Form Rp-5217 - Sale Correction Form (Village Assessor)

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RP-5217 SALE CORRECTION FORM – Transmit to ORPTS by Village Assessor
New York State Department of Taxation & Finance - Office of Real Property Tax Services
RP-5217 Item No., below, corresponds to the data item
All corrections to Condition Code = ‘I’ require a
number found on the RP-5217 form (i.e., Condition
rationale or explanation (i.e., ‘Forced Sale’). An
Code is ‘15’). Correct Information for RP-5217 Item No.
explanation of ‘Uninformed Buyer or Seller’
‘15’ might be ‘I – Other Condition’.
requires additional info such as $/SF comparison.
SWIS Code: ___ ___ ___ ___ ___ ___
Book : ___ ___ ___ ___ ___
Page: ___ ___ ___ ___ ___ (Enter exactly as they appear on the RP-5217 form)
Village SBL/Roll ID: ____________________________________________
Village AV: ____________________
Check if applicable
Property is in More Than One SWIS - enter other SWIS Code: ___ ___ ___ ___ ___ ___
Significant Change in the Property has Occurred Between Village Taxable Status Date & Sale
Date
Enter RP-5217
Item No. for Correction
Enter Correct Information
SWIS Code: ___ ___ ___ ___ ___ ___
Book : ___ ___ ___ ___ ___
Page: ___ ___ ___ ___ __ (Enter exactly as they appear on the RP-5217 form)
Village SBL/Roll ID: _______________________________________________
Village AV: ____________________
Check if applicable
Property is in More Than One SWIS - enter other SWIS Code: ___ ___ ___ ___ ___ ___
Significant Change in the Property has Occurred Between Village Taxable Status Date & Sale
Date
Enter RP-5217
Item No. for Correction
Enter Correct Information
SWIS Code: ___ ___ ___ ___ ___ ___
Book : ___ ___ ___ ___ ___
Page: ___ ___ ___ ___ ___ (Enter exactly as they appear on the RP-5217 form)
Village SBL/Roll ID: ________________________________________________
Village AV: ____________________
Check if applicable
Property is in More Than One SWIS - enter other SWIS Code: ___ ___ ___ ___ ___ ___
Significant Change in the Property has Occurred Between Village Taxable Status Date & Sale
Date
Enter RP-5217
Item No. for Correction
Enter Correct Information
RP-5217 ACR Village (rev. 05/01)

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