Form Rp-459-C-Rnw - Renewal Application For Partial Tax Exemption For Real Property Of Persons With Disabilities And Limited Incomes

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RP-459-c-Rnw (9/09)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
RENEWAL APPLICATION FOR PARTIAL TAX EXEMPTION
FOR REAL PROPERTY OF PERSONS WITH DISABILITIES
AND LIMITED INCOMES
APPLICATION MUST BE FILED WITH YOUR LOCAL ASSESSOR BY TAXABLE STATUS DATE
Do not file this form with the Office of Real Property Tax Services.
General information and instructions for completing this form are contained in RP-459-c-Ins
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 (see instructions):
Street address
City/Town
Village (if any)
School District
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot
4. Description of nature of applicant’s physical or mental impairment which currently substantially limits one or
more major life activities (e.g. walking)
5. Indicate documents submitted with previous application as proof of disability unless proof of permanent
disability was submitted in a previous year.
Proof of permanent disability submitted in previous year
Award letter from Social Security Administration of entitlement to social security disability
insurance (SSDI) or supplemental security income (SSI)
Award letter from Railroad Retirement Board of entitlement to railroad retirement disability benefits
Certificate from State Commission for the Blind and Visually handicapped stating that applicant
is legally blind
Award letter from United States Postal Service certifying disability pension
Award letter from United States Department of Veterans Affairs certifying disability pension
6. Do all the owners of the property presently reside on the premises?
Yes
No
If answer to 6 is No, is an owner receiving medical care as an in-patient in a residential health care facility?
Yes
No
If answer is Yes, specify name and location of the facility
7. Is any portion of the property used for other than residential purposes (farming, commercial, vacant land,
professional office, etc.)?
Yes
No
If answer is Yes, explain such use and describe the portion that is so used.
8. Income of each owner and resident spouse of each owner for the calendar year immediately preceding date of
application MUST be set forth on next page (attach additional sheets if necessary).

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