Form Hb-01 - Homeowner Tax Benefits Initial Application - 2018/2019

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Homeowner Tax Benefits
INITIAL APPLICATION FOR TAX YEAR 2018/19
This application and ALL REQUIRED DOCUMENTS must be
submitted and postmarked by March 15, 2018.
Please be sure that ALL HOMEOWNERS sign the Certification section of this application on page 4.
Mail completed application to:
New York City Department of Finance, P.O. Box 311, Maplewood, N.J. 07040-0311
This application is for the following homeowner property tax benefit programs:
n
n
n
n
Which exemption(s) are you applying for? (Check all that apply)
Senior (SCHE)
Disabled (DHE)
Veterans
Clergy
If you need help or have any questions about this application,visit
nyc.gov/contactpropexemptions, or call 311.
If you do not send in ALL REQUIRED DOCUMENTS by this deadline,
there will be a delay in the processing of your application.
See page 5 for Senior and Disabled required documentation
and page 6 for Veterans and Clergy required documentation.
PLEASE PRINT
1. PROPERTY INFORMATION
BOROUGH
BLOCK
LOT
# OF COOPERATIVE SHARES
STREET ADDRESS
APT.
CITY
STATE
ZIP
n
n
n
n
TYPE OF PROPERTY
Condominium unit
1–3 family dwelling
DWELLINGS WITH 4 OR MORE UNITS, ENTER
Cooperative
4+ family dwelling
% OF SPACE USED FOR PRIMARY RESIDENCE: ____________ %
DATE YOU PURCHASED
COOPERATIVE/CONDO MANAGEMENT INFORMATION
THE PROPERTY (mm/dd/yyyy)
COMPANY NAME
TELEPHONE
(
)
NUMBER
n
n
n
n
IS THERE A LIFE ESTATE/TRUST ON THIS PROPERTY?
No
Yes
n
n
WAS THE PROPERTY WILLED TO YOU?
No
Yes
FOR COOPERATIVES ONLY: IS YOUR UNIT RECEIVING SENIOR CITIZEN RENT
No
Yes
INCREASE EXEMPTION (SCRIE) OR DISABILITY RENT INCREASE EXEMPTION (DRIE)?
1
HB-01 Rev. 01.10.17

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