Application Form For Enhanced Star (School Tax Relief) Property Tax Reduction For Senior Citizens, 65 Years Of Age Or Older - State Of New York
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1
2NYC DEPARTMENT OF FINANCE
PAYMENT OPERATIONS DIVISION
APPLICATION FOR ENHANCED STAR
PROPERTY TAX REDUCTION
(School Tax Relief)
F I N A N C E
for senior citizens, 65 years of age or older
NEW YORK
THE CITY OF NEW YORK
FILING DEADLINE - Januar y 5, 2006.
If approved, tax reduction will begin July 1, 2006.
DEPARTMENT OF FINANCE
Mail completed application with proof of age and income to:
NYC Department of Finance, STAR Exemptions P.O. Box 3120, Church Street Station, New York, NY 10008-3120
Use this application to apply for a STAR property tax reduction only if you own a property in New York
City that you use as your primary residence. You must retain a copy of this application for your records.
Date:
_______/_______/_______
SECTION I - PROPERTY INFORMATION
A. ADDRESS OF PROPERTY (REQUIRED)
B. BOROUGH/BLOCK/LOT (OPTIONAL) -
If you
for which Enhanced STAR tax
reduction is requested. If cooperative or condominium, apartment number MUST be included.
know your Borough, Block, and Lot, please provide it.
BOROUGH
___________________________________________________________________________________________________________
_________________________________________________
BLOCK
___________________________________________________________________________________________________________
______________________________________________________
LOT
__________________________________________________________
___________________________________________________________________________________________________________
SECTION II - FINANCIAL INFORMATION (REQUIRED)
The total federal adjusted gross income of all owners, as shown on each owner’s federal or New York State tax return for 2004
or on the Enhanced STAR Income Statement for nonfilers is $_____________.________. See Instructions for additional infor-
mation on federal adjusted gross income.
SECTION III - OWNER INFORMATION (REQUIRED)
PRINT NAMES OF
SOCIAL SECURITY
PRIMARY
BIRTHDATE
SIGNATURES
ALL LEGAL OWNERS
NUMBERS
RESIDENCE?
(mo/day/yr)
__/__/__
1.
YES
NO
__/__/__
2.
YES
NO
__/__/__
3.
YES
NO
__/__/__
4.
YES
NO
By signing above, I certify the accuracy of the facts provided in this application and agree to notify the Department of
Finance STAR Exemptions if this property is no longer my primary residence or if there are any other changes in owner-
ship. I understand that this certification is subject to audit at any time and, should the Department determine that I do not
qualify for STAR, I am responsible for all applicable taxes due, accrued interest, and the maximum penalty allowable by law.
SECTION IV - RECERTIFICATION OPTION (REQUIRED)
If your Enhanced STAR application is approved, you will not have to reapply every year. However, you will have to verify that
you still meet the income limits. You can complete a financial statement, mailed to you annually, or you can give permission to
have New York State verify your income from your New York State tax return if you file. Check ONE box below.
I will fill out an annual financial statement.
Please have the State verify my income.
SECTION V - CONTACT INFORMATION (OPTIONAL)
1. If we have a question about this application, whom should we contact?
_____________________________________________________________
(_ _ _ ) _ _ _ - _ _ _ _
2. Contact person’s daytime telephone number ........................................
Visit Finance at nyc.gov/finance
STARENHANCED-1104 Rev. 06/20/05
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