Application For Partial Exemption From Real Estate Taxation For Property Of Physically Disabled Crime Victims 2003 Page 5

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NEW YORK CITY DEPARTMENT OF FINANCE PROPERTY DIVISION
APPLICATION FOR PARTIAL EXEMPTION FROM REAL
ESTATE TAXATION FOR PROPERTY OF PHYSICALLY
F I N A N C E
NEW YORK
DISABLED CRIME VICTIMS
A S S E S S O R ’ S I N S P E C T I O N R E P O R
T
A S S E S S O R ’ S I N S P E C T I O N R E P O R
T
I inspected the property referred to within on ________ / ________ / ________ and report as follows:
BOROUGH: ___________________________ BLOCK: ____________________ LOT: ____________________
Property address: ___________________________________________________________________________
Type of Dwelling:
ONE FAMILY
TWO FAMILY
THREE FAMILY
List and describe all improvements made to the property to facilitate and accommodate the disabled resident:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
The assessed valuation of this property should be apportioned as follows:
ACTUAL AV: ____________
YEAR: __________
TRANSITIONAL AV: ______________
YEAR: __________
EXEMPT AV: ____________
__________
EXEMPT AV: _______________
__________
TAXABLE AV: ____________
__________
TAXABLE AV: _______________
__________
________________________________________________________
_____________________________
Assessor’s Signature
Date
Disabled Crime Victim Exemption Application report 06/02

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