Form Starbasic-1103 - Application For Basic Star (School Tax Relief) Property Tax Reduction - 2005
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1NYC DEPARTMENT OF FINANCE
PAYMENT OPERATIONS DIVISION
APPLICATION FOR BASIC STAR
PROPERTY TAX REDUCTION
(School Tax Relief)
F I N A N C E
NEW YORK
FILING DEADLINE - Januar y 5, 2006
THE CITY OF NEW YORK
If approved, tax reduction will begin July 1, 2006.
DEPARTMENT OF FINANCE
Mail completed application to
NYC Department of Finance, STAR Exemptions, P.O. Box 3120, Church Street Station, New York, NY 10008-3120
or fax it to (212) 361-7799.
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 Basic STAR 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 - OWNER INFORMATION (REQUIRED)
PRINT NAMES OF
SOCIAL SECURITY
PRIMARY
SIGNATURES
ALL LEGAL OWNERS
NUMBERS
RESIDENCE?
1.
YES
NO
2.
YES
NO
3.
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 ownership. I under-
stand 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 III - ENHANCED STAR QUESTIONNAIRE (OPTIONAL)
ARE YOU ELIGIBLE FOR AN ENHANCED STAR TAX REDUCTION? An Enhanced STAR tax reduction is available
to eligible senior citizens. If you answer “YES” to BOTH of the following questions, Finance will process this application
for Basic STAR now and mail you an Enhanced STAR application to submit later.
1. Are you age 65 or older or will you be 65 by December 31, 2006? ..................................................
YES
NO
2. Is the total federal adjusted gross income of all the owners for 2004 $66,050 or less?
(Line 36 on 2004 US 1040 tax return; Line 21 on Form 1040A,
or Line 4 on Form 1040EZ on 2004 tax forms) .................................................................................
YES
NO
SECTION IV - CONTACT INFORMATION (OPTIONAL)
1. If we have a question about this application, whom should we contact?
_____________________________________________________________
(_ _ _ ) _ _ _ - _ _ _ _
2. Contact’s daytime telephone number (with area code) .........................
Visit Finance at nyc.gov/finance
STARBASIC-1103 Rev. 06/20/05
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