Form Dtf-179-Mn - 2007 Middle Class Star Rebate Program Application

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DTF-179-MN
New York State Department of Taxation and Finance
2007 Middle Class STAR
(11/07)
Rebate Program Application
You are eligible for the 2007 Middle Class STAR rebate if you owned and resided at the property you are applying for, and you were enrolled
in the Basic STAR Program as of the taxable status date for your locality.
You should contact your local assessor’s office to confirm your eligibility. You will also need to accurately provide your SWIS code and parcel
identification number (or, if your property is located in New York City, the borough, block, and lot number). This detailed property/assessment
information is essential for us to match your property to the STAR-eligible property information provided to us by your local assessor.
In many cases, we may be able to provide you with a simple STAR code that will identify your property. Call us at 1 877 678-2769.
If you received a STAR code from the Tax Department, enter the STAR code ............................................
oR
If you do not have a STAR code, enter the property information in the spaces below. This information can be found on your school property
tax bill.
SWIS code
Parcel identification number (include any “-”, “ / ” or “ . ” between numbers)
For properties located
outside of New York City
Borough
Block number
Lot number
For properties located
in New York City
Property information
(provide information for the physical property location)
Street address (number and street)
Unit / Apt. number
City, village, or post office
State
ZIP code
New York
Resident property owner(s)
Provide the required information for all property owners that reside at the property
.
(attach additional sheets as needed)
Check the applicable box regarding each owner’s 2005
First name
MI
Last name
Social security number
*
New York State income tax return. See instructions on back.
Filed
Not filed – income below filing threshold
Not filed – not a 2005 NYS resident*
Filed
Not filed – income below filing threshold
Not filed – not a 2005 NYS resident*
Filed
Not filed – income below filing threshold
Not filed – not a 2005 NYS resident*
Filed
Not filed – income below filing threshold
Not filed – not a 2005 NYS resident*
Spouses of resident property owner(s)
).
Provide the required information for spouses only if they are not listed above as a resident property owner
(attach additional sheets as needed
Check the applicable box regarding each owner’s 2005
First name
MI
Last name
Social security number
*
New York State income tax return. See instructions on back.
Filed
Not filed – income below filing threshold
Not filed – not a 2005 NYS resident*
Filed
Not filed – income below filing threshold
Not filed – not a 2005 NYS resident*
Important: Provide contact information in case we need to reach you regarding your application
Daytime telephone number
E-mail address
(
)
Apply online with your STAR code at
or mail application
postmarked no later than December 31,
Mailing address
(if different from the location of the property)
2007, to:
Street address (number and street or PO box)
Unit/Apt. number
New YoRk STATe TAx DePARTMeNT
Po Box 15120
AlBANY NY 12212
City, village, or post office
State
ZIP code

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