2017/18 Tax Benefits Application For Homeowners - New York City Department Of Finance Page 5
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5Homeowners Tax Benefits Application
Page 5
ADDITIONAL PROPERTY INFORMATION AND CERTIFICATION
instructions: Please add each additional property below in response to questions in Section 3 of the application. This
page is part of your application, and may be duplicated and attached if additional pages are necessary.
ADDitionAL ProPertY #1:
Reason for inclusion:
In State Property: currently receives exemption in New York State/New York City
n
In State Property: sold within last 12 months and received exemption in New York State/New York City
n
Date of Sale:
MM
DD
YYYY
Out of State property: currently receives exemption in a state outside of New York
n
_________________________________ _________________________________
________________________________
,
OWNER NAME
STREET ADDRESS
CITY
STATE AND zIP CODE
If property is within New York City, please include the borough, block and lot.
______________ _____________ ____________
BOROUGH
BLOCK
LOT
Benefits Received:_______________________________________________________________________________________
Exemptions Received:
Basic STAR
Enhanced STAR
Senior
Disabled
Veteran
n
n
n
n
n
Other. ___________________________________________________________________
n
Comments: _____________________________________________________________________________________
______________________________________________________________________________________________
ADDitionAL ProPertY #2:
Reason for inclusion:
In State Property: currently receives exemption in New York State/New York City
n
In State Property: sold within last 12 months and received exemption in New York State/New York City
n
Date of Sale:
MM
DD
YYYY
Out of State property: currently receives exemption in a state outside of New York
n
_________________________________ _________________________________
________________________________
,
OWNER NAME
STREET ADDRESS
CITY
STATE AND zIP CODE
If property is within New York City, please include the borough, block and lot.
______________ _____________ ____________
BOROUGH
BLOCK
LOT
Benefits Received:_______________________________________________________________________________________
Exemptions Received:
Basic STAR
Enhanced STAR
Senior
Disabled
Veteran
n
n
n
n
n
Other. ___________________________________________________________________
n
Comments: _____________________________________________________________________________________
______________________________________________________________________________________________
ADDitionAL ProPertY #3:
Reason for inclusion:
In State Property: currently receives exemption in New York State/New York City
n
In State Property: sold within last 12 months and received exemption in New York State/New York City
n
Date of Sale:
MM
DD
YYYY
Out of State property: currently receives exemption in a state outside of New York
n
_________________________________ _________________________________
________________________________
,
OWNER NAME
STREET ADDRESS
CITY
STATE AND zIP CODE
If property is within New York City, please include the borough, block and lot.
______________ _____________ ____________
BOROUGH
BLOCK
LOT
Benefits Received:_______________________________________________________________________________________
Exemptions Received:
Basic STAR
Enhanced STAR
Senior
Disabled
Veteran
n
n
n
n
n
Other. ___________________________________________________________________
n
Comments: _____________________________________________________________________________________
______________________________________________________________________________________________
I certify that all statements made on this application are true and correct to the best of my knowledge and that I have
made no willful false statements of material fact. I understand that this information is subject to audit and should the De-
partment of Finance determine that I made false statements, I may lose my future exemptions and be responsible for all
applicable taxes due, accrued interest, and the maximum penalty allowable by law.
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