Form Nyc Ref-583 - Claim For Refund Or Transfer Of Credit For Overpayment Of Real Estate Taxes Or Improvement Assessments

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CLAIM FOR REFUND OR TRANSFER OF
N Y C
CREDIT FOR OVERPAYMENT OF REAL ESTATE
REF-583
F I N A N C E
TAXES OR IMPROVEMENT ASSESSMENTS
NEW YORK
CLAIM NUMBER
FOR OFFICIAL USE ONLY
REFUND ONLY
REAL ESTATE ONLY
TRANSFER ONLY
DESCRIPTION
IMPROVEMENT
ASSESSMENTS
TRANSFER PORTION AND REFUND BALANCE
TYPE OR PRINT ALL INFORMATION
A.
,
Applicant's name
INDICATE THE BOROUGH
BLOCK AND LOT ON WHICH PAYMENT WAS MADE
BLOCK
LOT
BOROUGH
c/o Attorney or representative, if applicable
NAME OF OWNER
Mailing Address (number and street)
2
1
City and State
Zip Code
B.
'
#1A
APPLICANT
S INTEREST IN THE PROPERTY LISTED ABOVE IN
(
( )
)
CHECK
THE APPROPRIATE BOX
'
'
OWNER
S EMPLOYER IDENTIFICATION NUMBER
OWNER
S SOCIAL SECURITY NUMBER
OWNER
TENANT
MORTGAGEE
MANAGING AGENT
(
)
(
)
IF CORPORATION OR PARTNERSHIP
IF OWNER IS INDIVIDUAL
NONE
OTHER (specify) _____________________________________
:
APPLICANT IS REQUESTING A REFUND OR TRANSFER FOR
(
( )
)
CHECK
THE APPROPRIATE BOX
3
REAL ESTATE
FIRE DEPARTMENT CHARGE
EMERGENCY REPAIR CHARGE
OTHER _____________________________
(specify)
BUILDING DEPARTMENT CHARGE
HEALTH DEPARTMENT CHARGE
SIDEWALK CHARGE
A.
........................................................................ $
Specify the total amount of overpayment
B.
................................................................................. $
Specify the amount to be refunded
C.
.............................................................................. $
Specify the amount to be transferred
4
,
:
(
)/
(
):
INDICATE THE BOROUGH
BLOCK AND LOT THAT THE CREDIT IS TO BE TRANSFERRED TO
INDICATE THE CHARGE
S
PERIOD
S
BOROUGH
BLOCK
LOT
REASON FOR REFUND OR
OVERPAYMENT
DOUBLE-PAYMENT
CANCELLATION
:
TRANSFER OF CREDIT
5
(
( )
CHECK
THE
PAYMENT ON WRONG PROPERTY
OTHER (specify): ________________________________________________________________
)
APPROPRIATE BOX
6
WERE YOUR PAYMENTS MADE THROUGH A MORTGAGE ESCROW ACCOUNT? ....................................
YES
NO
IF "YES", PLEASE GIVE THE NAME OF THE BANK OR MORTGAGE COMPANY AND MORTGAGE NUMBER
Name:
Number:
_____________________________________
___________________
____________________________
_______________________
7
Signature of Applicant
Date
Title (If Corporate Officer)
Phone Number
ATTACH COPIES OF THE CANCELLED CHECKS AND RECEIPTED BILLS SHOWING PAYMENT OF THE TAXES OR CHARGES TO BE
REFUNDED OR TRANSFERRED. FAILURE TO SUBMIT THE REQUESTED MATERIALS MAY DELAY THE PROCESSING OF YOUR APPLICA-
TION. IF THE APPLICANT IS NOT THE PAYER, THE PAYER MUST COMPLETE THE COMPLETE THE CONSENT FORM ON PAGE 2.
:
R E F U N D
O R
T R A N S F E R
T O
583
SUBMIT YOUR REF-
TO:
FOR OFFICIAL
REAL ESTATE
IMPROVEMENT ASSESSMENT
USE ONLY
NYC DEPARTMENT OF FINANCE
Total amount of overpayment
Total amount of refund
25 ELM PLACE, 4TH FLOOR
Total amount of transfer
BROOKLYN, NY 11201
NAME OF EXAMINER
DATE EXAMINED
NAME OF REVIEWER
DATE REVIEWED

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