1. Total property taxes or rent paid on your residence in 2021. 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 2021, 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 / 2021
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
2021
PA-1000 F/G 05-21
PA Department of Revenue
