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2015 BOARD OF DIRECTORS Kevin Dukes President W: 524-3109 dukes harveyandbattey.com ** Mark Weeks Vice President 525-8439 mjweeks84 gmail.com ** Pat Harvey Palmer Treasurer Fire & Safety W: 522-0066
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01
Start by entering your personal information: Provide your full legal name, address, and Social Security number in the designated fields of the form.
02
Specify the tax year and filing status: Indicate the tax year for which you are filing the form and choose the appropriate filing status (e.g., single, married filing jointly, etc.).
03
Determine your eligibility for the Pennsylvania Low-Income Home Energy Assistance Program (LIHEAP): This form, W-5243109, is specifically designed for individuals who meet the eligibility criteria for LIHEAP benefits in Pennsylvania.
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Calculate your income: The form will require you to provide details of your household income, including wages, self-employment earnings, Social Security benefits, and any other sources of income.
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Declare your household size: Specify the number of people living in your household, including yourself, dependents, and other individuals you financially support.
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Report your energy expenses: Provide information on the types of energy sources you use (electricity, natural gas, etc.) and the amount you paid for these utilities during the tax year.
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Who Needs Form W-5243109 - libpa?

01
Pennsylvania residents who meet the eligibility requirements for the Low-Income Home Energy Assistance Program (LIHEAP) may need to fill out form W-5243109 to apply for energy assistance benefits.
02
Individuals or households with limited income and high energy costs can benefit from LIHEAP, which helps eligible participants with their utility bills, energy crisis assistance, and weatherization services.
03
The form is applicable to those seeking financial support for their energy expenses and who reside in Pennsylvania. The program aims to provide assistance to eligible low-income individuals or families during the colder months when energy costs can become a financial burden.
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