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Get MO MO-CRP 2020

Reset Form Print Form One Form MO-CRP must be provided for each rental location in which you resided. Form MO-CRP Missouri Department of Revenue 2018 Certification of Rent Paid Failure to provide landlord information will result in denial or delay of your claim. Spouse s Social Security Number 1. Social Security Number - Select this box if related to your landlord. If so explain* 2. Name First Last Physical Address of Rental Unit P. O. Box Not Allowed Apartment Number City State ZIP Code 3. Landlord s Name First Last Landlord s Last 4 Digits of Social Security Number Landlord s Federal Employee Identification Number FEIN - if applicable Landlord s Street Address Must be completed 4. Landlord s Phone Number Must be completed From 5. Rental Period During Year MM/DD/YY To MM/DD/YY 6. Enter your gross rent paid* Attach a completed Verification of Rent Paid Form 5674. If you received housing assistance enter the amount of rent you paid* Note If you rent from a facility that does not pay property tax you are not eligible for a Property Tax Credit. 7. Select the appropriate box below and enter the corresponding percentage on Line 7. A. Apartment House Mobile Home or Duplex - 100 F* Low Income Housing - 100 Rent cannot exceed 40 of total household income. B. Mobile Home Lot - 100 G* Shared Residence If you shared your rent with relatives or friends other than your spouse or children under 18 select the appropriate box based on the additional persons sharing rent C. Boarding Home or Residential Care - 50 D. Skilled or Intermediate Care Nursing Home - 45 E* Hotel - 100 if meals are included - 50 8. Net rent paid - Multiply Line 6 by the percentage on Line 7. 9. Multiply Line 8 by 20. Enter amount here and on Line 10 of Form MO-PTC or Line 12 of Form MO-PTS. For Privacy Notice see instructions. Taxation Division Attach to Form MO-PTC or MO-PTS and mail to the Missouri Department of Revenue. Social Security Number - Select this box if related to your landlord. If so explain* 2. Name First Last Physical Address of Rental Unit P. O. Box Not Allowed Apartment Number City State ZIP Code 3. Landlord s Name First Last Landlord s Last 4 Digits of Social Security Number Landlord s Federal Employee Identification Number FEIN - if applicable Landlord s Street Address Must be completed 4. O. Box Not Allowed Apartment Number City State ZIP Code 3. Landlord s Name First Last Landlord s Last 4 Digits of Social Security Number Landlord s Federal Employee Identification Number FEIN - if applicable Landlord s Street Address Must be completed 4. Landlord s Phone Number Must be completed From 5. Rental Period During Year MM/DD/YY To MM/DD/YY 6. Landlord s Phone Number Must be completed From 5. Rental Period During Year MM/DD/YY To MM/DD/YY 6. Enter your gross rent paid* Attach a completed Verification of Rent Paid Form 5674. If you received housing assistance enter the amount of rent you paid* Note If you rent from a facility that does not pay property tax you are not eligible for a Property Tax Credit.

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