Form Ref-583 - Application To Claim A Refund Or Transfer Credit Based On Overpayment Of Real Estate Taxes, Water Charges, Sewer Rents, Or Improvement Assessments Page 3

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Form NYC-REF-583
Page 3
I n s t r u c t i o n s f o r F o r m R E F - 5 8 3
F I N A N C E
NEW YORK
REQUIREMENTS FOR ALL APPLICANTS
If the property owner is a partnership or a corporation, enter the
owner's Employer Identification Number. If the property owner
To be eligible for a refund or transfer of credit, you must show
is an individual, enter the owner's Social Security Number.
either of the following:
LINE 3 - TYPE OF REFUND OR TRANSFER
That you paid the taxes or charges to be refunded, OR
Check the appropriate box for the type of refund or transfer of
credit that you are requesting.
That another party paid the taxes or charges and that the party
consents that the refund be made to you.
LINES 4A - 4C - AMOUNT OF OVERPAYMENT
If you paid by check, you must submit a copy of the cancelled
check showing who made the payment.
LINE 4A
Enter the total amount of the overpayment, including both the
If you paid in cash, you must submit the original receipt you
amount to be transferred and the amount to be refunded by check.
received at the time of payment. This shows the receipt number,
the borough, block and lot, the account type, the due date of the
LINE 4B
tax that was paid, and the payment date.
Enter the amount of the overpayment to be refunded.
If you, personally, did not pay the taxes or charges, the City can-
not give you the refund or transfer of credit unless you produce a
LINE 4C
written, notarized consent form from the party who actually made
Enter the amount you wish transferred and indicate the borough,
the payment. Page 2 of this application has been provided for
block and lot that the credit is to be transferred to. You may
this purpose.
request that your credit be transferred to an unpaid charge on the
same property or to an unpaid charge on another property in
Finally, please note: If you wish to request a refund or transfer of
which you have an interest. Specify the type of charge(s) and the
credit for more than one property, you must file a separate Form
period(s). If you do not specify a particular charge to which you
REF-583 for each property.
would like the credit applied, we will apply it to the oldest lien on
the property you have indicated.
S
I
LINE 5 - REASON FOR REFUND OR TRANSFER
P E C I F I C
N S T R U C T I O N S
Check the appropriate box for the reason you are claiming a
refund or transfer of credit.
LINE 1 - DESCRIPTION OF PROPERTY
Enter the borough, block and lot credited with the payment upon
LINE 6 - ESCROW ACCOUNTS
which this claim is based.
Check the box which indicates if your payments were made
Enter the property owner's full name. If the property owner is a
through an escrow account. If the answer is "YES", write the
partnership or a corporation, enter the full name of the entity.
name of the bank or mortgage company and mortgage number in
the space provided.
Check the box which indicates your interest in the property. If
you have no interest in the property (which would mean that your
SIGNATURE (on page 2)
payment was credited to the wrong property), check NONE.
Sign and date the form. If the applicant is a corporation, an offi-
cer must sign. If the applicant is a partnership, a partner must
LINE 2 - APPLICANT INFORMATION
sign.
Enter the applicant's full name. If the applicant is a partnership
or corporation, enter the full name of the entity.
NOTE
Enter the name of the applicant's attorney or representative, if
If the payments upon which your claim is based were made by
applicable. If the attorney for this refund claim is different from
check, attach photocopies of the front and back of each cancelled
the attorney of record for the action upon which this claim is
check (and copies of receipted bills, if available). If payments
based, a letter of authorization from the original attorney must be
were made in cash, original receipted bills must be attached.
submitted.
Enter the mailing address. Correspondence and refund checks
will be mailed to this address. If the applicant is represented by
an attorney and wishes these items to be mailed to that attorney,
enter the attorney's address.
REF-583 (REVISED 05/04)

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