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Get IA DoR 54-130 2017

E 15 $22,855 or more? If yes, STOP; YOU DO NOT QUALIFY. , 10. All pensions and annuity income. 54-130a (08/03/2017) Continue on next page 0 .00 2017 Iowa Rent Reimbursement Claim, Page 2 RENTAL INFORMATION: 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.

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