PENNSYLVANIA or RENT REBATE PROGRAM 2017 · 2018. 1. 30. · 2017 PROPERTY TAX or PA-1000 Booklet...

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APPLICATION INSIDE

PENNSYLVANIARENT REBATE PROGRAM

2017

PROPERTY TAXor

PA-1000 Booklet 09-17

Rebates for eligibleseniors, widows,

widowers and peoplewith disabilities.

HARRISBURG PA 17128-0503www.revenue.pa.gov

2 PA-1000 Pennsylvania Property Tax or Rent Rebate Program

WHAT IS THE PROPERTY TAX/RENTREBATE PROGRAM?A Pennsylvania program providing rebates onproperty tax or rent paid the previous year byincome-eligible seniors and people with disabilities.

HOW TO APPLY?Submit the paper application in this booklet to theDepartment of Revenue. Instructions are inside.

AM I ELIGIBLE?The program benefits income-eligible Pennsylvaniansage 65 and older; widows and widowers age 50 andolder; and people with disabilities age 18 and older.

CHECK APPLICATION STATUSOnline: Visit www.revenue.pa.gov and selectWhere’s my Property Tax/Rent RebatePhone: 1-888-PA-TAXESInclude your phone number on the application toget updates on your rebate. The department makesautomated calls in April and June.

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

DIRECT DEPOSITGet your rebate faster with direct deposit.See page 12 for details.

IMPORTANT DATESApplication deadline: JUNE 30, 2018Rebates begin: EARLY JULY, 2018NOTE: The department may extend theapplication deadline if funds are available.

NEW FOR 2017Federal veterans’ disability payment and state veterans’payments are no longer required to be included in eligibilityincome. See the instructions for Line 6 on Page 7 foradditional information.

STATE SUPPLEMENTARY PAYMENT RECIPIENTSThe State Supplementary Payment (SSP) is not includedon your SSA-1099 form. The Department of HumanServices will issue annual statements to verify your SSPbenefit. SSP is still considered reportable income. As withother Social Security income, only half of the SSP incomeneeds to be included on Line 4 of the Property Tax/RentRebate claim form.

SOCIAL SECURITY RECIPIENTS WITH PA ADDRESSESIf you were a Pennsylvania resident for all of 2017, you donot have to submit proof of your Social Security incomeincluding Social Security retirement and SupplementalSecurity benefits. The Social Security Administrationprovides Social Security income information to the PADepartment of Revenue. The PA Department of HumanServices will provide State Supplementary Paymentinformation to the department.

However, you or the person who prepares your claim willneed these statements to correctly calculate the amount ofyour rebate. If none of these documents are available, youor your preparer will need to estimate the amount youreceived during the year. If the dollar amount you provideis not correct, the department will adjust the amount ofyour rebate based upon income amounts reported directlyto the department by the Social Security Administration orthe Department of Human Services.

SOCIAL SECURITY RECIPIENTS WITHOUTPA ADDRESSESIf your address in Social Security Administration recordswas not a Pennsylvania address for 2017, you must submita copy of one of the following documents as proof of your2017 Social Security income: Form SSA-1099 reportingyour 2017 Social Security benefits, a statement fromSocial Security that reports the monthly or yearly SocialSecurity/Supplemental Security Income benefits youreceived during 2017, or a bank statement showing theamount of Social Security/Supplemental Security Incomebenefits deposited into your account during 2017.

PHILADELPHIA RESIDENTSPlease read the special filing instructions on Page 11.

You are eligible for a Property Tax/Rent Rebate for claimyear 2017, if you meet the requirements in each of thethree categories below:

a. You were 65 or older as of Dec. 31, 2017; b. You were not 65, but your spouse who lived with you

was 65 or older as of Dec. 31, 2017; c. You were a widow or widower during all or part of

2017 and were 50 or older as of Dec. 31, 2017; or

d. You were permanently disabled and 18 or olderduring all or part of 2017, you were unable to workbecause of your medically determined physical ormental disability, and your disability is expected tocontinue indefinitely. If you received SupplementalSecurity Income (SSI) payments, you are eligible fora rebate if you meet all other requirements.

NOTE: If you applied for Social Security disability benefitsand the Social Security Administration did not rule in yourfavor, you are not eligible for a Property Tax/Rent Rebateas a disabled claimant.

When calculating your total eligible annual householdincome, exclude one-half of your Social Security benefitsas shown in Box 5 of your SSA-1099 statement, one-halfof your Supplemental Security Income benefits, one-half ofyour State Supplementary Payment benefits and one-halfof any Railroad Retirement Tier 1 benefits as shown onForm RRB-1099.

a. Property Owners - Your total eligible annual house-hold income, including the income that your spouseearned and received while residing with you, was$35,000 or less in 2017.

b. Renters - Your total eligible annual householdincome, including the income that your spouseearned and received while residing with you, was$15,000 or less in 2017.

You must report all items of income, except the nonre-portable types of income listed on Pages 8 and 9, whetheror not the income is taxable for federal or PA income taxpurposes.

NOTE: There may be differences between eligibilityincome and PA-taxable income. Please see specific lineinstructions for each category of income.

To file as a property owner, renter, or owner/renter, you mustmeet 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 bya grantee;

ELIGIBILITY REQUIREMENTS

CATEGORY 1 – TYPE OF FILER

CATEGORY 2 – ELIGIBILITY INCOME

BEFORE YOU BEGIN

CATEGORY 3 – OWNER, RENTER OROWNER/RENTER

PA-1000 Pennsylvania Property Tax or Rent Rebate Program 3

b. You occupied your home (rebates are for yourprimary residence only); and

c. You or someone on your behalf paid the 2017property taxes on your home.

RENTER a. You rented and occupied a home, apartment, nursing

home, boarding home, or similar residence inPennsylvania;

b. Your landlord paid property taxes or agreed to makea payment in lieu of property taxes on your rentalproperty for 2017 (see Page 12); and

c. You or someone on your behalf paid the rent on yourresidence for 2017.

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 whichyour home is situated; or

c. You paid rent for the home you occupied, and paidproperty taxes on the land upon which your home issituated.

CAUTION: As a renter, if you received cash public assis-tance during 2017, you are not eligible for any rebate forthose months you received cash public assistance. Pleasecomplete a PA-1000 Schedule D (enclosed in this booklet).

IMPORTANT: Please send photocopies, since the depart-ment cannot return original documents. Print your SocialSecurity Number (SSN) on each proof document that yousubmit 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’sdeath certificate.

• If you are permanently disabled, age 18 to 64, you mustprovide proof of your age and proof of your permanentdisability.

PROOF OF AGENOTE: If you receive Social Security or SSI benefits andhave proven your age with the Social SecurityAdministration, you do not need to submit proof of age.IMPORTANT: The department accepts photocopies of thefollowing documents as proof of your age. Do not sendyour original documents since the department cannotreturn 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• PassportThe department will not accept a Social Security card orhunting or fishing license as proof of age.If you have questions on other types of acceptabledocuments, 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 totaldisability, or Black Lung disability, provide a copy of youraward letter.

• For Veterans Administration disability, provide a letterfrom the Veterans Administration stating that you are100 percent disabled.

• For Federal Civil Service disability, provide a letter fromCivil Service stating that you are 100 percent disabled.

• If you do not qualify under any of the disability programsmentioned above, did not apply for Social Securitybenefits, or do not have a letter from the VeteransAdministration or Civil Service Administration, you mustsubmit a Physician’s Statement of Permanent Disability(PA-1000 PS), enclosed in this booklet. The form mustdescribe your disability as permanent and yourphysician must sign the statement to certify that theinformation is true and accurate to the best of his/herknowledge and belief.

IMPORTANT: The Physician’s Statement of PermanentDisability cannot be used if you were denied SocialSecurity disability. The Department of Revenue has thelegal authority to require additional evidence that you arepermanently disabled and eligible for a rebate.HOUSEHOLDS WITH MORE THANONE QUALIFIED CLAIMANTOnly one member of your household may file a claim evenif more than one person qualifies for a rebate. If someoneother than your spouse appears on the deed or the lease,please complete a PA-1000 Schedule F (enclosed in thisbooklet). You may apply for only one rebate each year.DECEASED CLAIMANTTo be eligible for a rebate, the claimant must have lived atleast one day of a claim year, owned and occupied andpaid taxes or rented and occupied and paid rent for theclaim year during the time period the claimant was alive.The property tax paid for a deceased claimant will be

PROOF DOCUMENTS THAT FIRST TIME FILERS MUST SUBMIT


prorated based upon the number of days the claimant livedduring the claim year. See Schedule A for the calculation ofthe prorated property tax rebate.

To determine if a deceased claimant is eligible for a rebate,a deceased claimant’s claim form must also include anannualized income amount in the calculation of totalhousehold income. See Schedule G, specifically theinstructions for Line 11g, for information on the calculationof annualized income to be included in household income.A copy of the death certificate must also be included withthe claim form.

A surviving spouse, estate or personal representative mayfile a claim on behalf of a deceased claimant. A personalrepresentative can also have a previously filed rebateissued in his or her name, instead of the name of thedecedent, in certain circumstances. Please see sectionsentitled SURVIVING SPOUSE, AN ESTATE, andPERSONAL REPRESENTATIVE for details.

SURVIVING SPOUSEThe surviving spouse can file the completed claim andinclude a copy of the death certificate and a letter statingthat he/she was the spouse of the claimant at the time ofdeath. The surviving spouse may sign on the claimant’ssignature line.

ORIf the surviving spouse is eligible to file a claim, he/she canfile under his/her own name instead of submitting a claimusing the deceased individual’s claim form.

The surviving spouse should print his/her name, address,and Social Security Number (SSN) in Part A, and followthe filing instructions. The surviving spouse should furnishproof required for a first time filer. Do not use the labelthe department sent to the decedent in the booklet. Thesurviving spouse should enter the deceased spouse’s SSNand name in the spouse information area, and fill in theoval “if Spouse is Deceased”, located in the area next tothe Spouse’s SSN on the claim form.

AN ESTATEThe executor or the administrator of the claimant’s estatemay file the claim and submit a Short Certificate showingthe will was registered or probated. When there is nowill and there are assets (an estate), submit a copy ofthe Letters of Administration. A Short Certificate orLetters of Administration can be obtained from the countycourthouse where the death is recorded. The person filingthe claim form on behalf of the deceased person may signon the claimant’s signature line.

PERSONAL REPRESENTATIVEIf a person dies and there is no will, the will has not beenregistered or probated or there is no estate, then a personalrepresentative may file a claim on behalf of an eligibledecedent. A decedent’s personal representative mustsubmit a copy of the decedent’s death certificate and areceipted copy of the decedent’s funeral bill showing that

the personal representative personally paid the decedent’sfuneral expenses in an amount that is greater than or equalto the amount of the property tax/rent rebate to which thedecedent is entitled.If a person dies after filing a claim and there is no will, or ifthe will has not been registered or probated, or there is noestate, then a personal representative can also requestthat the department change the rebate to be issued intohis/her name. In cases where the rebate check has beenreceived but cannot be cashed, the check must bereturned with a request to have the rebate issued in thename of the personal representative. The decedent’s per-sonal representative must submit a copy of the decedent’sdeath certificate, and a receipted copy of the claimant’sfuneral bill showing that the personal representativepersonally paid the funeral expenses in an amount that isgreater than or equal to the amount of the property tax/rentrebate to the claimant is entitled.If you have any questions regarding the filing of a claim onbehalf of a deceased claimant, please call the departmentat 1-888-222-9190.PRIVACY NOTIFICATIONBy law, (42 U.S.C. § 405(c)(2)(C)(i); 61 Pa. Code §117.16)the Pennsylvania Department of Revenue has the authorityto use the Social Security Number (SSN) to administer theProperty Tax or Rent Rebate Program, the Pennsylvaniapersonal income tax and other Commonwealth of Pennsyl-vania tax laws. The department uses the SSN to identifyindividuals and verify their incomes. The department alsouses the SSN to administer a number of tax-offset andchild-support programs federal and Pennsylvania lawsrequire. The commonwealth may also use the SSN inexchange-of-tax-information agreements with governmentalauthorities.Pennsylvania law prohibits the commonwealth fromdisclosing information that individuals provide on incometax returns and rebate claims, including the SSN(s), exceptfor official purposes.

You must fill in your Social Security Number and enteryour county and school district codes even if usingthe preprinted label. If you are not using software toprepare your claim and your label is correct, place yourlabel in Part A. If you or your preparer are using software toprepare your claim, or if any information on the preprintedlabel is incorrect, discard the label. If not using a label,follow the instructions for printing letters and numbers andcompleting your name and address.If your spouse lived in a nursing home the entire year donot include his/her Social Security Number on the claim

PA - 1000 FILING INSTRUCTIONS

PART A - SOCIAL SECURITY NUMBER, NAME,ADDRESS AND RESIDENCE INFORMATION


form. He or she may qualify for a separate rebate on therent paid to the nursing home.IMPORTANT TIPS: There are two lines to enter youraddress. For the First Line of Address, enter the streetaddress. If the address has an apartment number (APT),suite (STE), floor (FL) or rural route number (RR), enterit after the street address. If the street address and theapartment number, suite, etc. do not fit on the First Line ofAddress, enter the street address on the Second Line ofAddress and the apartment number, suite, etc. on the FirstLine of Address. For the Second Line of Address, enter thepost 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 deliveryaddress appears on the line immediately above the city,state and ZIP code. Do not include any punctuation suchas 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, dollaramounts, and other information. If your name, address,or city begins with Mc, Van, O’, etc., do not enter aspace or a punctuation mark.

• Completely fill in all the appropriate ovals on yourclaim form.

As a claimant, you must provide your birth date, telephonenumber, 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 “IfSpouse is Deceased” in Part A of the form.IMPORTANT: County & School Codes - You must enterthe two-digit county code and five-digit school district codefor where you lived on Dec. 31, 2017, even if you movedafter Dec. 31, 2017. Using incorrect codes may affect yourproperty tax rebate. The lists of county and school districtnames and the respective codes are on Pages 15, 16 and17. If you do not know the name of the county or schooldistrict where you reside, you can either 1) check the

county and school property tax bills used to completethis claim if you are a property owner, or 2) obtain thisinformation from the Online Customer Service Center atwww.revenue.pa.gov.

Line 1 - Please fill in the oval that shows your correctfiling status. Fill in only one oval. Filling in more than oneoval may reduce the amount of your rebate.(P) Property Owners: Fill in this oval if you owned andoccupied your home for all or part of 2017 and did not rentfor any part of the year. If your deceased spouse’s name ison your deed or tax bills, include the decedent’s SocialSecurity Number and name.(R) Renters: Fill in this oval if you rented and occupiedyour residence for all or part of 2017.(B) Owner/Renter: Fill in this oval if you owned and occu-pied your residence for part of 2017, and also rented andoccupied another residence for the rest of 2017, or if youowned your residence and rented the land where yourresidence is located.EXAMPLE: John pays property taxes on a mobile homethat he owns and occupies. His mobile home is on landthat he leases. John may claim a property tax rebate onthe mobile home and a rent rebate on the land. See Pages9, 11 and 12 for documents you must send as proof ofproperty taxes or rents paid.Line 2 - Certification. Please read each description andselect the type of filer that applies best to your situationas of Dec. 31, 2017. A surviving spouse age 50 to 64 iseligible for a rebate as a widow or widower, while asurviving spouse who is 65 or older can file as a claimant.A surviving spouse under 50 may be able to file a claim fora deceased claimant if the deceased was 65 or older.Please complete the claim form using your Social SecurityNumber, name and address, and supply all appropriatedocumentation. 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 submitproof of your spouse’s age the first time you file.)

c. Widow or widower, age 50 to 65 (If your most recentmarriage ended in divorce, you do not qualify as awidow/widower.)

d. Permanently disabled and age 18 to 64See Page 4 for acceptable proof of age documents.Line 3 - If you are filing on behalf of a decedent (aclaimant who died during the claim year who otherwisewould have been an eligible claimant under a, b, c or dfor Line 2 above), completely fill in the oval. The typeof claimant under which the decedent qualifies underLine 2 above must also be included. A copy of the death

SampleM 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

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1 7 1 2 8

J A N E 2 2 2 7 5

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2

PART B - FILING STATUS CATEGORIES


certificate must be submitted and Schedule G must becompleted.

You must report the total household income you earnedand/or received during 2017 for each category, whichincludes your spouse’s income earned and/or receivedwhile residing with you. All claimants must submit proof of annual income.IMPORTANT: The department reserves the right torequest additional information or make adjustments tofederal data if credits or deductions were taken to reduceincome.CAUTION: Spouses may not offset each other’s incomeand losses.The department has the legal authority to require evidenceof the income you report on your claim. The following liststhe kinds of income you must report and the documentsyou must submit as proof of the reported income. You mustinclude the income that your spouse received whileresiding with you. See Pages 8 and 9 for a list of the kindsof income that you do not need to report.NOTE: Print your Social Security Number on each ProofDocument that you submit with your claim form.Line 4 - Include one-half of your 2017 Social SecurityBenefits as shown in Box 5 of your benefit statementSSA-1099, one-half of your 2017 SSI, one-half of your 2017Social Security Disability Income, and one-half of your2017 State Supplementary Payment. No documentation isrequired, if using a PA address.Line 5 - Include one-half of your Railroad RetirementTier 1 Benefits. Submit a copy of form RRB-1099.CAUTION: The total income from old age benefitprograms from other countries, such as Service CanadaOld Age Security, must be converted into U.S. dollars andreported on Line 6.Line 6 - Include the gross amount (not the taxableamount) of pensions, annuities, Individual RetirementAccount distributions, Tier 2 Railroad Retirement Benefits,and Civil Service Disability Benefits. Do not include BlackLung Benefits federal veterans’ disability payments, orstate veterans’ benefits. State veterans’ benefits includeservice connected compensation or benefits of any kindprovided to a veteran or unmarried surviving spousepaid by a commonwealth agency or authorized underthe laws of the commonwealth. Submit photocopies ofpension/annuity benefits statements along with otherforms 1099 showing income for 2017.IMPORTANT: Do not include rollovers from IndividualRetirement Accounts and employer pensions. However,proof must be provided. Proof includes, but is not limitedto, a federal Form 1099-R showing a rollover or other

documentation indicating that the distribution was rolledinto a new account.If you have one or more distributions from annuity, lifeinsurance or endowment contracts reported on Form1099-R that are included as interest income on your PA-40Personal Income Tax Return, please write “Included asInterest Income on PA-40” across the top of any Form1099-R for such distributions and include copies of all yourForms 1099-R with your claim form.Line 7 - Report interest and dividends received or creditedduring the year, whether or not you actually receivedthe cash. If you received dividends and capital gainsdistributions from mutual funds, report the capital gainsdistributions portion of the income as dividends, notas gains from the sale or exchange of property. Includeinterest received from government entities. You must alsoinclude all tax-exempt interest income from direct obliga-tions of the U.S. government, any state government, or anypolitical 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 federalForms 1099 you received; OR

• A copy of the front page of your PA or federal income taxreturn verifying the income reported on Line 7.

IMPORTANT: If you received capital gains distributionsfrom a mutual fund, you must use PA Schedule B or thefront page of your PA tax return to verify your income. Ifyou have PA tax-exempt interest income, you must includefederal Form 1040 Schedule B along with a copy of thefront page of your federal tax return.Line 8 - Include gains or losses you realized from the saleof stocks, bonds, and other tangible or intangible propertyas well as any gains or losses realized as a partner in apartnership or shareholder in a PA S corporation. Do notinclude capital gains distributions from mutual fundsrequired to be reported on Line 7.NOTE: The nontaxable gain on the sale of your principalresidence must also be reported on this line. If you realizeda loss from the sale of your principal residence, this lossmay be used to offset any other gains you realized fromthe sale of tangible or intangible property. However, anynet loss reported on this line cannot be deducted from anyother income. You may also submit photocopies of eachPA Schedule RK-1, PA Schedule NRK-1 or federalSchedule K-1 that shows your gains or losses for eachpartnership or PA S corporation.Submit a copy of your federal Form 1040 Schedule D, acopy of your PA-40 Schedule D, or copies of any federalForms 1099 you received which will verify any gains orlosses you realized. If you received capital gains distribu-tions from mutual funds, do not include a copy of federalForm 1040 Schedule D. You must include a copy of yourPA-40 Schedule D.

PART C - LINES 4 THROUGH 18


If you sold your personal residence during this claimyear, submit a statement showing the sale price lessselling expenses, minus the sum of the original cost andpermanent improvements.CAUTION: You may only use losses from the sale orexchange of property to offset gains from the sale orexchange of property.Line 9 - Include net rental, royalty, and copyright income orloss realized during 2017 from property owned and rentedto others, oil and gas mineral rights royalties or incomereceived from a copyright as well as any net income or lossrealized as a partner in a partnership or shareholder in aPA S corporation.CAUTION: You may only use rental losses to offsetrental income.IMPORTANT: If you receive income from the rental of aportion of your own home, you must complete and submita PA-1000 Schedule E (enclosed in this booklet). Submit acopy of your federal Form 1040 Schedule E, Part I, orPA-40 Schedule E from your income tax return. You mayalso submit photocopies of each PA Schedule RK-1,PA Schedule NRK-1 or federal Schedule K-1 that showsyour net income or loss from rents, royalties, patents andcopyrights 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 realizedas a partner in a partnership or a shareholder in a PAS corporation.CAUTION: You may only use business losses to offsetbusiness income.IMPORTANT: If you operate your business or profession atyour residence, you must complete and submit a PA-1000Schedule E (enclosed in this booklet).Submit a photocopy of each federal Form 1040 ScheduleC or F, or PA-40 Schedule C or F from your income taxreturn. You may also submit photocopies of each PASchedule RK-1, PA Schedule NRK-1, or federal ScheduleK-1 that shows your income or loss for each business.Lines 11a - 11g - Other Income - Complete Lines 11athrough 11g to report all other income that you and yourspouse earned, received, and realized.For each category of income on Lines 11a through 11g,you must submit proof, such as photocopies of FormsW-2, Department of Human Services cash assistancestatements, your federal or PA income tax returns, and anyother 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, includingPA Lottery, Powerball and Mega Millions winnings, prizewinnings, 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 spousalsupport money.Line 11d. - Cash public assistance/relief, unemploymentcompensation, 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 insurancebenefits (if received directly by the claimant), and lifeinsurance benefits and proceeds, except the first $5,000 ofthe 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 annualizedincome amount. Include any income not identified aboveprior to the calculation of annualized income. If a claimantdied during the claim year, an annualized income amountmust also be included. To calculate the annualized incomeamount, complete Schedule G. When adding amounts forLine 3 of Schedule G, do not add any negative amountsreported 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 2017;• The amount of any damages due to personal injuries or

sickness. Damages include Black Lung benefits andbenefits granted under Section 306(c) of the Workers’Compensation Security Fund Act (relating to Scheduleof Compensation for disability from permanent injuriesof certain classes);

• Payments provided to eligible low-income householdsunder the commonwealth’s Low Income Home EnergyAssistance Program;

• Payments received by home providers of the domiciliarycare program administered by the Department of Aging,except those payments in excess of the actual expensesof the care;

• Disability income received by disabled children in thehousehold;

• Federal veterans’ disability payments or state veterans’benefits received by the veteran or unmarried survivingspouse;

• The difference between the purchase price of yourresidence and its selling price, if you used the proceedsfrom the sale to purchase a new residence. This newresidence 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 thehousehold, even though the check is issued inclaimant’s name;

• Child support; and• Individual Retirement Account and employer pension

rollovers (must provide a copy of federal Form 1099-Rindicating rollover or other supporting documentation).

CAUTION: If a claimant had significant income that is nottypically received in equal amounts throughout the claimyear, or if the number-of-days method does not accuratelycalculate the annualized income, the claim may be filedusing an alternative method for determining the annualizedincome amount to be included on Line 11g. A worksheetmust be included to show how the amount of annualizedincome was determined in those instances. The worksheetmust clearly show how the income was determined and anexplanation of the reason for deviating from the ScheduleG method. Examples of when the claim would be filedusing an alternative method would include instanceswhere there is income from a one-time event such as again on the sale of stock, lump sum payments from an IRAor annuity, an amount is reported as an inheritance or apayment is received as a beneficiary on a life insurancepolicy. Proof of the deviation from the number-of-daysmethod may be required by the department. The depart-ment will accept reasonable methods of calculating theannualized income amount.Line 12 - Add the positive income figures reported onLines 4 through 11g and enter the total. Do not includelosses. Enter the total income on Line 12 and also Line 22.IMPORTANT: If you have over $35,000 of income claimedon Line 12, you are not eligible for either Property Tax orRent Rebate relief under this program.Line 13 - For Property Owners OnlyBefore completing Line 13 of the claim form, complete anyschedules listed in the instructions for this line. If you mustcomplete more than one schedule, you must completethem in alphabetical order. If one schedule does not applyto you, skip it, and go to the next schedule. You must carryforward, as the total tax paid, the last amount shown on theprevious schedule you complete to the next scheduleyou complete.Enter the total amount of the property taxes paid foryour primary residence, or the amount shown as eligibleproperty taxes paid on the last schedule completed.IMPORTANT: If you do not enter the amount of all taxespaid on the primary residence, you will limit the depart-ment’s ability to determine your eligibility for and amount ofa supplemental rebate. See Page 14 for more informationon supplemental rebates.You must deduct interest or penalty payments, municipalassessments, per capita taxes, or occupation taxes includedin your payment. If you paid early and received a discount,you enter the amount you actually paid on Line 13. 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 properproof are: a copy of the deed or a copy of the trustagreement, will, or decree of distribution if you inheritedyour property. If your address is not on your receiptedproperty tax bill or mortgage statement, you also mustsubmit a letter from your tax collector or mortgage companyverifying your home address.NOTE: If your tax bills include a name and/or names otherthan yours and your spouse’s, you must complete PA-1000Schedule F or submit proof that you are the sole owner ofthe property.Include only the property tax on the amount of land that isnecessary for your personal use.PA-1000 Schedule A - If you owned and occupied yourhome for less than the entire year of 2017 or a claimis being filed on behalf of a deceased owner who diedduring 2017.PA-1000 Schedule B - If you were a widow or widowerage 50 to 64 who remarried in 2017.PA-1000 Schedule E - If you used part of your residencefor a purpose other than living quarters in 2017.PA-1000 Schedule F - If your deed shows owners otherthan your spouse.As proof of property tax paid, homeowners mustprovide photocopies of one of the following real estatedocuments:• All 2017 real estate tax bills that have been marked

“paid” by the tax collector (see the instructions beginningon this page for the proper calculation of the amount onLine 13). If you paid your taxes in quarterly installments,a tax bill must be submitted for each period. For tax billsthat are not marked paid by the tax collector, the depart-ment will accept a photocopy of both sides of thecancelled check along with a copy of the tax bill;

• Your year-end mortgage statement showing the amountof real estate taxes paid;

• A letter signed by the tax collector certifying that youpaid your 2017 real estate taxes. The letter should alsodeclare the total tax does not include nuisance taxes orpenalty; OR

• A receipted copy of your tax billing from your owner’sassociation or corporation. Resident stockholders of acooperative housing corporation, such as a condominium,may qualify as property owners based on their pro ratashare of the property taxes paid to the corporation fortheir residence.

The following types of receipted real estate tax billsare acceptable:• County• School district


Fill in this oval if your spouse is deceased.

If your label is correct,

place it here.

Discard label if it is not correctand fill in all

data in Part A.

If you were both a PropertyOwner and a Renter,

complete Lines 13 through 18.

Fill in your Social Security Number.

Fill in only one oval for Line 1.

Fill in only one oval for Line 2.

Samp l e

Samp l e

Report your total SocialSecurity, SSI, and SSP benefitshere. Divide the total by 2 andenter the result on Line 4.

Enter the total of Lines 4through 11g.

Report your total RailroadRetirement Tier 1 benefits here.Divide the total by 2 and enter

the result on Line 5.

PA-1000 COMPLETION SAMPLE

Property Ownerscomplete Lines13 and 14.

Renters completeLines 15, 16 and 17.

If you want yourrebate directly

deposited, completeLines 19,20 and 21.

Claimant signs here.

Fill in School District Code (see Pages 16 and 17). Fill inCounty Code (see Page 15).


Enter your Routing Numberhere (direct deposit only).

Enter your Account Numberhere (direct deposit only).

Fill in this oval on behalfof decedent.


• City• Borough• TownshipTaxes/charges that are not acceptable (even if basedon 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, andsinking fund taxes

• Interest or penalty paymentsIf your tax bills contain any of these charges, you mustdeduct them when completing Line 13.

Line 14 - To determine the amount for Line 14, start withthe amount of your total income on Line 22. In Table A, findthe income range that includes your Line 22 amount andcircle the corresponding maximum standard rebateamount. Compare your maximum standard rebate amountto the amount on Line 13 and enter the lesser amount onLine 14. The department will not pay a rebate for less than$10. The maximum standard rebate cannot exceed $650.

Line 15 - For Renters OnlyIMPORTANT: If you have over $15,000 of income on Line12, you are not eligible for the rent rebate relief portion ofthis program.

PA-1000 Schedule RC - You must always complete thisschedule before completing Line 15 or the additionalschedules noted later in the instructions for this line. Ifnone of the additional schedules apply, report the amountfrom Line 8 of Schedule RC on Line 15 of your claim form.You may claim a rebate only if you pay rent to a propertyowner for a dwelling that you rent for use as a home that isa self-contained unit.NOTE: A landlord-tenant relationship exists when thelandlord (lessor) provides the claimant (lessee) with alease for a self-contained unit. This usually means aseparate 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 andPA tax returns. If the landlord (lessor) also claims aProperty Tax/Rent Rebate, they must submit a PA-1000Schedule E (enclosed in this booklet), and provide theirfederal 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 rebatescan 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 careRent Payment Subsidies - For the purpose of this rebateclaim, subtract rent payment subsidies provided by orthrough a governmental agency from the total rent youpaid. See Line 5 of the PA Rent Certificate.Renters must provide one of the followingproof documents: 1. A PA Rent Certificate for each place you rented

during the year. Keep copies for your records. Yourlandlord or his/her authorized agent should completeLines 1 through 8 and sign the PA Rent Certificate.

2. If you cannot get your landlord’s signature, you mustcomplete and submit the PA Rent Certificate and thenotarized Occupancy Affidavit that is below the PARent Certificate. Complete the Occupancy Affidavit inits entirety and write the reason the landlord did notsign the PA Rent Certificate.

3. Rent receipts signed by your landlord or his/heragent for each month for which you are claiming a

ATTENTION PHILADELPHIA RESIDENTS:The City of Philadelphia has provided the departmentwith electronic records of all receipted 2017 property taxbills for Philadelphia that were paid by Dec. 31, 2017. Ifyou live in the City of Philadelphia and paid your 2017property taxes by Dec. 31, 2017, do not include a copyof your receipted property tax bills. If you live inPhiladelphia and paid your 2017 property taxes in 2018,please submit proof of payment as outlined in thepreceding information.NOTE: You or the person who prepares your claim willneed to know the amount of tax you paid in order tocorrectly calculate your rebate. If you do not have acopy of your original tax bill or a copy of your taxpayment, you or your preparer will need to estimate theamount of taxes you paid. If the tax amount you provideis not correct, the department will adjust the amount ofyour rebate based upon the paid taxes reported to thedepartment by the City of Philadelphia.


rebate that show your name and rental address, theamount of rent paid and the period for which you paidrent.

NOTE: The department will not accept cancelled checks asproof of rent paid. Print your Social Security Number oneach proof document that you submit with your claim form.IMPORTANT: If your landlord is a tax-exempt entity and isnot required to pay property taxes on your rental property,you do not qualify for a rent rebate unless your landlordmakes payments in lieu of taxes. In this situation, landlordsagree to make reasonable cash payments in lieu of taxesto a local government authority (county, municipality,school district, fire/police department, etc.) in order to allowtheir residents to claim rent rebates.Before completing Line 15 of the claim form, complete anyschedules listed in the instructions for this line. If you mustcomplete more than one schedule, you must completethem in alphabetical order.If one schedule does not apply to you, skip it, and go to thenext schedule. You must carry forward, as the total rentpaid, the last amount shown on the previous schedule youcomplete to the next schedule you complete.Report the amount shown on the last schedule that appliesto you on Line 15 of the claim form.PA-1000 Schedule B - If you were a widow or widower age50 to 64 who remarried in 2017.PA-1000 Schedule D - If you were a renter who receivedcash public assistance in 2017.PA-1000 Schedule E - If you used part of your residencefor a purpose other than living quarters in 2017.PA-1000 Schedule F - If your lease shows persons otherthan 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 2017 or theamount shown as eligible rents paid, on the last schedulecompleted.

Line 16 - Multiply Line 15 by 20 percent (0.20).Line 17 - To determine the amount for Line 17, start withthe amount of your total income on Line 22. In Table B, findthe income range that includes your Line 22 amount andcircle the corresponding maximum rebate amount.Compare your maximum rebate amount to the amount onLine 16 and enter the lesser amount on Line 17. Thedepartment will not pay a rebate for less than $10. Themaximum standard rebate cannot exceed $650.Line 18 - For Owner/Renter OnlyIMPORTANT: If you have over $15,000 of income claimedon Line 12, you are not eligible for the rent rebate reliefportion 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 rebateamount. If you were both a property owner and a renterin 2017, you must calculate your property tax rebateseparately from your rent rebate. Complete Lines 13 and14 to calculate your property tax rebate and completeLines 15 through 17 to calculate your rent rebate.Add Lines 14 and 17 - To determine the amount for Line18, start with the amount of your total income in Line 22. InTable A, find the income range that includes your Line 22amount and circle the corresponding maximum standardrebate amount. Compare your maximum standard rebateamount to the sum of Lines 14 and 17 and enter the lesseramount on Line 18. The department will not pay arebate for less than $10. The maximum standard rebatecannot exceed $650.

Line 19 - In order to comply with banking rules, directdeposits are not available for rebates going to bankaccounts outside the U.S. If your bank account is outsidethe U.S., do not complete the direct deposit Lines 19, 20and 21. The department will send you a paper check.If your rebate will be going to a bank account within theU.S., you have the option to have your rebate directlydeposited.If you want the Department of Revenue to directly deposityour rebate into your checking or savings account at yourbank, credit union, or other financial institution, place an Xin the appropriate box on Line 19. Then complete Lines 20and 21.CAUTION: Be sure to enter the correct routing and accountnumbers. Please check with your financial institution tomake sure your direct deposit will be accepted and to getthe correct routing and account numbers. The Departmentof Revenue is not responsible for a lost rebate if youenter the wrong account information. The Departmentof Revenue cannot change the banking informationyou enter in these spaces. If the information youentered is not accurate or up to date, the departmentwill send a check instead of making a direct depositinto your account.By placing an X in either box on Line 19, you are authorizingthe department to directly deposit your rebate into yourchecking or savings account. Direct deposits cannot bemade to Social Security Direct Express ® cards.IMPORTANT: Do not include a copy of a blank checkwith your rebate application. The department cannotcomplete this information on your application.Line 20 - Routing NumberEnter your bank or financial institution’s nine-digit routingnumber. The first two digits must be 01 through 12, or 21through 32. Do not use spaces or special characters whenentering the routing number. EXAMPLE: The routingnumber on the sample check on Page 13 is 250250025.

DIRECT DEPOSIT


SAMPLE CHECK

Routing Number Account Number Check Number

Joe & Jane Taxpayer 50-42 0001123 Drive Avenue 370Nowhere, PA 78910 1234567890 Date

Pay To The Order Of: $

DollarsYour BankCommonwealth RegionHarrisburg, PA

Memo Signature

I: 250250025 :I 202III02III086 III0001

Please do not send a copy of a blank or voided check with your rebate application.

If you are attempting to complete this line using a depositslip, please contact your financial institution to determine ifthe routing number is correct. Many times the number onthe deposit slip is for internal use by the institution andusing it may delay the payment of your rebate.NOTE: This number must be nine digits. Otherwise,your financial institution will reject the direct deposit, andthe department will mail you a check.IMPORTANT: Your check may state that it is payablethrough a bank different from the financial institution whereyou have your account (i.e. your check may have two bankslisted on the face). If so, do not use the routing number onyour check. Instead, ask your financial institution for thecorrect routing number and enter it on Line 20.Line 21 - Checking or Savings Account NumberEnter your checking or savings account number. Youraccount number may be as many as 17 digits and maycontain both numbers and letters.Enter the numbers and letters from left to right. Do not usespaces or special characters when you enter your accountnumber and leave any unused boxes blank. EXAMPLE:The checking account number on the sample check aboveis 20202086. Do not include the check number. Thecheck number on the sample check is 0001. If you areattempting to complete this line using a direct deposit slip,please contact your financial institution to determine if theaccount number is correct. Many times the number on thedeposit slip is for internal use by the institution and using itmay delay the payment of your rebate.CAUTION: If your bank has recently changed ownership,the routing and account numbers on your check may beincorrect. Please verify the routing and account numberswith your bank before you enter them on Lines 20 and 21.IMPORTANT: If you apply before the end of May and optfor direct deposit of your rebate, you may notice a zerodollar transaction on your April or May bank statement.

This transaction is part of a security process conducted toverify your account information and ensure your rebatearrives quickly and accurately. If account informationcannot be verified for direct deposit, the department willsend you a paper check.

Line 22 - Total IncomeLine 22 is used to determine the correct rebate amount.Enter the amount from Line 12 of the claim form on this lineand circle the corresponding Maximum Standard Rebateor Maximum Rebate amount for your income level. Ownersuse Table A and Renters use Table B.

Please read the following oath before signing the claimform.

CLAIMANT OATH: I declare that this claim is true, correct,and complete to the best of my knowledge and belief, andthis is the only claim filed by members of my household. Iauthorize the PA Department of Revenue access to myfederal and Pennsylvania personal income tax records, myPACE records, my Social Security Administration records,and/or my Department of Human Services records. Thisaccess 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 claimform. However, the department will not process the claimform or issue a rebate without a signature.

NOTE: The Property Tax or Rent Rebate program is abenefit provided to qualifying homeowners who apply.The Department of Revenue will not place a lien orjudgment on your property because of a Property Tax/RentRebate paid to you.

SIGNATURES: Sign and date the claim form in the spaceprovided. The signature must match the name listed on thelabel or printed on the name line. If someone other than the

PART D - OATH


REBATE TABLES

TABLE A - OWNERS ONLY

Maximum StandardRebate

TOTAL INCOMEFrom Line 12 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

TABLE B - RENTERS ONLY

Maximum RebateTOTAL INCOMEFrom Line 12 of your claim form

$ 0 to $ 8,000 $ 650 $ 8,001 to $ 15,000 $ 500

claimant signs the claim form, a copy of the Power ofAttorney, guardianship papers, or other documents entitlingthat person to sign must accompany the claim form. Inthe case of a deceased claimant, see the instructionsbeginning on Page 4.If the claimant makes a mark instead of a signature, twopeople must sign the form as witnesses to the claimant’smark.Also please provide the name, address, and telephonenumber of the claimant’s nearest relative. This helps thedepartment locate claimants if the Post Office returns arebate check as undeliverable.

You must complete and submit one original claim form tothe Department of Revenue. Do not submit a photocopyof the claim form. For your convenience, the departmentprovides two claim forms. If you need another claim form,visit www.revenue.pa.gov or call the Forms OrderingMessage Service at 1-800-362-2050.IMPORTANT: Do not use staples. Using staples delaysthe processing of your claim and damages your claim formand other documents.Place your completed claim form and other necessarydocuments in the envelope provided. Use the checkliston the back of the envelope to verify that your claim is

complete. Incomplete claims will delay your rebate. If youdo not have the envelope the department provided, mailyour 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 propertytax relief to all Pennsylvania homeowners. Supplementalproperty tax rebates, equal to 50 percent of taxpayers’base rebates, are available to provide extra relief tohomeowners who need it the most.Homeowners in Pittsburgh, Scranton and Philadelphia witheligibility income of $30,000 or less will receive additionalpayments, as will homeowners in the rest of the state whomeet the same income-eligibility requirement and pay morethan 15 percent of their household income in property taxes.

IMPORTANT: If you are eligible for a supplementalpayment above the maximum rebate, the department willcalculate it for you. Please follow the instructions for Lines13 and 14 on Pages 9 and 11 of this booklet to completeyour rebate application; do not adjust the amounts onLine 14.

SUPPLEMENTAL PROPERTY TAX REBATES

MAILING INSTRUCTIONS


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 allproceeds to benefit older adults.

Adams . . . . . . . . . . . . . . . . . . . 01Allegheny . . . . . . . . . . . . . . . . . 02Armstrong . . . . . . . . . . . . . . . . 03Beaver . . . . . . . . . . . . . . . . . . . 04Bedford . . . . . . . . . . . . . . . . . . 05Berks . . . . . . . . . . . . . . . . . . . . 06Blair . . . . . . . . . . . . . . . . . . . . 07Bradford . . . . . . . . . . . . . . . . . . 08Bucks . . . . . . . . . . . . . . . . . . . . 09Butler . . . . . . . . . . . . . . . . . . . . 10Cambria . . . . . . . . . . . . . . . . . . 11Cameron . . . . . . . . . . . . . . . . . 12Carbon . . . . . . . . . . . . . . . . . . . 13Centre . . . . . . . . . . . . . . . . . . . 14Chester . . . . . . . . . . . . . . . . . . 15Clarion . . . . . . . . . . . . . . . . . . . 16Clearfield . . . . . . . . . . . . . . . . . 17Clinton . . . . . . . . . . . . . . . . . . . 18Columbia . . . . . . . . . . . . . . . . . 19Crawford . . . . . . . . . . . . . . . . . 20Cumberland . . . . . . . . . . . . . . . 21Dauphin . . . . . . . . . . . . . . . . . . 22Delaware . . . . . . . . . . . . . . . . . 23

Elk . . . . . . . . . . . . . . . . . . . . 24Erie . . . . . . . . . . . . . . . . . . . . 25Fayette . . . . . . . . . . . . . . . . . . . 26Forest . . . . . . . . . . . . . . . . . . . . 27Franklin . . . . . . . . . . . . . . . . . . 28Fulton . . . . . . . . . . . . . . . . . . . . 29Greene . . . . . . . . . . . . . . . . . . . 30Huntingdon . . . . . . . . . . . . . . . 31Indiana . . . . . . . . . . . . . . . . . . . 32Jefferson . . . . . . . . . . . . . . . . . 33Juniata . . . . . . . . . . . . . . . . . . . 34Lackawanna . . . . . . . . . . . . . . . 35Lancaster . . . . . . . . . . . . . . . . . 36Lawrence . . . . . . . . . . . . . . . . . 37Lebanon . . . . . . . . . . . . . . . . . . 38Lehigh . . . . . . . . . . . . . . . . . . . 39Luzerne . . . . . . . . . . . . . . . . . . 40Lycoming . . . . . . . . . . . . . . . . . 41McKean . . . . . . . . . . . . . . . . . . 42Mercer . . . . . . . . . . . . . . . . . . . 43Mifflin . . . . . . . . . . . . . . . . . . . . 44Monroe . . . . . . . . . . . . . . . . . . . 45Montgomery . . . . . . . . . . . . . . . 46

Montour . . . . . . . . . . . . . . . . . . 47Northampton . . . . . . . . . . . . . . 48Northumberland . . . . . . . . . . . . 49Perry . . . . . . . . . . . . . . . . . . . . 50Philadelphia . . . . . . . . . . . . . . . 51Pike . . . . . . . . . . . . . . . . . . . . 52Potter . . . . . . . . . . . . . . . . . . . . 53Schuylkill . . . . . . . . . . . . . . . . . 54Snyder . . . . . . . . . . . . . . . . . . . 55Somerset . . . . . . . . . . . . . . . . . 56Sullivan . . . . . . . . . . . . . . . . . . 57Susquehanna . . . . . . . . . . . . . . 58Tioga . . . . . . . . . . . . . . . . . . . . 59Union . . . . . . . . . . . . . . . . . . . . 60Venango . . . . . . . . . . . . . . . . . . 61Warren . . . . . . . . . . . . . . . . . . . 62Washington . . . . . . . . . . . . . . . 63Wayne . . . . . . . . . . . . . . . . . . . 64Westmoreland . . . . . . . . . . . . . 65Wyoming . . . . . . . . . . . . . . . . . 66York . . . . . . . . . . . . . . . . . . . . 67

In the 2016-2017 fiscal year, the Pennsylvania Lotteryachieved sales of more than $4 billion, from which it generatedmore than $1 billion in net revenue to support benefits for olderPennsylvanians. In addition, Lottery winners claimed nearly$2.6 billion in prizes.

Since its very first game went on sale in 1972, the PennsylvaniaLottery has contributed nearly $28 billion to programs thatinclude property tax and rent rebates; transportation services;care services; prescription assistance; and a broad range oflocal services provided by Area Agencies on Aging.

The Pennsylvania Lottery is a bureau of the PennsylvaniaDepartment of Revenue, and a successful enterprise of whichall 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 forolder Pennsylvanians, visit palottery.com

For more information about Lottery games and benefits for older Pennsylvanians, visit palottery.com.

ADAMSBermudian Springs . . . . . . . . . . . . . .01110Conewago Valley . . . . . . . . . . . . . . .01160Fairfield Area . . . . . . . . . . . . . . . . . .01305Gettysburg Area . . . . . . . . . . . . . . . .01375Littlestown Area . . . . . . . . . . . . . . . .01520Upper Adams . . . . . . . . . . . . . . . . . .01852

ALLEGHENYAllegheny Valley . . . . . . . . . . . . . . .02060Avonworth . . . . . . . . . . . . . . . . . . . .02075Baldwin Whitehall . . . . . . . . . . . . . . .02110Bethel Park . . . . . . . . . . . . . . . . . . .02125Brentwood Borough . . . . . . . . . . . . .02145Carlynton . . . . . . . . . . . . . . . . . . . .02160Chartiers Valley . . . . . . . . . . . . . . . .02175Clairton City . . . . . . . . . . . . . . . . . . .02190Cornell . . . . . . . . . . . . . . . . . . . . . . .02210Deer Lakes . . . . . . . . . . . . . . . . . . .02225Duquesne City . . . . . . . . . . . . . . . . .02250East Allegheny . . . . . . . . . . . . . . . . .02280Elizabeth Forward . . . . . . . . . . . . . .02315Fort Cherry . . . . . . . . . . . . . . . . . . . .63240Fox Chapel Area . . . . . . . . . . . . . . .02391Gateway . . . . . . . . . . . . . . . . . . . . . .02410Hampton Township . . . . . . . . . . . . .02460Highlands . . . . . . . . . . . . . . . . . . . . .02475Keystone Oaks . . . . . . . . . . . . . . . .02500McKeesport Area . . . . . . . . . . . . . . .02600Montour . . . . . . . . . . . . . . . . . . . . . .02630Moon Area . . . . . . . . . . . . . . . . . . . .02634Mount Lebanon . . . . . . . . . . . . . . . .02640North Allegheny . . . . . . . . . . . . . . . .02685Northgate . . . . . . . . . . . . . . . . . . . . .02687North Hills . . . . . . . . . . . . . . . . . . . .02690Penn Hills . . . . . . . . . . . . . . . . . . . . .02735Penn-Trafford . . . . . . . . . . . . . . . . . .65710Pine-Richland . . . . . . . . . . . . . . . . .02100Pittsburgh . . . . . . . . . . . . . . . . . . . . .02745Plum Borough . . . . . . . . . . . . . . . . .02750Quaker Valley . . . . . . . . . . . . . . . . .02775Riverview . . . . . . . . . . . . . . . . . . . . .02820Shaler Area . . . . . . . . . . . . . . . . . . .02830South Allegheny . . . . . . . . . . . . . . . .02865South Fayette Township . . . . . . . . .02870South Park . . . . . . . . . . . . . . . . . . . .02875Steel Valley . . . . . . . . . . . . . . . . . . .02883Sto-Rox . . . . . . . . . . . . . . . . . . . . . .02885Upper Saint Clair Township . . . . . . .02920West Allegheny . . . . . . . . . . . . . . . .02940West Jefferson Hills . . . . . . . . . . . . .02955West Mifflin Area . . . . . . . . . . . . . . .02960Wilkinsburg Borough . . . . . . . . . . . .02980Woodland Hills . . . . . . . . . . . . . . . . .02990

ARMSTRONGAllegheny Clarion Valley . . . . . . . . .16030Apollo-Ridge . . . . . . . . . . . . . . . . . .03060Armstrong . . . . . . . . . . . . . . . . . . . .03085Freeport Area . . . . . . . . . . . . . . . . . .03305Karns City Area . . . . . . . . . . . . . . . .10360Kiski Area . . . . . . . . . . . . . . . . . . . . .65440Leechburg Area . . . . . . . . . . . . . . . .03450Redbank Valley . . . . . . . . . . . . . . . .16800

BEAVERAliquippa Borough . . . . . . . . . . . . .04050Ambridge Area . . . . . . . . . . . . . . . . .04070Beaver Area . . . . . . . . . . . . . . . . . . .04120Big Beaver Falls Area . . . . . . . . . . .04150Blackhawk . . . . . . . . . . . . . . . . . . . .04160Central Valley . . . . . . . . . . . . . . . . . .04200Ellwood City Area . . . . . . . . . . . . . .37200Freedom Area . . . . . . . . . . . . . . . . .04285Hopewell Area . . . . . . . . . . . . . . . . .04410Midland Borough . . . . . . . . . . . . . . .04530New Brighton Area . . . . . . . . . . . . . .04565Riverside Beaver County . . . . . . . . .04585Rochester Area . . . . . . . . . . . . . . . .04690South Side Area . . . . . . . . . . . . . . . .04740Western Beaver County . . . . . . . . . .04930

BEDFORDBedford Area . . . . . . . . . . . . . . . . . .05100Chestnut Ridge . . . . . . . . . . . . . . . .05150Claysburg-Kimmel . . . . . . . . . . . . . .07150Everett Area . . . . . . . . . . . . . . . . . . .05300Northern Bedford County . . . . . . . . .05600Tussey Mountain . . . . . . . . . . . . . . .05800

SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODEPalmerton Area . . . . . . . . . . . . . . . .13650Panther Valley . . . . . . . . . . . . . . . . .13660Weatherly Area . . . . . . . . . . . . . . . .13900

CENTREBald Eagle Area . . . . . . . . . . . . . . . .14100Bellefonte Area . . . . . . . . . . . . . . . . .14110Keystone Central . . . . . . . . . . . . . . .18360Penns Valley Area . . . . . . . . . . . . . .14700Philipsburg-Osceola Area . . . . . . . .17700State College Area . . . . . . . . . . . . . .14800Tyrone Area . . . . . . . . . . . . . . . . . . .07800

CHESTERAvon Grove . . . . . . . . . . . . . . . . . . .15050Coatesville Area . . . . . . . . . . . . . . . .15190Downingtown Area . . . . . . . . . . . . . .15200Great Valley . . . . . . . . . . . . . . . . . . .15350Kennett Consolidated . . . . . . . . . . .15400Octorara Area . . . . . . . . . . . . . . . . .15650Owen J. Roberts . . . . . . . . . . . . . . .15660Oxford Area . . . . . . . . . . . . . . . . . . .15670Phoenixville Area . . . . . . . . . . . . . . .15720Spring-Ford Area . . . . . . . . . . . . . . .46730Tredyffrin Easttown . . . . . . . . . . . . .15780Twin Valley . . . . . . . . . . . . . . . . . . . .06810Unionville-Chadds Ford . . . . . . . . . .15850West Chester Area . . . . . . . . . . . . . .15900

CLARIONAllegheny Clarion Valley . . . . . . . . .16030Armstrong . . . . . . . . . . . . . . . . . . . .03085Clarion Area . . . . . . . . . . . . . . . . . . .16120Clarion-Limestone Area . . . . . . . . . .16170Keystone . . . . . . . . . . . . . . . . . . . . .16650North Clarion County . . . . . . . . . . . .16750Redbank Valley . . . . . . . . . . . . . . . .16800Union . . . . . . . . . . . . . . . . . . . . . . . .16900

CLEARFIELDClearfield Area . . . . . . . . . . . . . . . . .17100Curwensville Area . . . . . . . . . . . . . .17180Dubois Area . . . . . . . . . . . . . . . . . . .17200Glendale . . . . . . . . . . . . . . . . . . . . .17300Harmony Area . . . . . . . . . . . . . . . . .17350Moshannon Valley . . . . . . . . . . . . .17500Philipsburg-Osceola Area . . . . . . . .17700Purchase Line . . . . . . . . . . . . . . . . .32730West Branch Area . . . . . . . . . . . . . .17900

CLINTONJersey Shore Area . . . . . . . . . . . . . .41400Keystone Central . . . . . . . . . . . . . . .18360West Branch Area . . . . . . . . . . . . . .17900

COLUMBIABenton Area . . . . . . . . . . . . . . . . . . .19100Berwick Area . . . . . . . . . . . . . . . . . .19110Bloomsburg Area . . . . . . . . . . . . . . .19120Central Columbia . . . . . . . . . . . . . . .19150Millville Area . . . . . . . . . . . . . . . . . . .19500Mount Carmel Area . . . . . . . . . . . . .49510North Schuylkill . . . . . . . . . . . . . . . .54500Southern Columbia Area . . . . . . . . .19750

CRAWFORDConneaut . . . . . . . . . . . . . . . . . . . . .20103Corry Area . . . . . . . . . . . . . . . . . . . .25145Crawford Central . . . . . . . . . . . . . . .20135Jamestown Area . . . . . . . . . . . . . . .43360Penncrest . . . . . . . . . . . . . . . . . . . . .20470Titusville Area . . . . . . . . . . . . . . . . . .61720Union City Area . . . . . . . . . . . . . . . .25910

CUMBERLANDBig Spring . . . . . . . . . . . . . . . . . . . .21050Camp Hill . . . . . . . . . . . . . . . . . . . . .21100Carlisle Area . . . . . . . . . . . . . . . . . . .21110Cumberland Valley . . . . . . . . . . . . . .21160East Pennsboro Area . . . . . . . . . . . .21250Mechanicsburg Area . . . . . . . . . . . .21650Shippensburg Area . . . . . . . . . . . . .21800South Middleton . . . . . . . . . . . . . . . .21830West Shore . . . . . . . . . . . . . . . . . . .21900

DAUPHINCentral Dauphin . . . . . . . . . . . . . . . .22140Derry Township . . . . . . . . . . . . . . . .22175Halifax Area . . . . . . . . . . . . . . . . . . .22250Harrisburg City . . . . . . . . . . . . . . . . .22275Lower Dauphin . . . . . . . . . . . . . . . . .22400

Middletown Area . . . . . . . . . . . . . . .22600Millersburg Area . . . . . . . . . . . . . . . .22610Steelton Highspire . . . . . . . . . . . . . .22800Susquehanna Township . . . . . . . . . .22830Susquenita . . . . . . . . . . . . . . . . . . . .50600Upper Dauphin Area . . . . . . . . . . . .22900Williams Valley . . . . . . . . . . . . . . . . .54880

DELAWAREChester Upland . . . . . . . . . . . . . . . .23123Chichester . . . . . . . . . . . . . . . . . . . .23130Garnet Valley . . . . . . . . . . . . . . . . . .23410Haverford Township . . . . . . . . . . . . .23450Interboro . . . . . . . . . . . . . . . . . . . . .23510Marple Newtown . . . . . . . . . . . . . . .23550Penn-Delco . . . . . . . . . . . . . . . . . . .23690Radnor Township . . . . . . . . . . . . . . .23760Ridley . . . . . . . . . . . . . . . . . . . . . . . .23770Rose Tree Media . . . . . . . . . . . . . . .23790Southeast Delco . . . . . . . . . . . . . . .23840Springfield . . . . . . . . . . . . . . . . . . . .23850Unionville-Chadds Ford . . . . . . . . . .15850Upper Darby . . . . . . . . . . . . . . . . . .23945Wallingford Swarthmore . . . . . . . . . .23960West Chester Area . . . . . . . . . . . . . .15900William Penn . . . . . . . . . . . . . . . . . .23965

ELKBrockway Area . . . . . . . . . . . . . . . . .33070Forest Area . . . . . . . . . . . . . . . . . . .27200Johnsonburg Area . . . . . . . . . . . . . .24350Kane Area . . . . . . . . . . . . . . . . . . . .42230Ridgway Area . . . . . . . . . . . . . . . . . .24600Saint Marys Area . . . . . . . . . . . . . . .24800

ERIECorry Area . . . . . . . . . . . . . . . . . . . .25145Erie City . . . . . . . . . . . . . . . . . . . . . .25260Fairview . . . . . . . . . . . . . . . . . . . . . .25330Fort Leboeuf . . . . . . . . . . . . . . . . . .25355General McLane . . . . . . . . . . . . . . .25390Girard . . . . . . . . . . . . . . . . . . . . . . . .25405Harbor Creek . . . . . . . . . . . . . . . . . .25435Iroquois . . . . . . . . . . . . . . . . . . . . . .25655Millcreek Township . . . . . . . . . . . . . .25760North East . . . . . . . . . . . . . . . . . . . .25830Northwestern . . . . . . . . . . . . . . . . . .25850Union City Area . . . . . . . . . . . . . . . .25910Wattsburg Area . . . . . . . . . . . . . . . .25970

FAYETTEAlbert Gallatin Area . . . . . . . . . . . . .26030Belle Vernon Area . . . . . . . . . . . . . .65060Brownsville Area . . . . . . . . . . . . . . .26080Connellsville Area . . . . . . . . . . . . . .26130Frazier . . . . . . . . . . . . . . . . . . . . . . .26290Laurel Highlands . . . . . . . . . . . . . . .26400Southmoreland . . . . . . . . . . . . . . . .65750Uniontown Area . . . . . . . . . . . . . . . .26800

FORESTForest Area . . . . . . . . . . . . . . . . . . .27200

FRANKLINChambersburg Area . . . . . . . . . . . . .28130Fannett-Metal . . . . . . . . . . . . . . . . . .28200Greencastle-Antrim . . . . . . . . . . . . .28300Shippensburg Area . . . . . . . . . . . . .21800Tuscarora . . . . . . . . . . . . . . . . . . . . .28600Waynesboro Area . . . . . . . . . . . . . .28900

FULTONCentral Fulton . . . . . . . . . . . . . . . . .29130Forbes Road . . . . . . . . . . . . . . . . . .29230Southern Fulton . . . . . . . . . . . . . . . .29750

GREENECarmichaels Area . . . . . . . . . . . . . .30130Central Greene . . . . . . . . . . . . . . . .30140Jefferson-Morgan . . . . . . . . . . . . . . .30350Southeastern Greene . . . . . . . . . . .30650West Greene . . . . . . . . . . . . . . . . . .30850

HUNTINGDONHuntingdon Area . . . . . . . . . . . . . . .31250Juniata Valley . . . . . . . . . . . . . . . . . .31280Mount Union Area . . . . . . . . . . . . . .31600Southern Huntingdon County . . . . .31750Tussey Mountain . . . . . . . . . . . . . . .05800Tyrone Area . . . . . . . . . . . . . . . . . . .07800

BERKSAntietam . . . . . . . . . . . . . . . . . . . . . .06050Boyertown Area . . . . . . . . . . . . . . . .06075Brandywine Heights Area . . . . . . . .06085Conrad Weiser Area . . . . . . . . . . . . .06110Daniel Boone Area . . . . . . . . . . . . . .06150Exeter Township . . . . . . . . . . . . . . .06200Fleetwood Area . . . . . . . . . . . . . . . .06250Governor Mifflin . . . . . . . . . . . . . . . .06300Hamburg Area . . . . . . . . . . . . . . . . .06350Kutztown Area . . . . . . . . . . . . . . . . .06400Muhlenberg Township . . . . . . . . . . .06550Oley Valley . . . . . . . . . . . . . . . . . . . .06650Reading . . . . . . . . . . . . . . . . . . . . . .06700Schuylkill Valley . . . . . . . . . . . . . . . .06750Tulpehocken Area . . . . . . . . . . . . . .06800Twin Valley . . . . . . . . . . . . . . . . . . . .06810Upper Perkiomen . . . . . . . . . . . . . . .46860Wilson . . . . . . . . . . . . . . . . . . . . . . .06910Wyomissing . . . . . . . . . . . . . . . . . . .06935

BLAIRAltoona Area . . . . . . . . . . . . . . . . . .07050Bellwood Antis . . . . . . . . . . . . . . . . .07100Claysburg-Kimmel . . . . . . . . . . . . . .07150Hollidaysburg Area . . . . . . . . . . . . . .07350Spring Cove . . . . . . . . . . . . . . . . . . .07750Tyrone Area . . . . . . . . . . . . . . . . . . .07800Williamsburg Community . . . . . . . . .07900

BRADFORDAthens Area . . . . . . . . . . . . . . . . . . .08050Canton Area . . . . . . . . . . . . . . . . . . .08100Northeast Bradford County . . . . . . .08300Sayre Area . . . . . . . . . . . . . . . . . . . .08600Towanda Area . . . . . . . . . . . . . . . . .08650Troy Area . . . . . . . . . . . . . . . . . . . . .08665Wyalusing Area . . . . . . . . . . . . . . . .08900

BUCKSBensalem Township . . . . . . . . . . . . .09100Bristol Borough . . . . . . . . . . . . . . . .09130Bristol Township . . . . . . . . . . . . . . . .09135Centennial . . . . . . . . . . . . . . . . . . . .09200Central Bucks . . . . . . . . . . . . . . . . .09210Council Rock . . . . . . . . . . . . . . . . . .09235Easton Area . . . . . . . . . . . . . . . . . . .48330Morrisville Borough . . . . . . . . . . . . .09720Neshaminy . . . . . . . . . . . . . . . . . . . .09750New Hope Solebury . . . . . . . . . . . . .09760North Penn . . . . . . . . . . . . . . . . . . . .46570Palisades . . . . . . . . . . . . . . . . . . . . .09800Pennridge . . . . . . . . . . . . . . . . . . . .09810Pennsbury . . . . . . . . . . . . . . . . . . . .09820Quakertown Community . . . . . . . . .09840Souderton Area . . . . . . . . . . . . . . . .46710

BUTLERAllegheny Clarion Valley . . . . . . . . .16030Butler Area . . . . . . . . . . . . . . . . . . . .10125Freeport Area . . . . . . . . . . . . . . . . . .03305Karns City Area . . . . . . . . . . . . . . . .10360Mars Area . . . . . . . . . . . . . . . . . . . .10500Moniteau . . . . . . . . . . . . . . . . . . . . .10535Seneca Valley . . . . . . . . . . . . . . . . .10790Slippery Rock Area . . . . . . . . . . . . .10750South Butler County . . . . . . . . . . . .10780

CAMBRIABlacklick Valley . . . . . . . . . . . . . . . . .11060Cambria Heights . . . . . . . . . . . . . . . .11120Central Cambria . . . . . . . . . . . . . . . .11130Conemaugh Valley . . . . . . . . . . . . . .11140Ferndale Area . . . . . . . . . . . . . . . . .11200Forest Hills . . . . . . . . . . . . . . . . . . . .11220Glendale . . . . . . . . . . . . . . . . . . . . .17300Greater Johnstown . . . . . . . . . . . . . .11250Northern Cambria . . . . . . . . . . . . . .11450Penn Cambria . . . . . . . . . . . . . . . . .11600Portage Area . . . . . . . . . . . . . . . . . .11630Richland . . . . . . . . . . . . . . . . . . . . . .11650Westmont Hilltop . . . . . . . . . . . . . . .11850Windber Area . . . . . . . . . . . . . . . . . .56910

CAMERONCameron County . . . . . . . . . . . . . . .12270

CARBONHazleton Area . . . . . . . . . . . . . . . . .40330Jim Thorpe Area . . . . . . . . . . . . . . .13500Lehighton Area . . . . . . . . . . . . . . . . .13550

PA SCHOOL DISTRICTS & CODES BY COUNTY



UNIONLewisburg Area . . . . . . . . . . . . . . . .60400Mifflinburg Area . . . . . . . . . . . . . . . .60500Milton Area . . . . . . . . . . . . . . . . . . . .49500Warrior Run . . . . . . . . . . . . . . . . . . .49800

VENANGOAllegheny Clarion Valley . . . . . . . . .16030Cranberry Area . . . . . . . . . . . . . . . . .61130Forest Area . . . . . . . . . . . . . . . . . . .27200Franklin Area . . . . . . . . . . . . . . . . . .61220Oil City Area . . . . . . . . . . . . . . . . . . .61620Penncrest . . . . . . . . . . . . . . . . . . . . .20470Titusville Area . . . . . . . . . . . . . . . . . .61720Valley Grove . . . . . . . . . . . . . . . . . .61860

WARRENCorry Area . . . . . . . . . . . . . . . . . . . .25145Titusville Area . . . . . . . . . . . . . . . . . .61720Warren County . . . . . . . . . . . . . . . . .62830

WASHINGTONAvella Area . . . . . . . . . . . . . . . . . . . .63050Bentworth . . . . . . . . . . . . . . . . . . . . .63090Bethlehem-Center . . . . . . . . . . . . . .63100Brownsville Area . . . . . . . . . . . . . . .26080Burgettstown Area . . . . . . . . . . . . . .63120California Area . . . . . . . . . . . . . . . . .63150Canon-McMillan . . . . . . . . . . . . . . . .63170Charleroi . . . . . . . . . . . . . . . . . . . . .63180Chartiers-Houston . . . . . . . . . . . . . .63190Fort Cherry . . . . . . . . . . . . . . . . . . . .63240McGuffey . . . . . . . . . . . . . . . . . . . . .63390Peters Township . . . . . . . . . . . . . . .63650Ringgold . . . . . . . . . . . . . . . . . . . . . .63700Trinity Area . . . . . . . . . . . . . . . . . . . .63800Washington . . . . . . . . . . . . . . . . . . .63880

WAYNEForest City Regional . . . . . . . . . . . .58300North Pocono . . . . . . . . . . . . . . . . . .35650Susquehanna Community . . . . . . . .58650Wallenpaupack Area . . . . . . . . . . . .64830Wayne Highlands . . . . . . . . . . . . . . .64870Western Wayne . . . . . . . . . . . . . . . .64890

WESTMORELANDBelle Vernon Area . . . . . . . . . . . . . .65060Blairsville-Saltsburg . . . . . . . . . . . . .32110Burrell . . . . . . . . . . . . . . . . . . . . . . .65070Derry Area . . . . . . . . . . . . . . . . . . . .65160Franklin Regional . . . . . . . . . . . . . . .65260Greater Latrobe . . . . . . . . . . . . . . . .65310Greensburg Salem . . . . . . . . . . . . . .65320Hempfield Area . . . . . . . . . . . . . . . .65380Jeannette City . . . . . . . . . . . . . . . . .65410Kiski Area . . . . . . . . . . . . . . . . . . . . .65440Leechburg Area . . . . . . . . . . . . . . . .03450Ligonier Valley . . . . . . . . . . . . . . . . .65490Monessen City . . . . . . . . . . . . . . . . .65580Mount Pleasant Area . . . . . . . . . . . .65590New Kensington-Arnold . . . . . . . . . .65630Norwin . . . . . . . . . . . . . . . . . . . . . . .65650Penn-Trafford . . . . . . . . . . . . . . . . . .65710Southmoreland . . . . . . . . . . . . . . . .65750Yough . . . . . . . . . . . . . . . . . . . . . . . .65890

WYOMINGElk Lake . . . . . . . . . . . . . . . . . . . . . .58250Lackawanna Trail . . . . . . . . . . . . . . .66500Lake-Lehman . . . . . . . . . . . . . . . . . .40390Tunkhannock Area . . . . . . . . . . . . . .66750Wyalusing Area . . . . . . . . . . . . . . . .08900Wyoming Area . . . . . . . . . . . . . . . . .40920

YORKCentral York . . . . . . . . . . . . . . . . . . .67130Dallastown Area . . . . . . . . . . . . . . . .67160Dover Area . . . . . . . . . . . . . . . . . . . .67180Eastern York . . . . . . . . . . . . . . . . . .67220Hanover Public . . . . . . . . . . . . . . . .67280Northeastern . . . . . . . . . . . . . . . . . .67440Northern York County . . . . . . . . . . .67460Red Lion Area . . . . . . . . . . . . . . . . .67550South Eastern . . . . . . . . . . . . . . . . .67620South Western . . . . . . . . . . . . . . . . .67640Southern York County . . . . . . . . . . .67650Spring Grove Area . . . . . . . . . . . . . .67670West Shore . . . . . . . . . . . . . . . . . . .21900West York Area . . . . . . . . . . . . . . . .67850York City . . . . . . . . . . . . . . . . . . . . . .67900York Suburban . . . . . . . . . . . . . . . . .67940

SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODE SCHOOL DISTRICT CODEINDIANAApollo-Ridge . . . . . . . . . . . . . . . . . .03060Armstrong . . . . . . . . . . . . . . . . . . . .03085Blairsville-Saltsburg . . . . . . . . . . . . .32110Harmony Area . . . . . . . . . . . . . . . . .17350Homer Center . . . . . . . . . . . . . . . . .32330Indiana Area . . . . . . . . . . . . . . . . . . .32370Marion Center Area . . . . . . . . . . . . .32520Penns Manor Area . . . . . . . . . . . . . .32630Punxsutawney Area . . . . . . . . . . . . .33800Purchase Line . . . . . . . . . . . . . . . . .32730United . . . . . . . . . . . . . . . . . . . . . . .32800

JEFFERSONBrockway Area . . . . . . . . . . . . . . . . .33070Brookville Area . . . . . . . . . . . . . . . . .33080Clarion-Limestone Area . . . . . . . . . .16170Dubois Area . . . . . . . . . . . . . . . . . . .17200Punxsutawney Area . . . . . . . . . . . . .33800

JUNIATAGreenwood . . . . . . . . . . . . . . . . . . .50300Juniata County . . . . . . . . . . . . . . . . .34360

LACKAWANNAAbington Heights . . . . . . . . . . . . . . .35030Carbondale Area . . . . . . . . . . . . . . .35130Dunmore . . . . . . . . . . . . . . . . . . . . .35220Forest City Regional . . . . . . . . . . . .58300Lackawanna Trail . . . . . . . . . . . . . . .66500Lakeland . . . . . . . . . . . . . . . . . . . . .35460Mid Valley . . . . . . . . . . . . . . . . . . . .35550North Pocono . . . . . . . . . . . . . . . . . .35650Old Forge . . . . . . . . . . . . . . . . . . . . .35660Riverside . . . . . . . . . . . . . . . . . . . . .35700Scranton City . . . . . . . . . . . . . . . . . .35740Valley View . . . . . . . . . . . . . . . . . . . .35840

LANCASTERCocalico . . . . . . . . . . . . . . . . . . . . . .36130Columbia Borough . . . . . . . . . . . . . .36150Conestoga Valley . . . . . . . . . . . . . . .36170Donegal . . . . . . . . . . . . . . . . . . . . . .36220Eastern Lancaster County . . . . . . . .36230Elizabethtown Area . . . . . . . . . . . . .36240Ephrata Area . . . . . . . . . . . . . . . . . .36260Hempfield . . . . . . . . . . . . . . . . . . . . .36310Lampeter-Strasburg . . . . . . . . . . . . .36360Lancaster . . . . . . . . . . . . . . . . . . . . .36400Manheim Central . . . . . . . . . . . . . . .36440Manheim Township . . . . . . . . . . . . .36450Octorara Area . . . . . . . . . . . . . . . . .15650Penn Manor . . . . . . . . . . . . . . . . . . .36520Pequea Valley . . . . . . . . . . . . . . . . .36530Solanco . . . . . . . . . . . . . . . . . . . . . .36700Warwick . . . . . . . . . . . . . . . . . . . . . .36900

LAWRENCEBlackhawk . . . . . . . . . . . . . . . . . . . .04160Ellwood City Area . . . . . . . . . . . . . .37200Laurel . . . . . . . . . . . . . . . . . . . . . . . .37400Mohawk Area . . . . . . . . . . . . . . . . . .37500Neshannock Township . . . . . . . . . . .37520New Castle Area . . . . . . . . . . . . . . .37530Shenango Area . . . . . . . . . . . . . . . .37620Union Area . . . . . . . . . . . . . . . . . . . .37700Wilmington Area . . . . . . . . . . . . . . . .37800

LEBANONAnnville-Cleona . . . . . . . . . . . . . . . .38030Cornwall-Lebanon . . . . . . . . . . . . . .38130Eastern Lebanon County . . . . . . . . .38230Lebanon . . . . . . . . . . . . . . . . . . . . . .38460Northern Lebanon . . . . . . . . . . . . . .38500Palmyra Area . . . . . . . . . . . . . . . . . .38530

LEHIGHAllentown City . . . . . . . . . . . . . . . . .39030Bethlehem Area . . . . . . . . . . . . . . . .48100Catasauqua Area . . . . . . . . . . . . . . .39130East Penn . . . . . . . . . . . . . . . . . . . .39230Northern Lehigh . . . . . . . . . . . . . . . .39450Northwestern Lehigh . . . . . . . . . . . .39460Parkland . . . . . . . . . . . . . . . . . . . . . .39510Salisbury Township . . . . . . . . . . . . .39560Southern Lehigh . . . . . . . . . . . . . . .39570Whitehall-Coplay . . . . . . . . . . . . . . .39780

LUZERNEBerwick Area . . . . . . . . . . . . . . . . . .19110Crestwood . . . . . . . . . . . . . . . . . . . .40140

Dallas . . . . . . . . . . . . . . . . . . . . . . . .40160Greater Nanticoke Area . . . . . . . . . .40260Hanover Area . . . . . . . . . . . . . . . . . .40300Hazleton Area . . . . . . . . . . . . . . . . .40330Lake-Lehman . . . . . . . . . . . . . . . . . .40390Northwest Area . . . . . . . . . . . . . . . .40600Pittston Area . . . . . . . . . . . . . . . . . .40660Wilkes-Barre Area . . . . . . . . . . . . . .40885Wyoming Area . . . . . . . . . . . . . . . . .40920Wyoming Valley West . . . . . . . . . . .40930

LYCOMINGCanton Area . . . . . . . . . . . . . . . . . . .08100East Lycoming . . . . . . . . . . . . . . . . .41200Jersey Shore Area . . . . . . . . . . . . . .41400Loyalsock Township . . . . . . . . . . . . .41420Montgomery Area . . . . . . . . . . . . . .41500Montoursville Area . . . . . . . . . . . . . .41510Muncy . . . . . . . . . . . . . . . . . . . . . . .41530South Williamsport Area . . . . . . . . .41610Southern Tioga . . . . . . . . . . . . . . . .59700Wellsboro Area . . . . . . . . . . . . . . . .59850Williamsport Area . . . . . . . . . . . . . . .41720

MCKEANBradford Area . . . . . . . . . . . . . . . . . .42080Kane Area . . . . . . . . . . . . . . . . . . . .42230Oswayo Valley . . . . . . . . . . . . . . . . .53750Otto-Eldred . . . . . . . . . . . . . . . . . . .42600Port Allegany . . . . . . . . . . . . . . . . . .42630Smethport Area . . . . . . . . . . . . . . . .42750

MERCERCommodore Perry . . . . . . . . . . . . . .43130Crawford Central . . . . . . . . . . . . . . .20135Farrell Area . . . . . . . . . . . . . . . . . . .43250Greenville Area . . . . . . . . . . . . . . . .43280Grove City Area . . . . . . . . . . . . . . . .43290Hermitage . . . . . . . . . . . . . . . . . . . .43330Jamestown Area . . . . . . . . . . . . . . .43360Lakeview . . . . . . . . . . . . . . . . . . . . .43390Mercer Area . . . . . . . . . . . . . . . . . . .43500Reynolds . . . . . . . . . . . . . . . . . . . . .43530Sharon City . . . . . . . . . . . . . . . . . . .43560Sharpsville Area . . . . . . . . . . . . . . . .43570West Middlesex Area . . . . . . . . . . . .43750Wilmington Area . . . . . . . . . . . . . . . .37800

MIFFLINMifflin County . . . . . . . . . . . . . . . . . .44460Mount Union Area . . . . . . . . . . . . . .31600

MONROEEast Stroudsburg Area . . . . . . . . . .45200Pleasant Valley . . . . . . . . . . . . . . . .45520Pocono Mountain . . . . . . . . . . . . . . .45540Stroudsburg Area . . . . . . . . . . . . . . .45600

MONTGOMERYAbington . . . . . . . . . . . . . . . . . . . . . .46030Boyertown Area . . . . . . . . . . . . . . . .06075Bryn Athyn Borough . . . . . . . . . . . .46050Cheltenham Township . . . . . . . . . . .46130Colonial . . . . . . . . . . . . . . . . . . . . . .46160Hatboro-Horsham . . . . . . . . . . . . . .46360Jenkintown . . . . . . . . . . . . . . . . . . . .46380Lower Merion . . . . . . . . . . . . . . . . . .46450Lower Moreland Township . . . . . . . .46460Methacton . . . . . . . . . . . . . . . . . . . .46530Norristown Area . . . . . . . . . . . . . . . .46560North Penn . . . . . . . . . . . . . . . . . . . .46570Perkiomen Valley . . . . . . . . . . . . . . .46610Pottsgrove . . . . . . . . . . . . . . . . . . . .46630Pottstown . . . . . . . . . . . . . . . . . . . . .46640Souderton Area . . . . . . . . . . . . . . . .46710Springfield Township . . . . . . . . . . . .46720Spring-Ford Area . . . . . . . . . . . . . . .46730Upper Dublin . . . . . . . . . . . . . . . . . .46830Upper Merion Area . . . . . . . . . . . . .46840Upper Moreland Township . . . . . . . .46850Upper Perkiomen . . . . . . . . . . . . . . .46860Wissahickon . . . . . . . . . . . . . . . . . . .46930

MONTOURDanville Area . . . . . . . . . . . . . . . . . .47180Warrior Run . . . . . . . . . . . . . . . . . . .49800

NORTHAMPTONBangor Area . . . . . . . . . . . . . . . . . . .48080Bethlehem Area . . . . . . . . . . . . . . . .48100Catasauqua Area . . . . . . . . . . . . . . .39130

Easton Area . . . . . . . . . . . . . . . . . . .48330Nazareth Area . . . . . . . . . . . . . . . . .48480Northampton Area . . . . . . . . . . . . . .48490Northern Lehigh . . . . . . . . . . . . . . . .39450Pen Argyl Area . . . . . . . . . . . . . . . . .48560Saucon Valley . . . . . . . . . . . . . . . . .48600Wilson Area . . . . . . . . . . . . . . . . . . .48860

NORTHUMBERLANDDanville Area . . . . . . . . . . . . . . . . . .47180Line Mountain . . . . . . . . . . . . . . . . .49350Milton Area . . . . . . . . . . . . . . . . . . . .49500Mount Carmel Area . . . . . . . . . . . . .49510Shamokin Area . . . . . . . . . . . . . . . .49650Shikellamy . . . . . . . . . . . . . . . . . . . .49660Southern Columbia Area . . . . . . . . .19750Warrior Run . . . . . . . . . . . . . . . . . . .49800

PERRYFannett-Metal . . . . . . . . . . . . . . . . . .28200Greenwood . . . . . . . . . . . . . . . . . . .50300Newport . . . . . . . . . . . . . . . . . . . . . .50400Susquenita . . . . . . . . . . . . . . . . . . . .50600West Perry . . . . . . . . . . . . . . . . . . . .50800

PHILADELPHIAPhiladelphia City . . . . . . . . . . . . . . .51500

PIKEDelaware Valley . . . . . . . . . . . . . . . .52200East Stroudsburg Area . . . . . . . . . .45200Wallenpaupack Area . . . . . . . . . . . .64830

POTTERAustin Area . . . . . . . . . . . . . . . . . . .53030Coudersport Area . . . . . . . . . . . . . . .53130Galeton Area . . . . . . . . . . . . . . . . . .53280Keystone Central . . . . . . . . . . . . . . .18360Northern Potter . . . . . . . . . . . . . . . .53550Oswayo Valley . . . . . . . . . . . . . . . . .53750Port Allegany . . . . . . . . . . . . . . . . . .42630

SCHUYLKILLBlue Mountain . . . . . . . . . . . . . . . . .54080Hazleton Area . . . . . . . . . . . . . . . . .40330Mahanoy Area . . . . . . . . . . . . . . . . .54450Minersville Area . . . . . . . . . . . . . . . .54470North Schuylkill . . . . . . . . . . . . . . . .54500Panther Valley . . . . . . . . . . . . . . . . .13660Pine Grove Area . . . . . . . . . . . . . . .54600Pottsville Area . . . . . . . . . . . . . . . . .54610Saint Clair Area . . . . . . . . . . . . . . . .54680Shenandoah Valley . . . . . . . . . . . . .54720Schuylkill Haven Area . . . . . . . . . . .54730Tamaqua Area . . . . . . . . . . . . . . . . .54760Tri-Valley . . . . . . . . . . . . . . . . . . . . .54780Williams Valley . . . . . . . . . . . . . . . .54880

SNYDERMidd-West . . . . . . . . . . . . . . . . . . . .55500Selinsgrove Area . . . . . . . . . . . . . . .55710

SOMERSETBerlin Brothersvalley . . . . . . . . . . . .56100Conemaugh Township Area . . . . . . .56180Meyersdale Area . . . . . . . . . . . . . . .56520North Star . . . . . . . . . . . . . . . . . . . .56550Rockwood Area . . . . . . . . . . . . . . . .56630Salisbury-Elk Lick . . . . . . . . . . . . . .56700Shade-Central City . . . . . . . . . . . . .56720Shanksville-Stonycreek . . . . . . . . . .56740Somerset Area . . . . . . . . . . . . . . . . .56770Turkeyfoot Valley Area . . . . . . . . . . .56840Windber Area . . . . . . . . . . . . . . . . . .56910

SULLIVANSullivan County . . . . . . . . . . . . . . . .57630

SUSQUEHANNABlue Ridge . . . . . . . . . . . . . . . . . . . .58100Elk Lake . . . . . . . . . . . . . . . . . . . . . .58250Forest City Regional . . . . . . . . . . . .58300Montrose Area . . . . . . . . . . . . . . . . .58450Mountain View . . . . . . . . . . . . . . . . .58460Susquehanna Community . . . . . . . .58650

TIOGACanton Area . . . . . . . . . . . . . . . . . . .08100Galeton Area . . . . . . . . . . . . . . . . . .53280Northern Tioga . . . . . . . . . . . . . . . . .59600Southern Tioga . . . . . . . . . . . . . . . .59700Wellsboro Area . . . . . . . . . . . . . . . .59850

PA SCHOOL DISTRICTS & CODES BY COUNTY

CUSTOMER SERVICES AND ASSISTANCE


www.revenue.pa.gov• Property Tax/Rent Rebate applicants may now check

the status of rebates online through the Revenuee-Services center, as well as by phone. To use theonline application, each applicant must enter his/herSocial Security number, date of birth and the amount ofthe rebate requested.

• If you have Internet access, you can find answers tocommonly asked questions by using the department’sOnline Customer Service Center. Use the Find anAnswer feature to search the database of commonlyasked questions. If you do not find your answer in thisarea, you can submit your question to a customerservice representative.

Property Tax/Rent Rebate Taxpayer Service andInformation Center• Call 1-888-222-9190 for personal assistance during

normal business hours, 7:30 a.m. to 5 p.m.

1-888-PATAXESTouch-tone service is required for this automated 24-hourtoll-free line. Call to order forms or check the status of apersonal income tax account, corporation tax account orproperty tax/rent rebate. Harrisburg-area residents maycall 717-425-2533.

Services for Taxpayers with Special Hearing and/orSpeaking Needs: 1-800-447-3020 (TTY)

To obtain forms, visit a Revenue district office or use oneof the following services:

Internet: www.revenue.pa.govForms, brochures, and other information are available onthe department’s website. If you do not have Internetaccess, visit your local public library.

Email Requests for Forms: [email protected] 24-hour Forms Ordering Message Service:1-800-362-2050.

• This line serves taxpayers without touch-tone telephoneservice.

Written Requests: PA DEPARTMENT OF REVENUE TAX FORMS SERVICE UNIT 1854 BROOKWOOD STREET HARRISBURG PA 17104-2244

Free Preparation AssistanceYou can receive free assistance in preparing your PropertyTax/Rent Rebate form through the Volunteer Income TaxAssistance (VITA) and Tax Counseling for the Elderly(TCE) programs. Visit the department’s website or contactthe nearest Revenue district office for information.Revenue District OfficesIf you need assistance preparing your claim form or havequestions, please contact your local Department ofRevenue 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 advocatefor the interests of older Pennsylvanians at all levels ofgovernment since 1978. Information on the followingprograms and services can be found on its website.Area Agencies on AgingEach Area Agency on Aging has trained staff available toanswer questions and make referrals to other agencies inthe community that provide the specific services neededby the individual. Refer to the government pages of yourlocal phone directory to find the Area Agency on Agingoffice nearest you.PACE, PACENET and PACE Plus Medicare(1-800-225-7223)PACE, PACENET and PACE Plus Medicare arePennsylvania’s prescription assistance programs for olderadults, offering low-cost prescription medication toqualified residents age 65 and older. Long-Term Care Services (1-866-286-3636)This program, administered by the Department of HumanServices and funded by the Pennsylvania Lottery and fed-eral Medical Assistance money, provides nursing facilityand home- and community-based services to qualifyinglow-income seniors and individuals with disabilities.Free and Reduced-Fare TransportationThe Department of Transportation distributes Lotteryfunding to local transit authorities to provide free andreduced-fare mass transit for older residents. Contact yourlocal transit authority for more information.APPRISE (1-800-783-7067)APPRISE is a free health insurance counseling programdesigned to help older Pennsylvanians with Medicare.Counselors are specially trained volunteers who cananswer your questions about Medicare and provide youwith objective, easy-to-understand information aboutMedicare, Medicare Supplemental Insurance, Medicaidand 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 statewideelder abuse hotline toll-free, 24 hours a day.

OTHER PROGRAMS AND SERVICES

FORMS ORDERING SERVICES

TELEPHONE SERVICES

ONLINE SERVICES

NOTE: Please call ahead to verify a district office’s address and its services or visit the department’swebsite 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 19www.revenue.pa.gov

ALLENTOWNSTE 6555 UNION BLVDALLENTOWN PA 18109-3389610-861-2000

ERIE448 W 11TH STERIE PA 16501-1501814-871-4491

GREENSBURGSECOND FL15 W THIRD STGREENSBURG PA 15601-3003724-832-5283

HARRISBURG LOBBY STRAWBERRY SQ HARRISBURG PA 17128-0101717-783-1405

NORRISTOWNSECOND FL STONY CREEK OFFICE CENTER151 W MARSHALL STNORRISTOWN PA 19401-4739610-270-1780

PHILADELPHIASTE 204A110 N 8TH STPHILADELPHIA PA 19107-2412215-560-2056

PHILADELPHIA ACDMY PLZ SHPG CTR3240 RED LION RDPHILADELPHIA PA 19114-1109215-821-1860

PITTSBURGH - DOWNTOWN411 7TH AVE - ROOM 420PITTSBURGH PA 15219-1905412-565-7540

PITTSBURGH - GREENTREE11 PARKWAY CTR STE 175875 GREENTREE RDPITTSBURGH PA 15220-3623412-929-0614

READINGSTE 239625 CHERRY STREADING PA 19602-1186610-378-4401

SCRANTONRM 207 BANK TOWERS207 WYOMING AVESCRANTON PA 18503-1427570-963-4585

SUNBURY535 CHESTNUT STSUNBURY PA 17801-2834570-988-5520

ERIE

GREENSBURG

PITTSBURGHHARRISBURG

SUNBURY

SCRANTON

ALLENTOWN

READING

PHILADELPHIA

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My Fellow Pennsylvanians:

The Property Tax/Rent Rebate program provides rebates up to $975 each year to hundreds ofthousands 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 isthe only lottery in the nation that devotes all proceeds to programs that benefit older residents.Since its inception, the Lottery has contributed nearly $28 billion to programs that have grown toinclude 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 and the52 Area Agencies on Aging that serve all 67 counties, as well as hundreds of full- and part-timesenior community centers across the state.

All of these programs and services are part of Pennsylvania’s commitment to ensuring healthier,happier lives for its 2.9 million older residents. In fiscal year 2015-16, every day, the Lotteryhelped to provide older adults with nearly 20,700 prescriptions, more than 24,000 meals, over105,000 rides, and more than $834,000 in care services – all adding up to more than $1 billionin 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 afriend, neighbor or family member may qualify for a rebate, tell them about the program. I donot 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

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PENNSYLVANIA or RENT REBATE PROGRAM 2017 · 2018. 1. 30. · 2017 PROPERTY TAX or PA-1000 Booklet...

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