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                                                          2021 Iowa Property Tax Credit Claim 
                                Iowa Code section 425.16 and Iowa Administrative Code chapter 701--73 

Complete the following personal information: 
Your name: __________________________________             Spouse name: ________________________________  
Your Social Security Number: ____________________         Spouse Social Security Number: __________________  
Your birth date (MM/DD/YYYY): __________________          Spouse birth date (MM/DD/YYYY): ________________  
Street address:  _______________________________          City: ________________________________________  
State: __________________ ZIP: _________________          Telephone: ___________________________________  
Answer these questions to determine eligibility: 
1.  Are you currently an Iowa resident? .................................................................................... Yes ☐           No ☐ 
If “No,” stop. No credit is allowed. 
2.  Did you file a Property Tax Credit claim in 2020? ............................................................... Yes ☐                  No ☐ 
3a. Were you age 65 or older as of December 31, 2020? ........................................................ Yes ☐                         No ☐ 
3b. Were you totally disabled and age 18 to 64, as of December 31, 2020? See instructions.. Yes ☐                                            No ☐ 
4.  Were you a resident of a nursing home or care facility during 2020? See instructions ....... Yes ☐                                       No ☐ 
If “Yes,” are you renting out your homestead to someone else? ......................................... Yes ☐                                No ☐ 
5a. Is there more than one owner of your homestead? ............................................................. Yes ☐                      No ☐ 
5b. Do any of the owners live elsewhere? ................................................................................ Yes ☐              No ☐ 
If “Yes,” how many live elsewhere? ....................................................................................  
6.  Was part of your home rented or used for business purposes during 2020? ...................... Yes ☐                                     No ☐ 
If “Yes,” see instructions and enter the percentage here  ______ % 
7.  Was any part of the land in your homestead tract rented during 2020? .............................. Yes ☐                                No ☐ 
If “Yes,” how many acres were used exclusively by you? 
2020 Total household income for the entire year (For you and your spouse).  
Read instructions before completing. .................................................................. Use whole dollars only 
8.  Wages, salaries, unemployment compensation, tips, etc. ..................................                                   ,            .00 
9.  In-kind assistance for housing expense. .............................................................                         ,            .00 
                                                                                                                                ,            .00 
10. Title 19 benefits (excluding medical benefits). ....................................................                     
11. Social Security income (include any Medicare premiums withheld). ...................                                        ,            .00 
                                                                                                                             
12. Disability income. ................................................................................................         ,            .00 
                                                                                                                          
13. All pensions and annuities. .................................................................................               ,            .00 
                                                                                                                          
14. Interest and dividend income. .............................................................................                 ,            .00 
                                                                                                                          
15. Profit from business and/or farming and capital gain. 
If less than zero, enter 0......................................................................................                ,            .00 
16. Money received from others living with you ........................................................                         ,            .00 

17. Other income ......................................................................................................         ,            .00 
18. Total household income. Add amounts from lines 8-17. ...................................                                        ,        .00 

If $24,206.00 or greater, stop. No credit is allowed. 
I, the undersigned, declare under penalties of perjury or false certificate, that I have examined this claim, and, 
to the best of my knowledge and belief, it is true, correct, and complete. 
Your signature: ______________________________________________ Date: ______________________  
Return this form to your county treasurer on or before June 1, 2021, or, if the treasurer has extended the filing 
deadline, on or before September 30, 2021. The Director of Revenue may extend the filing deadline through 
December 31, 2022, for good cause. You may be contacted for additional information.
                                                                                                                                Page 254-001a (10/20/2020)

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                                                          2021 Iowa Property Tax Credit Claim, page 2 

OFFICE USE ONLY           Treasurer’s office will complete this side of form when taxes are ready. 
Claimant name:  ______________________________ Parcel number: _____________________________  

                                Schedule for Rented Homestead Tracts 
Taxable valuation information for the schedule below may be obtained from city or county assessor’s office. 

A.  Number of acres in homestead tract. (From county land records) .................................. A. ____________  
B. Number of acres in homestead tract used exclusively by claimant as reported on  
   line 7. Do not include acres rented or rented on share ................................................... B. ____________ 
C. Taxable value as of January 1, 2020, of land in homestead used exclusively by  
   claimant. Do not include the value of land rented or rented on shares. .......................... C. ____________  
D. Taxable value as of January 1, 2020, of homestead buildings used exclusively by  
   claimant. Do not include the value of rented homestead building. .................................. D. ____________  
E. Total. Add lines C and D ................................................................................................. E. ____________  
F. Tax rate for taxes payable in fiscal year 2021-2022 ........................................................ F. ____________  
G. Multiply line E by line F ................................................................................................... G. ____________  
H. Enter any Agricultural Land Tax Credit and/or Family Farm Tax Credit received on  
   the land valuation as shown on line C ............................................................................. H. ____________  
I. Subtract line H from line G. Enter the amount here. This amount cannot exceed  
   claimant’s gross tax shown on line J below .................................................................... I. _____________  

                                           Credit Computation 
J.  Gross property tax due (include Homestead Credit) during the fiscal year 2021-2022. 
   (See instructions) ....................................................................................................    ,    .00 
                                                                                                               
K. Special assessments ..............................................................................................         ,    .00 
                                                                                                               
L.  Property tax base: If you have an amount on line I, add it to line K. (See instructions.)  
   If no amount on line I, add lines J and K. 
                                                                                                                              ,    .00 
   Enter this amount or $1,000, whichever is less. ...........................................................  
                                                                                                                             
M. Percent of property tax base used in computing credit, from the schedule below...............                                   % 
                                                                                                                               
                          If total household income from line 18, page 1 is: 
                                $      0.00   –   12,469.99, enter 100% 
                                12,470.00   –   13,936.99, enter 85% 
                                13,937.00   –   15,403.99, enter 70% 
                                15,404.00   –   18,337.99, enter 50% 
                                18,338.00   –   21,271.99, enter 35% 
                                21,272.00   –   24,205.99, enter 25% 
                                24,206.00 or greater, no credit is allowed. 
N. Tentative credit: Multiply line L by line M. ............................................................                  ,    .00 
                                                                                                               
O. Homestead Credit applicable to taxes payable in fiscal year 2021-2022. ............                                        ,    .00 
P. Property Tax Credit: Subtract line O from line N. .................................................         
                                                                                                                              ,    .00 
                                                                                                               
                                                                                                                              Page 254-001b (10/02/2020)

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2021 Iowa Property Tax Credit Claim, page 3

2021 Iowa Property Tax Credit Claim Instructions
Who is eligible? Claimant instructions
• Iowa residents. Line 3b: “Totally disabled” means:
• Total household income less than $24,206.00 • You are unable to engage in any substantial
• One of the following applies: gainful employment;
o Age 65 or older by December 31, 2020. • The unemployment is due to a physical or mental
o Totally disabled and age 18 or older by impairment that is:
December 31, 2020. o Medically determined; and
A claim for property tax credit may be filed on behalf o Expected to last 12 months or longer or result
in death.
of a deceased person by the person’s spouse,
Current proof of disability must be included with your
attorney, guardian, or estate executor or
claim. This must be:
administrator. To be eligible the deceased person
• A current statement from the Veteran’s
must have been an Iowa resident at the time of death.
Administration that in 2020 you were receiving a
If two or more persons occupying a home qualify for
disability benefit due to 100% disability, or
a credit, each person may file a claim based on each
•
person’s income and each person’s share of property A copy of the current Social Security
tax due. Married couples are considered one Administration document stating the date the
household, may file only one claim, and must disability began, or
combine their incomes. • A written statement from your doctor noting the
beginning date of disability and whether the
Mobile/Manufactured/Modular Homes disability is permanent or temporary.
A claim for property tax credit may be filed if your
mobile, manufactured, or modular home was Claims without proper documentation will be
assessed as real estate. If your mobile, denied. Proof of disability is not required if you
manufactured, or modular home was not assessed were age 65 or older as of December 31, 2020.
as real estate, you may claim a credit on the property Line 4: Mark “Yes” if you are a resident of a nursing
taxes due on the land where the home is located, if home or care facility. If not, mark “No.” If you are living
you own the land. in a nursing home or care facility, you are eligible for
If your home is subject to the annual tax based on the property tax credit on your homestead if it is not
square footage, you may be eligible for a reduced being rented to someone else. If it is being rented,
square footage tax. Your county treasurer has the you are not eligible to file a property tax credit claim,
details on the Mobile/Manufactured/Modular Home but you may be able to file a rent reimbursement
Reduced Tax Rate Program. claim based upon the rent payment you made to the
nursing home.
Due date
This claim must be filed with your county treasurer on Line 6: Mark “Yes” if part of your home was rented or
or before June 1, 2021. The treasurer may extend the used for business purposes during 2020. If not, mark
filing deadline to September 30, 2021. The Director “No.” If you marked “Yes,” you are entitled to a credit
of Revenue may extend the filing deadline through of property tax due on only that portion of the home
December 31, 2022, for good cause. utilized as the dwelling place by you and your spouse.
Additional information If you answered “Yes”, on line 6, calculate the
The location of your county treasurer can be found at percentage of property tax that is allowable for a
the Iowa Treasurers website: iowatreasurers.org. credit by determining the square footage of the home
that is utilized as the personal dwelling, in proportion
For information about your Social Security benefits, to the square footage of the entire home. Enter this
go to the Social Security Administration website: percentage in the space provided below line 6.
ssa.gov/myaccount.
For example: if the square footage for personal use
is 750, and the total square footage is 1,000, the
percentage is 75% (750 divided by 1,000 equals 75
percent).

54-001c (10/15/2020)

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2021 Iowa Property Tax Credit Claim, page 4

2020 Household income Line 16: Money received from others - Enter
Household income includes your income and your money received from others living with you. Do not
spouse’s income, if living together, and monetary include goods and services received.
contributions received from any other person living Line 17: Other income - Enter total income received
with you. If you and your spouse do not live together, from the following sources:
you may file separate claims. If you received a • Child support and alimony payments.
property tax credit in 2020, do not report this as • Welfare payments. Include Family Investment
income. Income reported for the purpose of this
Program (FIP), children’s Supplemental Security
application may be different than that reported on an
Income (SSI), and all other welfare program cash
income tax return.
payments. Do not include foster grandparents’
Line 8: Wages, salaries, unemployment stipends or non-cash government assistance
compensation, tips, etc. - Enter the total wages, (food, clothing, food stamps, medical supplies,
salaries, unemployment compensation, tips, etc.).
bonuses, and commissions received. • Insurance income not reported elsewhere on this
Line 9: In-kind assistance - Enter any portion of form.
your housing expenses, including utilities, that were • Gambling and all other income not reported
paid for you. Do not enter Federal Energy Assistance. elsewhere on this form.
Line 10: Title 19 benefits - Enter your Title 19 Treasurer’s instructions
benefits received for housing only. Do not include A credit claimed on this form is for the 2021/2022
medical benefits. If you live in a nursing home or care Fiscal Year.
facility, contact the administrator for the amount to Line C: Follow the steps below.
enter, or: 1. Obtain the taxable value of the land in the
• Enter 20% of your benefits if you lived in a nursing homestead for January 1, 2020, from the city or
home, or county assessor’s office.
• Enter 40% if you lived in a care facility. 2. Divide line B by line A.
Line 11: Social Security income - Enter the total 3. Multiply the result in step 2 by the number in
Social Security benefits received, even if not step 1.
reportable for income tax purposes. Include any 4. Enter the result in step 3 on Line C.
Medicare premiums withheld. Line D: Obtain the taxable value of the homestead
Line 12: Disability income - Enter the total received buildings for January 1, 2020, from the city or county
for disability or injury compensation, even if not assessor’s office. Multiply this number by the
reportable for income tax purposes. percentage provided by the claimant on line 6 of the
form. Enter the result on line D.
Line 13: All pensions and annuities - Enter the total
received from pensions and annuities. Include Line J: If line 5b was answered “Yes” enter the
retirement pay for military service, even if not prorated gross property tax on line J or, if applicable,
reportable for income tax purposes. the prorated property tax base on line L.
Example: There are three owners of a home, but only
Line 14: Interest and dividend income - Enter
two of the owners reside there. The gross property
taxable interest income, plus all interest income from taxes equal $1,800. The prorated amount to be
federal, state, and municipal securities. Include
entered on line J is $1,200, [($1,800 / 3) x 2 = $1,200].
taxable dividends and distributions received, cash
Alternatively, each person may file a claim
dividends and dividends paid in the form of
individually using their share of the property taxes.
merchandise or other property and report at fair
Prorate the Homestead Credit proportionately among
market value.
the claimants.
Line 15: Profit from business and/or farming and This percentage is to be used in computing
Line L:
capital gain - Enter profit from business and/or
the amount to enter on line J or, if applicable, the
farming, and any gain received from the sale or
prorated property tax base on line L. This
exchange of capital assets. Capital losses are limited
computation will adjust the taxes on the land in the
to the same amount reportable for income tax
homestead in the same proportion.
purposes. Any loss must be offset against gain, and
a net loss must be reported as zero .
54-001d (08/17/2020)

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