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Get IA DoR 54-130 2018

RMATION: Complete the Statement of Rent Paid if you lived in more than one place. 16. Did you live in a Nursing Home or Care Facility? If yes, report Title 19 benefits on line 6. Yes No 17. Rental Address. (The location where you lived must be subject to property tax. You are not eligible for rent reimbursement if the location or nursing home was not subject to property tax.) Dates you rented in 2018 (MMDDYY): from to Total Iowa rent you paid at this location.

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