Form Rp-467-D - Application Form For Partial Tax Exemption For Certain Living Quarters Occupied By Senior Citizen Or Disabled Individual
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2RP-467-d (9/08)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR PARTIAL TAX EXEMPTION
FOR CERTAIN LIVING QUARTERS OCCUPIED
BY SENIOR CITIZEN OR DISABLED INDIVIDUAL
Application f or exemption or r enewal of exemption m ust be f iled w ith T own of C ortlandt A ssessor b y
taxable status date. Do not file form with the Office of Real Property Tax Services.
1.
Name and telephone no. of owner(s)
2.
Mailing address of owner(s)
_____________________________________
__________________________________
_____________________________________
__________________________________
Day No. (
) _________________________
__________________________________
Evening No. (
) ______________________
E-mail (optional) ___________________
3.
Location of property ______________________________________________ Town of Cortlandt
Street address
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot ________________________________________________
4.
New application
Renewal application
5.
Is this residential property the legal residence of its owner
yes
no
6.
Living quarters constructed or reconstructed to provide living quarters to
senior citizen or
disabled person (check one-attach proof of age or receipt of social security disability payments;
proof of age need be submitted only with original application)
7.
Description of construction or reconstruction of residential property made for the purpose of
providing living quarters to senior citizen or disabled individual ___________________________
_______________________________________________________________________________
_______________________________________________________________________________
8.
Date of commencement of construction of living quarters: ________________________________
Date of completion of construction of living quarters: ___________________________________
9.
Are the living quarters the legal residence of the senior citizen or disabled person?
yes
no (attach proof of residency)
I certify that all statements made on this application are true and correct
____________________________________
____________________________________
Signature(s) of owner(s)
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