Form Cr-100 - Application To Claim A Refund
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1
2NEW YORK CITY DEPARTMENT OF FINANCE G DIVISION OF LAND RECORDS G OFFICE OF THE CITY REGISTER
APPLICATION TO CLAIM A REFUND
Instructions: If you are requesting a Real Property Transfer Tax (RPTT) refund, please mail this application to: NYC
Department of Finance, RPTT Unit, 345 Adams Street, 7th Floor, Brooklyn, NY 11201. All other refund requests should
be mailed to: NYC Department of Finance, Office of the City Register, 66 John Street, 13th Floor, New York, NY 10038.
Borough:
Block:
Lot:
Transaction ID Number:
Name of Applicant:
Attorney or Representative (If Applicable):
Address:
City and State:
Zip Code:
Applicantʼs interest in the property listed above. Check the appropriate box:
Owner
Title company
Attorney
K
K
K
Other (Specify) ________________________________________________________________________________________
K
Amount of Refund Requested: $ ________________________________
Reason for Refund. Check the appropriate box:
Overpayment
Double payment
Cancellation
K
K
K
Other (Specify) ________________________________________________________________________________________
K
Name of Applicant: (Please print)
Applicantʼs Signature:
/
/
Title (If Corporate Officer):
Phone Number:
Date:
________ ______ ___________
________
_______
________
Attach copies of the cancelled checks, receipts, and cover pages showing payment of the charges to be refunded. Failure
to submit the requested materials may delay the processing of your application. If the applicant is not the payer, the payer
must complete the consent form on page 2.
NOTE: REQUEST FOR A REFUND MUST BE MADE WITHIN ONE YEAR OF THE DATE OF PAYMENT. PLEASE ALLOW 6 TO 8
WEEKS FOR YOUR CLAIM TO BE PROCESSED.
-
P L E A S E D O N O T W R I T E B E L O W T H I S L I N E
F O R I N T E R N A L U S E O N L Y
Total Amount of Overpayment $____________________________
Total Amount of Refund $ ____________________________
Date Reviewed:
Reviewed By:
CR-100 Rev. 04/09/09
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