2014/15 Exemption Application For Homeowners - New York City Department Of Finance Page 5
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5Exemption Application for Homeowners
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
I I
In State Property: sold within last 12 months and received exemption in New York State/New York City
I I
Date of Sale:
MM
DD
YYYY
Out of State property: currently receives exemption in a state outside of New York
I I
_________________________________ _________________________________
________________________________
,
OWNER NAME
STREET ADDRESS
CITY
STATE AND ZIP CODE
Benefits Received:_______________________________________________________________________________________
Exemptions Received:
Basic STAR
Enhanced STAR
Senior
Disabled
Veteran
I I
I I
I I
I I
I I
Other. If Other, list the benefit(s) received here: ___________________________________
I I
Comments: _____________________________________________________________________________________
______________________________________________________________________________________________
ADDITIONAL PROPERTY #2:
Reason for inclusion:
In State Property: currently receives exemption in New York State/New York City
I I
In State Property: sold within last 12 months and received exemption in New York State/New York City
I I
Date of Sale:
MM
DD
YYYY
Out of State property: currently receives exemption in a state outside of New York
I I
_________________________________ _________________________________
________________________________
,
OWNER NAME
STREET ADDRESS
CITY
STATE AND ZIP CODE
Benefits Received:_______________________________________________________________________________________
Exemptions Received:
Basic STAR
Enhanced STAR
Senior
Disabled
Veteran
I I
I I
I I
I I
I I
Other. If Other, list the benefit(s) received here: ___________________________________
I I
Comments: _____________________________________________________________________________________
______________________________________________________________________________________________
ADDITIONAL PROPERTY #3:
Reason for inclusion:
In State Property: currently receives exemption in New York State/New York City
I I
In State Property: sold within last 12 months and received exemption in New York State/New York City
I I
Date of Sale:
MM
DD
YYYY
Out of State property: currently receives exemption in a state outside of New York
I I
_________________________________ _________________________________
________________________________
,
OWNER NAME
STREET ADDRESS
CITY
STATE AND ZIP CODE
Benefits Received:_______________________________________________________________________________________
Exemptions Received:
Basic STAR
Enhanced STAR
Senior
Disabled
Veteran
I I
I I
I I
I I
I I
Other. If Other, list the benefit(s) received here: ___________________________________
I I
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 subjected to audit and should Finance
determine that I made false statements, I will be disqualified from future exemptions and will be responsible for all applicable
taxes due, accrued interest, and the maximum penalty allowable by law.
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