RP-467-Dnl (10/03)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
NOTICE OF DENIAL OF APPLICATION
FOR PARTIAL TAX EXEMPTION OF SENIOR CITIZENS
(Real Property Tax Law, Sec. 467)
Name and address of applicant
Name of assessing unit:
Description of property as it appears on assessment roll:
____________________________________________________________________________________
Your application for a partial real property tax exemption has been denied for:
City/Town
County
Village
School District
purposes because you have failed to satisfy the requirement(s) concerning:
age (one or more of the owners fails to qualify)
income (income exceeds maximum amount allowed) *
ownership (title not held for required time period)
residency (property or a portion thereof not used exclusively for residential purposes)
legal residence (not the legal residence of the owner(s))
public school children (child attending public school [grades K-12] residing on
premises and school district does not permit exemption in such situation - school tax purposes only)
other (specify):
Explanation:
*
If box is checked, your income satisfies the income requirement for the enhanced school tax relief
(STAR) exemption and you have been approved for that exemption.
If you disagree with the assessor’s determination, you may appeal to the Board of Assessment Review by
submitting a written complaint to the assessor on or before the day the board meets or with the board on
such day. A complaint form (RP-524) may be obtained from the assessor. The Board of Assessment
Review is scheduled to meet on ____________________________.
_____________________
__________________________
Date
Assessor’s signature
Clear Form