Schedule Rnt - Kansas Certification Of Rent Paid - 2008
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1RNT
2008
KANSAS
CERTIFICATION OF RENT PAID
(Rev. 7/08)
First Name
Last Name
Social Security Number
RENTAL PERIOD: From ________________________ ,
20072008
to ______________________ , 20072008.
Month
Day
Month
Day
Complete a Schedule RNT for each place you resided in 20072008, even if you paid no rent. See instructions on reverse side.
Number and Street or Rural Route
NOTE
City
State
Zip Code
Landlord/Property Owner Name
Mailing Address
City
State
Zip Code
Landlord/Property Owner Telephone Number
Fax Number (if applicable)
q
q
q
q
q
, or boarding home
q
q
q
q
q
q
Housing authority
q
q
q
q
2008
MONTHLY
NO. OF MONTHS
ITEMS
CHARGE
RENTED
AMOUNT
(ENCLOSE SCHEDULE RNT WITH YOUR HOMESTEAD CLAIM, FORM K-40H)
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