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Get the free PACE Application - Pennsylvania Department of Aging

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1 of 2Lions District 14A Charitable Foundation Assistance Request Last Name___ First Name___ ___ Date___ (Please print legibly) Birthdate ___/___/___Married __ Single__ Widowed__ Divorced __ Separated__
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How to fill out pace application - pennsylvania

01
Download the PACE application form from the Pennsylvania Department of Human Services website.
02
Fill out the applicant's personal information including name, address, phone number, and social security number.
03
Provide information on household members including their names and relationship to the applicant.
04
Include details on income sources, assets, and expenses for the household.
05
Sign and date the application form before submitting it to the appropriate PACE office.

Who needs pace application - pennsylvania?

01
Residents of Pennsylvania who are elderly, disabled, or medically needy may need to fill out a PACE application in order to receive assistance with prescription drug costs.
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Pace application in Pennsylvania is an application for the Property Tax/Rent Rebate program which provides rebates on property taxes or rent paid by eligible Pennsylvanians.
Pennsylvanians who meet certain age, income, and residency requirements are required to file pace application.
Pace application can be filled out online through the Pennsylvania Department of Revenue's website or through a paper application which can be obtained from local Department of Revenue offices.
The purpose of pace application in Pennsylvania is to provide financial assistance to eligible individuals by offering rebates on property taxes or rent paid.
The pace application in Pennsylvania requires information such as income, proof of rent or property taxes paid, and other eligibility criteria to be reported.
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