1. Renters Rebate Program State of Connecticut

2. Purpose The rent rebate program provides a onetime yearly payment to renters based on income, rent and utilities that were paid from the previous year (2015) April 1 st 2016 through October 1 st, 2016

3. Requirements for Eligibility All applicant must be: 65 as of 12/31/15 or receiving Social Security Disability benefits and over age 18 Have resided in the State of Connecticut for one full year at some time in your life, and also be a resident of the State at the time of application 2015 income must not exceed $32,200 for a single person, $42,900 for a married couple If you received cash benefits from the Department of Social Services (DSS) your rebate amount may be reduced

4. When and Where can you apply? When: Tuesdays & Thursdays Where: Stamford Government Center building 888 Washington BLVD, 9 TH Floor Time: 8:00 A.M.—11:30 A.M. or 1:00 P.M.—3:30 P.M

5. More info on applying.. Apply at the Stamford Government Center Enter through the garage no earlier than 7:30 A.M. for the morning session Enter no earlier than 12:00 P.M. for the afternoon session Applicants must sign up at the security desk to reserve a slot. There are 15 slots available for the morning session and 10 slots available for the afternoon session. Slots will be given out to applicants on a first come, first serve basis only

6. What should you bring? Proof of all rent paid in 2015 (A copy of your lease is NOT an acceptable proof of rent paid) Twelve (12) Receipts or Canceled Checks proving rent PAID in 2015 or A notarized letter from the landlord showing the gross amount paid for rent in 2015 or A print out from property management showing the amount paid for rent in 2015

7. What else should I bring? Proof of all income for 2015 – Social Security – Railroad pension – Pension income – Interest Statements from the bank – Investments – Wages – Other Income If you received DSS Cash Assistance, your rebate amount may be reduced

8. Other stuff to bring.. Persons on disability must have current proof of disability, i.e., a TPQY from Social Security clearly indicating “Disabled Individual” If you filed an income tax return, we will need a copy to attach to your application Proof of Utilities from 2015 (gas, electric, water, and/or heating oil) Twelve (12) Receipts or canceled Checks proving you paid expenses (gas, electric, oil, water) in 2015 or A printout from the utility company showing total payments in 2015 or Twelve (12) monthly utility bills

9. Stamford Senior/Disabled Housing Outreach Dates You must be a resident of the building in order to be seen at these locations. No exceptions! Wednesday April 13, 2016 Stamford Senior Center 10am-1pm Wednesday April 20, 2015 Augustus Manor 10am-1pm Wednesday May 11, 2016 Willard Manor 10am-1pm Wednesday May 18, 2016 Stamford Manor 10am-1pm Wednesday June 1, 2016 Friendship House 10am-1pm Wednesday June 8, 2016 Eleanor Roosevelt 10am-1pm Wednesday June 15, 2016 Belltown Manor 10am-1pm Wednesday June 22, 2016 Post House Manor 11am-3pm**** Wednesday June 29, 2016 Bell Street Apartments 10 am-1pm Wednesday July 6, 2016 Clinton Manor 10am-1pm Wednesday July 13, 2016 Quintard Terrace 10am-1pm Wednesday July 20, 2016 Colony Apartments 10am-1pm Wednesday July 27, 2016 Wormser Congregate 10am-1pm *Dates are subject to change ****Special Time due to PIES monthly meeting

10. Renters Income and Grant Information – 2015 Benefit Year Filing period April 1 – October 1, 2016 IncomeMaximum CreditMinimum Credit Over ToMarried Single $-0- $17,600$900 $700$400 $300 17,600 23,600700 500300 200 23,600 29,500500 250200 100 29,500 35,200250 150100 50 35,200 42,900150 -0-50 -0- Qualifying Limits

11. Examples of forms

12. 1099-DIV Form Form Sample

13. Utility Payment History

14. TPQY

15. Total SSI benefit for the year

16. 1040 Tax Forms Next three slides are samples which show tax returns with claiming rental from relatives

20. SSI Payment History

21. Full Social Security Letter

22. Full Social Security Letter (contd..)

23. Benefit Letter

24. Annual Social Security Letter

25. 1099-R

26. 1099 Social Security

27. 1099 Interest