THE TAX COMMISSION OF THE CITY OF NEW YORK
1 Centre Street, Room 936, New York, NY 10007
APPLICATION FOR CORRECTION OF ASSESSED VALUE
OF A PARCEL DESIGNATED AS CLASS TWO OR CLASS FOUR PROPERTY
READ THE INSTRUCTIONS BEFORE YOU WRITE. ANSWER ALL QUESTIONS MARKED WITH THIS SYMBOL
YES OR NO.
INCOMPLETE APPLICATIONS WILL NOT RECEIVE REVIEW.
1. PROPERTY IDENTIFICATION - A separate application is required for each tax lot.
BOROUGH (Bronx, Brooklyn, Manhattan, Queens or Staten Island)
FULL ADDRESS OF PROPERTY (WITH ZIP CODE)
2. APPLICANT - The applicant must be an owner or other person aggrieved, not an attorney or agent.
Name of applicant
Is applicant an owner/title holder of entire property? _____ If yes, is the entire property subject to a net lease? _____ See TC101 Instructions.
Is applicant a lessee of entire property who pays all property charges and is not barred from contesting the assessment? ____ If yes, select a or b.
Lease from unrelated owner or sublease. Provide lease information on Form TC200 or TC201. See TC101 Instructions.
Lease from a related owner. Specify applicant's relation to owner____________________________________________________________
If neither owner nor lessee, per above, specify applicant's relation to property: ______________________________________. Submit Form TC200.
Does applicant claim eligibility for review without filing an income schedule (TC201, 203, 208 or 214) or net lease rent on TC200? _______. If yes,
specify the reason: ________________________________________________________________________________________________________
If property is 4, 5, or 6-unit residential property and TC201 or TC203 is not filed, is any portion of the property rented or being offered for rent as of
January 5, 2005? _______. If yes, _______% floor area at or above grade rented or offered for rent. 2004 gross rent: $ ______________________
If application is filed after March 1, applicant claims eligibility for review because filing is within 20 days of:
Change (increase) by notice after February 10. You must attach a copy of the Department of Finance notice of increase or new assessment.
3. REPRESENTATION - Complete this section even if you will represent yourself.
NAME OF PERSON OR FIRM TO BE CONTACTED
GROUP #, IF ANY
The person listed is:
Employee of owner corporation
4. ATTACHMENTS - List all schedules and documents attached. Number the pages.
Last page number _____
Refer to the attachments to application for block ________ lot ______
Optional: Attach statement of facts and other documents supporting market value estimate or submit at hearing.
5. HEARING REQUEST - Indicate preference. Check only one.
Review on papers submitted without a personal hearing
Personal hearing in Manhattan
Personal hearing in the borough where the property is located or the applicant resides. Specify borough: _________________________________
6. CLAIMED VALUE AND GROUNDS FOR OBJECTION - Do not leave any item blank.
Applicant objects to the assessment on the grounds that it is unequal or excessive because the assessment exceeds the full
value of the property or statutory limits on increases, as follows:
a. Tentative actual assessment $ _______________
b. Applicant's estimate of market value
c. Estimated class assessment ratio 45% or ______% d. Requested assessment = line b x line c
Do not use this form to claim unlawful assessment, misclassification, or error in determining the amount of an exemption; use
Form TC106 with TC200.
Signer's initials _______. You must initial this page if you do not use a two-sided application form.