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When it comes to understanding tenant rights and financial benefits, the Vermont Landlord's Certificate, form LC-142, plays a fundamental role. This crucial document serves as a linchpin for renters seeking to claim either a Renter Rebate Claim or a Property Tax Adjustment Claim, touching upon various important aspects related to their rented dwelling. Designed to be filled out by landlords, it encompasses detailed information about the rental unit, including the owner’s name, the rental location, and the specific characteristics of the property such as the type of rental unit, items included in the rent like heat and electricity, and the total rent paid by the tenant. Furthermore, it takes into account the financial adjustments eligible for rebates, clearly marking instructions for both subsidized and nonsubsidized rents. On the flip side, it also mentions consequences for landlords who fail to provide this certificate timely or accurately, stressing the importance of this form in ensuring transparent and fair communication between landlords and tenants. Additionally, specific provisions are outlined for different types of residences, including mobile homes and nursing or community care homes, indicating a broad applicability and significance of this form in various housing situations across Vermont. With a clear nod to both legal compliance and financial benefits, the LC-142 form emerges as an essential document, guiding the process of claiming rent-related rebates and adjustments in the state.

Preview - Lc 142 Form

 

 

Vermont Department of Taxes

 

 

 

 

 

 

*1914211WW*

 

 

 

 

FORM LC-142

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VERMONT LANDLORD CERTIFICATE

 

 

 

 

 

 

* 1 9 1 4 2 1 1 W W *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAIMANT: Remember to enter your Social Security Number when you file the rebate claim.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Claimant’s Last Name

 

 

 

 

First Name

 

 

 

 

 

 

MI

Claimant’s Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section A: Landlord and Rental Unit Information (Please complete all fields)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Owner or Landlord

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Landlord’s Mailing Address

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

State

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location of Rental Unit (number, street/road name)

 

 

 

 

 

 

 

Unit Number

SPAN (from property tax bill)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Units

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

in this Building

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rental Unit is

 

 

 

 

 

 

Lot for

 

 

Boarding

 

 

Nursing

 

 

 

Assisted Living /

 

(check one)

 

Apartment

 

House

 

 

 

 

 

 

 

 

 

 

 

 

Mobile Home

 

 

Home

 

 

Home

 

 

 

Community Care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Items Included in Rent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(check all that apply)

 

Heat

 

Furnishing

 

Electricity

 

 

Personal Care

 

 

Other Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tenant #1 Last Name

 

 

First Name

 

 

 

Tenant #2 Last Name

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tenant #3 Last Name

 

 

First Name

 

 

 

Tenant #4 Last Name

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section B: Allocable Rent

 

E-FILE CERTIFICATE NUMBER

 

 

 

-

 

 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . .

______________________________

1.

Calendar year

1A. __________

Number of months rented. . . .

1B. ___________

 

 

 

2.

Monthly rental amount charged

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . .2.

___________________.00

3.

Total rent paid for calendar year listed on Line 1a

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . .3.

___________________.00

4.

Less dollar values of items above that were included in rent (heat, electricity, etc.)

. . . . . . . . . . . . . . . . . . . . .

. 4.

___________________.00

5.

Adjusted rent paid for calendar year listed on Line 1a (Line 3 minus Line 4)

. . . . . . . . . . . . . . . . . . . .

5.

___________________.00

6.

For government subsidized rent, enter percent tenant pays. For nonsubsidized rent, enter 100.00%

. . . . .6.

___________ ._______%

7.

Rent paid during calendar year solely for the right of occupancy (Multiply Line 5 by Line 6)

7.

___________________.00

8.

Rental adjustment . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . .8.

21.00

%

 

 

 

 

_______

 

9.

ALLOCABLE RENT (Multiply Line 7 by Line 8)

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . .9.

___________________.00

 

RENTERS: Enter on Form PR-141, Vermont Renter Rebate Claim, Line 3

 

 

 

 

 

MOBILE HOME OWNERS: Enter on Form HS-122, Homestead Declaration and Property Tax Credit Claim, Line B10.

 

Section C: Signature

I certify the rental information on this Landlord Certificate is, to the best of my knowledge and belief, true, correct, and complete.

Signature of landlord or authorized representative

Date (MMDDYYYY)

Daytime Telephone Number

Form LC-142 Rev. 10/19

File Overview

Fact Detail
Form Name LC-142, Landlord's Certificate Form
Purpose Used to attach with Renter Rebate Claim or Property Tax Adjustment Claim
Required Information Claimant and Landlord information, rental unit details, rent amount, and allocable rent
Sections Section A: Landlord and Rental Unit Information, Section B: Allocable Rent
Issuance Deadline By January 31st for landlords with 2 or more residential units; upon request for landlords with 1 rental unit
Penalty $200 per certificate penalty for failure to provide a certificate or providing inaccurate information
Exemption Non-profit mobile home parks owned by cooperative or tenant/owners do not issue a certificate
Rent Eligible for Rebate Only the rent paid for the right of occupancy minus any rent attributable to items listed in Line 6
Nursing Homes/Facilities Policy Payments by Medicaid on behalf of the tenant cannot be included as rent eligible for rebate
Governing Laws Vermont state laws regarding landlord and tenant relations, property tax adjustments, and renter rebates

Lc 142: Usage Guidelines

Completing the Landlord’s Certificate, known as Form LC-142, is a critical step for both landlords and tenants in Vermont. This form plays an integral role in the renter rebate claim process, ensuring that tenants can accurately report their rent payments for tax adjustment or rebate purposes. It contains details about the property, rental period, and the rent paid, including any subsidies or items included in the rent. Landlords are required to provide this completed certificate to their tenants, ensuring they have the necessary documentation to file their claim. Here’s a step-by-step guide to help landlords fill out the Form LC-142 accurately.

  1. Claimant Information: Leave the space for the Claimant’s Social Security Number blank; the tenant will fill this out when attaching it to their rebate claim.
  2. Section A - Landlord and Rental Unit Information:
    • For Line 1, enter the full name of the owner or owners of the rental property. If space is insufficient, attach an additional sheet. Include the complete mailing address for correspondence regarding this rental unit.
    • In Line 2, indicate the physical location of the rental unit, specifying the number, street, or road name, along with the city or town.
    • On Line 3, input the School Parcel Account Number (SPAN), which can be found on the property tax bill.
    • For Line 4, state the total number of rental units in the property. If the property is a mobile home park, mention the number of lots instead.
    • Check the appropriate box on Line 5 to describe the type of rental unit.
    • In Line 6, tick all the items that are included in the rent, such as heat, electricity, etc.
    • Line 7 requires the names of the renters for this unit during the indicated period. If there are multiple tenants, separate their names with a comma.
  3. Section B - Allocable Rent:
    • Enter the relevant calendar year on Line 8a.
    • On Line 8b, specify the number of months the unit was rented in that calendar year.
    • Fill in the monthly rental amount on Line 9. If the rent varied throughout the year, calculate the average monthly rent.
    • Line 10 requires the total rent paid for the calendar year. Exclude any deposits or rent covered by Medicare.
    • For Line 11, deduct the dollar value of any included items in rent, as indicated in Line 6, from the total rent.
    • Line 13 asks for the percentage of rent paid by the tenant if the rent is subsidized. If unsubsidized, enter 100.00%.
  4. Rent Paid Calculation: Compute the rent paid during the calendar year solely for the right of occupancy by multiplying Line 12 by Line 13, and enter the result on Line 14. Then, calculate and enter the allocable rent on Line 16, which will be used on Form PR-141, Line 3, or for mobile home lot rent on the Property Tax Adjustment Claim.
  5. The landlord or authorized representative must sign the form, including their name, the date, and a daytime telephone number for any queries.

Once completed, the original Form LC-142 must be handed to the tenant or mailed to their last known address. Landlords should keep a copy for their records. Issuing this certificate by the January 31 deadline is crucial to avoid penalties and ensure tenants can apply for their renter rebate. Should you need help or additional information, assistance is available through provided phone numbers and fax. Remember, this certificate not only fulfills legal obligations but also supports tenants in potentially securing a renter rebate.

Your Questions, Answered

  1. What is an LC-142 form and who should fill it out?

    The LC-142 form, or Landlord's Certificate, is a critical document for Vermont tenants wishing to claim a renter rebate or a property tax adjustment. Landlords are required to complete and issue this form to their tenants annually, providing detailed information about the rental unit, the rent paid, and any services included in the rent. It's essential for both landlords, to meet their obligations, and renters, to benefit from potential rebates.

  2. When are landlords required to issue the LC-142 form?

    Landlords must issue the LC-142 form to their tenants by January 31st of each year if they own two or more residential units. For landlords with a single residential unit, they are required to issue the certificate upon the tenant's request. Not adhering to this timeline can result in penalties, emphasizing the importance of timely compliance.

  3. What penalties can occur for failing to provide the LC-142 form?

    Failure to provide tenants with a correctly completed LC-142 form can result in a $200 penalty per certificate. Ensuring accuracy and prompt issuance of this form is crucial for landlords to avoid these penalties and fulfill their legal obligations.

  4. What should a landlord do if a tenant moves out before the end of the year?

    If a tenant vacates a rental unit before the year ends, the landlord is responsible for providing them with a completed LC-142 form either at the time of moving or by mailing it to their new or last known address by the January 31st deadline. This ensures that all tenants have the opportunity to claim their renter rebate, regardless of any changes in their living situation within the calendar year.

  5. What if my rental payment includes items like heat or electricity? How does this affect the LC-142 form?

    When completing the LC-142 form, landlords must check off any items included in the rent, such as heat, electricity, or other services. The dollar value of these services must then be deducted from the total rent paid to accurately determine the rent eligible for rebate, as only the portion of rent paid for the right of occupancy counts towards this amount.

  6. What should I do if I am a tenant and my landlord does not provide me with the LC-142 form?

    If you're a tenant and your landlord fails to provide you with the LC-142 form, you have a support mechanism in place. You can contact the designated helpline for assistance and further instructions on how to proceed with your renter rebate claim, ensuring you still have the opportunity to claim your rebate regardless of your landlord's actions.

  7. Are payments by Medicaid for nursing home or similar accommodations included in the rent eligible for rebate?

    No, payments made by Medicaid on behalf of a tenant cannot be included in the rent eligible for a rebate on the LC-142 form. The form is designed to capture only the rent paid directly by the tenant or on their behalf by entities other than Medicaid for the right of occupancy, ensuring the rebate calculation is based on the tenant's own expenses.

  8. Is there assistance available for completing the LC-142 form?

    Yes, there is assistance available for those needing help with the LC-142 form. Landlords or tenants seeking guidance can use the provided phone numbers to reach out for support, ensuring that everyone can accurately complete and submit the required documentation for renter rebates and property tax adjustments.

Common mistakes

Filling out the LC 142 form correctly is crucial for tenants to ensure they accurately report rental information and qualify for any eligible rebates. However, some common mistakes can lead to issues or delays. Here are seven common mistakes people make when completing the form:

  1. Not providing a complete landlord and rental unit information: It's essential to fill out every detail in Section A, including the landlord's name, address, and the rental unit's specific location. Missing any of these details can invalidate the form.

  2. Incorrectly entering the SPAN (School Parcel Account Number): This number must match the property tax bill exactly. Any discrepancies can lead to difficulties in processing the form or in the calculation of the rebate.

  3. Failing to accurately report the number of rental units: If the building has multiple units, including apartments or mobile home lots, this number must be accurately reported to avoid issues with the rebate amount.

  4. Omitting items included in rent: Section A6 asks for specifics about what is included in the rent, such as heat, electricity, and other services. Failing to check these or improperly allocating their cost can impact the rent calculation for rebate purposes.

  5. Not correctly listing the names of all tenants: For a unit with multiple tenants, not listing everyone can cause complications, especially if more than one tenant applies for a rebate. Each tenant's name must be included as written in their agreement.

  6. Incorrect calculation of rent paid: It's vital to accurately calculate both the total rent paid over the calendar year and the adjusted rent after subtracting any items included in the rent. Mistakes here can directly affect the rebate amount.

  7. Forgetting to sign and date the form: The landlord or authorized representative's signature is required to verify the accuracy of the information provided. An unsigned form is not valid and will not be processed.

Avoiding these mistakes is key to ensuring that the LC 142 form is correctly filled out and processed without delays. If you encounter difficulties or have questions, assistance is available through the provided phone numbers. Accurate completion allows tenants to claim their rightful rebates efficiently.

Documents used along the form

Filing the Vermont Landlord's Certificate Form LC-142 is a significant step for renters and landlords alike in ensuring the proper allocation and rebate of rent and property taxes. Yet, it's important not only to fill out this form accurately but also to be aware of several other documents that might complement or be required alongside the LC-142 form. Understanding these documents will help streamline the process, ensuring all necessary information and compliance requirements are met efficiently.

  • Renter Rebate Claim (Form PR-141): This form is necessary for renters looking to file a claim for a rebate on the rent they have paid throughout the year. It's directly connected to the information provided in Form LC-142, utilizing allocable rent figures to calculate potential rebates.
  • Property Tax Adjustment Claim: Homeowners who are applying for a property tax adjustment to reduce their property tax burden will find this form indispensable. While it’s not directly used by renters, the information from Form LC-142 is crucial when a landlord needs to provide details for tenants living in qualifying mobile homes.
  • Homestead Declaration and Property Tax Credit Claim (Form HS-122): This form serves dual purposes; as a homestead declaration to inform the state about a property being the primary residence and as a claim form for property tax credit. Landlords might need to reference it when filling out the LC-142 to ensure consistency in property identification.
  • Income Tax Returns: While not a form directly associated with the LC-142, both landlords and tenants should be aware of how rent and rental rebates might influence their income tax returns. Renters must report any rebates received as income, whereas landlords must correctly report the income received from rental properties.

Efficient handling of these forms and documents, in concert with Form LC-142, not only ensures compliance with Vermont's tax laws but also maximizes the potential benefits for both landlords and tenants. Creating a checklist of these forms at the beginning of the tax season can simplify what might otherwise be an overwhelming process. Proper preparation, coupled with a clear understanding of the requirements and benefits each form provides, lays a sturdy foundation for navigating the complexities of property tax and rebate filings.

Similar forms

The Form 1040, issued by the IRS for individual tax filing, shares similarities with the LC-142 form in that both require detailed financial information from the individual related to their income or housing situation. The Form 1040 collects comprehensive income details, deductions, and tax credits to assess federal tax liability. Likewise, the LC-142 form gathers rent and utility data pertinent to a renter rebate claim, reflecting an individual's spending on housing to determine rebate eligibility.

The W-9 Form, Request for Taxpayer Identification Number and Certification, and the LC-142 form are connected by their requirement for taxpayer identification information for formal processing. The W-9 is used by financial institutions and businesses to obtain correct taxpayer identification numbers to report income, while the LC-142 form requires the claimant's Social Security Number to ensure accurate assignment and processing of renter rebates based on rental information provided.

HUD’s Section 8 Voucher Program Application aligns with the LC-142 form in the context of housing assistance and affordability. Both documents are instrumental in assessing an individual's financial ability concerning housing - the Section 8 application evaluates eligibility for rent subsidy based on income, while the LC-142 form determines renter rebate eligibility through rent paid and utility inclusion in rent.

The Schedule E (Form 1040), used for reporting income from rental properties, parallels the LC-142 form as both involve documentation related to rental income and expenses. Schedule E outlines income, expenses, and depreciation for rental real estate, similar to how the LC-142 form records details about rent paid, including utilities and adjustments for a tenant's rebate claim.

The Property Tax Adjustment Claim form, used in Vermont, and the LC-142 form are similar as both deal with housing costs and offer financial relief based on those costs. The Property Tax Adjustment form is used by homeowners for property tax relief, while the LC-142 form is aimed at renters, allowing them to claim a rebate based on the rent paid, including details about utilities provided as part of the rental agreement.

Forms related to applying for state or federal housing assistance, such as LIHEAP (Low Income Home Energy Assistance Program) applications that help with utility costs, also share a common purpose with the LC-142 form. Both types of documents are designed to provide financial relief to individuals struggling with housing-related expenses. LIHEAP focuses on assisting with energy bills, while the LC-142 form calculates a renter's rebate that includes utilities in the rental cost.

The Rental Application forms, commonly used by landlords to screen potential tenants, and the LC-142 form serve distinct functions but are both integral to rental housing processes. While a rental application collects personal information, rental history, and references to determine eligibility for tenancy, the LC-142 form captures specific details about the rental for rebate claims, including rent paid and the renter's Social Security Number.

Lastly, the Certificate of Rent Paid (CRP) form, which landlords in some states provide to tenants for tax credit claims against rent paid, bears resemblance to the VT Landlord's Certificate form LC-142. Both forms provide a formal record of rent paid over a specified period and are necessary for tenants to claim respective rebates or credits on their annual tax returns, reflecting their financial investment in housing.

Dos and Don'ts

When it comes to filling out the Vermont Landlord’s Certificate, Form LC-142, it's crucial to approach this task with care and attention to ensure accuracy and compliance. Here are important dos and don'ts to guide you through the process:

Dos:

  1. Ensure the tenant's Social Security Number is accurately entered when they file their rebate claim, though it's added after the certificate is complete.
  2. Accurately fill out the landlord's name and complete mailing address to avoid issues with correspondence.
  3. Specify the exact location of the rental unit, including the apartment or lot number, as clarity is key to proper processing.
  4. Check all applicable boxes that describe items included in the rent, such as heat or electricity, and make sure to list these items accurately.
  5. Provide the total amount of rent paid during the calendar year, excluding any deposit or rent covered by Medicare on behalf of the tenant.
  6. Calculate the adjusted rent paid, taking into account the dollar value of items included in the rent, to ensure accurate rebate claims.
  7. Sign and date the certificate as the landlord or the authorized representative to validate the form.

Don'ts:

  1. Do not leave the Social Security Number field on the claimant information section empty.
  2. Avoid vague descriptions of the rental unit’s location; be as specific as possible.
  3. Do not forget to include the SPAN from the property tax bill, as this is crucial for identification.
  4. Do not check boxes for items included in rent if they are not truly part of the rental agreement.
  5. Avoid inaccuracies in listing the number of months the unit was rented; ensure it reflects the actual period.
  6. Do not estimate the rent without considering changes in rent amounts or the inclusion of services.
  7. Avoid signing the certificate without reviewing all information for accuracy and completeness.

Taking these steps will not only simplify the filing process but also help in ensuring that tenants can successfully claim their renter rebate without unnecessary delays or complications. It's about making sure every detail is accurate and every box is checked correctly.

Misconceptions

When discussing the Vermont Landlord’s Certificate Form LC-142, numerous misconceptions can arise, leading to confusion among both landlords and tenants. Understanding these misconceptions is crucial for accurate compliance and benefit realization.

  • Misconception 1: Social Security Numbers should be filled out by landlords on Form LC-142. Reality: The social security number is filled out by the tenant, not the landlord, after the certificate is complete.

  • Misconception 2: The form is only necessary for tenants applying for a property tax adjustment claim. Reality: Form LC-142 must be attached not only to Property Tax Adjustment Claims but also to Renter Rebate Claims.

  • Misconception 3: Landlords do not need to issue the form for mobile home lot rentals in non-profit parks owned by a cooperative or tenant/owners. Reality: In such cases, a landlord certificate is not issued; instead, a letter allocating property tax assessed on the lot is provided by the park.

  • Misconception 4: Every tenant in a rental unit needs their own LC-142 form. Reality: Only one certificate per rental unit is issued, even if multiple tenants share the space.

  • Misconception 5: Failure to provide a certificate has no real consequence. Reality: Landlords may face a $200 per certificate penalty for not providing a certificate or for providing inaccurate information.

  • Misconception 6: The form is complicated and requires professional help to complete. Reality: Assistance to complete the form is readily available via phone, with services both toll-free within Vermont and local or out-of-state, making it approachable for landlords to fulfill its requirements without necessarily needing professional aid.

  • Misconception 7: Deposits should be included in the total rent paid section of the form. Reality: Deposits are not considered part of the rent paid and should not be included in the total rent paid for the calendar year.

  • Misconception 8: The form only accounts for monetary transactions in the rent paid section. Reality: For government-subsidized rent, the portion paid by the tenant is used, and for non-subsidized rent, 100% of the rent qualifies for entry on the form.

  • Misconception 9: The landlord’s signature is optional. Reality: The certificate must be signed by the landlord or an authorized representative to certify the accuracy of the provided information.

Rectifying these misconceptions ensures that both landlords and tenants are better equipped to utilize Form LC-142 correctly, promoting compliance and facilitating the renter rebate and property tax adjustment claim processes effectively.

Key takeaways

When dealing with the LC-142 form, which is essential for Vermont renters seeking a rebate, understanding the following key takeaways will ensure that the process is completed accurately and efficiently:

  • Ensure the Social Security Number is entered by the claimant after the certificate is completely filled out, to comply with identification requirements.
  • Landlords must issue these certificates to their tenants by January 31st if they own two or more residential units, or upon request if they own just one.
  • If a tenant moves out before the year's end, landlords are obligated to provide the certificate either when the tenant leaves or mail it to their new or last known address by the specified deadline.
  • Failure to issue an LC-142 form can result in a $200 per certificate penalty for landlords, emphasizing the importance of compliance.
  • Mobile homes and lots have distinct rules; non-profit mobile home parks owned by cooperative or tenant/owners do not issue a landlord certificate for lot rent but instead provide a letter allocating the property tax assessed on the lot.
  • For other mobile home lot rents, a landlord certificate must be issued for the lot rent to comply with regulations.
  • Eligible rent for rebate calculation excludes any rent paid that includes charges for items listed under Line 6 (such as heat, electricity, etc.), which should not be counted towards the rent paid solely for occupancy.
  • Nursing homes, community care, and similar facility payments made by Medicaid on behalf of a tenant cannot be included as part of rent eligible for rebate.
  • Accurate completion of the LC-142 form requires the landlord or their authorized representative to enter information on the property owner, the rental unit(s), and the rent paid, including any allocations for included items or subsidies.
  • The landlord or authorized representative must sign the completed form before issuing it to the tenant, retaining a copy for their records.

These guidelines help ensure that the LC-142 form is filled out correctly and that both landlords and tenants understand their responsibilities and rights regarding the renter rebate claim process in Vermont.

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