700
Wellsboro Area . . . . . . . . . . . . . . . .59850
PA SCHOOL DISTRICTS & CODES BY COUNTY
CUSTOMER SERVICES AND ASSISTANCE
FREE PREPARATION ASSISTANCE
You can receive free assistance in preparing your Property
Tax/Rent Rebate form through the Volunteer Income Tax
Assistance (VITA) and Tax Counseling for the Elderly
(TCE) programs. Visit the department’s website or contact
the nearest Revenue district office for information.
REVENUE DISTRICT OFFICES
If you need assistance preparing your claim form or have
questions, please contact your local Department of
Revenue district office. See Page 19 for a list of offices.
PA DEPARTMENT OF AGING (WWW.AGING.PA.GOV)
The Department of Aging has served as an advocate
for the interests of older Pennsylvanians at all levels of
government since 1978. Information on the following
programs and services can be found on its website.
AREA AGENCIES ON AGING
Each Area Agency on Aging has trained staff available to
answer questions and make referrals to other agencies in
the community that provide the specific services needed
by the individual. Refer to the government pages of your
local phone directory to find the Area Agency on Aging
office nearest you.
PACE, PACENET AND PACE PLUS MEDICARE
(1-800-225-7223)
PACE, PACENET and PACE Plus Medicare are
Pennsylvania’s prescription assistance programs for older
adults, offering low-cost prescription medication to
qualified residents age 65 and older.
LONG-TERM CARE SERVICES (1-866-286-3636)
This program, administered by the Department of Human
Services and funded by the Pennsylvania Lottery and fed-
eral Medical Assistance money, provides nursing facility
and home- and community-based services to qualifying
low-income seniors and individuals with disabilities.
FREE AND REDUCED-FARE TRANSPORTATION
The Department of Transportation distributes Lottery
funding to local transit authorities to provide free and
reduced-fare mass transit for older residents. Contact your
local transit authority for more information.
APPRISE (1-800-783-7067)
APPRISE is a free health insurance counseling program
designed to help older Pennsylvanians with Medicare.
Counselors are specially trained volunteers who can
answer your questions about Medicare and provide you
with objective, easy-to-understand information about
Medicare, Medicare Supplemental Insurance, Medicaid
and Long-Term Care Insurance.
REPORT ELDER ABUSE (1-800-490-8505)
Any person who believes an older adult is being abused,
neglected, exploited or abandoned may call the statewide
elder abuse hotline toll-free, 24 hours a day.
www.revenue.pa.gov
Property Tax/Rent Rebate applicants may now check
the status of rebates online through the Revenue
e-Services center, as well as by phone. To use the
online application, each applicant must enter his/her
Social Security number, date of birth and the amount of
the rebate requested.
If you have Internet access, you can find answers to
commonly asked questions by using the department’s
Online Customer Service Center. Use the Frequently
Asked Questions feature to search the database of
commonly asked questions. If you do not find your
answer in this area, you can submit your question to a
customer service representative.
PROPERTY TAX/RENT REBATE
CUSTOMER EXPERIENCE CENTER
Call 1-888-222-9190 for personal assistance during
normal business hours, 7:30 a.m. to 5 p.m.
1-888-PATAXES
Touch-tone service is required for this automated 24-hour
toll-free line. Call to order forms or check the status of a
personal income tax account, corporation tax account or
property tax/rent rebate. Harrisburg-area residents may
call 717-425-2533.
Services for Taxpayers with Special Hearing and/or
Speaking Needs: 1-800-447-3020 (TTY)
To obtain forms, visit a Revenue district office or use one
of the following services:
Internet: www.revenue.pa.gov
Forms, brochures, and other information are available on
the department’s website. If you do not have Internet
access, visit your local public library.
Email Requests for Forms: ra-forms@pa.gov
Automated 24-hour Forms Ordering Message Service:
1-800-362-2050.
This line serves taxpayers without touch-tone telephone
service.
Written Requests: PA DEPARTMENT OF REVENUE
TAX FORMS SERVICE UNIT
1854 BROOKWOOD STREET
HARRISBURG PA 17104-2244
OTHER PROGRAMS AND SERVICES
ONLINE SERVICES
TELEPHONE SERVICES
FORMS ORDERING SERVICES
PREPARATION ASSISTANCE
18 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
NOTE: Please call ahead to verify a district office’s address and its services or visit the department’s
website at www.revenue.pa.gov for information. Taxpayer assistance hours are
8:30 a.m. to 5:00 p.m.
PA DEPARTMENT OF REVENUE DISTRICT OFFICES
PA-1000 Pennsylvania Property Tax or Rent Rebate Program 19
www.revenue.pa.gov
ALLENTOWN
STE 6
555 UNION BLVD
ALLENTOWN PA 18109-3389
610-861-2000
ERIE
448 W 11TH ST
ERIE PA 16501-1501
814-871-4491
GREENSBURG
SECOND FL
15 W THIRD ST
GREENSBURG PA 15601-3003
724-832-5283
HARRISBURG
LOBBY
STRAWBERRY SQ
HARRISBURG PA 17128-0101
717-783-1405
NORRISTOWN
SECOND FL
STONY CREEK OFFICE CENTER
151 W MARSHALL ST
NORRISTOWN PA 19401-4739
610-270-1780
PHILADELPHIA - CENTER CITY
STE 204A
110 N 8TH ST
PHILADELPHIA PA 19107-2412
215-560-2056
PHILADELPHIA - NORTHEAST
ACDMY PLZ SHPG CTR
3240 RED LION RD
PHILADELPHIA PA 19114-1109
215-821-1860
PITTSBURGH - DOWNTOWN
411 7TH AVE - ROOM 420
PITTSBURGH PA 15219-1905
412-565-7540
PITTSBURGH - GREENTREE
11 PARKWAY CTR STE 175
875 GREENTREE RD
PITTSBURGH PA 15220-3623
412-929-0614
READING
STE 239
625 CHERRY ST
READING PA 19602-1186
610-378-4401
SCRANTON
RM 207
BANK TOWERS
207 WYOMING AVE
SCRANTON PA 18503-1427
570-963-4585
SUNBURY
535 CHESTNUT ST
SUNBURY PA 17801-2834
570-988-5520
ERIE
GREENSBURG
PITTSBURGH
HARRISBURG
SUNBURY
SCRANTON
ALLENTOWN
READING
PHILADELPHIA
H
H
H
H
H
H
H
H
H
H
NORRISTOWN
H
p
p
20 PA-1000 Pennsylvania Property Tax or Rent Rebate Program
My Fellow Pennsylvanians:
The Property Tax/Rent Rebate program provides rebates up to $975 each year to hundreds of
thousands of older Pennsylvanians and residents with disabilities. This is one of the many
programs funded by the Pennsylvania Lottery that benefit older Pennsylvanians.
The Pennsylvania Lottery has funded property tax relief for seniors since the early 1970s and is
the only lottery in the nation that devotes all proceeds to programs that benefit older residents.
Since ticket sales began, the Lottery has generated $30 billion to fund programs that include the
Property Tax/Rent Rebate program, a free and reduced-fare public transit program, the low-cost
prescription drug programs PACE and PACENET, long-term care services, the 52 Area
Agencies on Aging that serve all 67 counties, and hundreds of full- and part-time senior
community centers across the state.
All of these programs and services are part of Pennsylvania’s commitment to ensuring healthier,
happier lives for its older residents. In fiscal year 2017-18, every day the Lottery helped to
provide older adults with nearly 17,200 prescriptions, more than 29,300 meals, over 101,000
rides, and more than $684,000 in care services — all adding up to more than $1.14 billion in
annual support.
The Property Tax/Rent Rebate program is available to qualified older Pennsylvanians and
permanently disabled residents. Every qualified resident should use the program. If you think a
friend, neighbor or family member may qualify for a rebate, tell them about the program. I do
not want a single senior to miss out on the help they need.
Sincerely,
TOM WOLF
Governor
COMMONWEALTH OF PENNSYLVANIA
OFFICE OF THE GOVERNOR
HARRISBURG
www.revenue.pa.gov