RP-467-Rnw (9/09)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
RENEWAL APPLICATION FOR PARTIAL TAX EXEMPTION
FOR REAL PROPERTY OF SENIOR CITIZENS
(AND FOR ENHANCED SCHOOL TAX RELIEF (STAR) EXEMPTION)
To be filed with your local assessor by Taxable Status Date
Do not file this form with the Office of Real Property Tax Services.
Telephone No.
Day (
)
Evening (
)
Email address (optional)
Name and address of applicant
1.
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot________________________________________________
2.
Since filing your application last year, fully describe in the lines below any changes in:
a. title to the property (due to death, addition or deletion of owner);
b. legal residence or occupancy of the property (e.g. confinement of owner in hospital or nursing
home, divorce, legal separation or abandonment by spouse); or
c. use of residence for other than residential purposes (store, office, farm, etc.).
d. State w hether a ny children of ow ners, t enants or l easeholders l iving on t he pr emises a ttend
public school grades K-12, and, if so, give the name and location of the school or schools. If a
child or children attending public school grade K-12 are living on the premises, state whether
such c hild or c hildren w ere br ought i nto t he pr operty i n w hole or i n s ubstantial pa rt f or t he
purpose of attending a particular school within the school district.
Check here if there has been no change in items, a, b, c and d above.
Explanation of changes that have occurred as indicated in Question #2 (attach additional sheets if
necessary).
3.
Did t he ow ner or s pouse f ile a f ederal or N ew York S tate income t ax r eturn f or t he pr eceding
year?
Yes
No
IF YES, attach a copy of the return(s)
4.a.
The income of each owner and spouse of each owner for the calendar year immediately preceding
the da te of application must be s et f orth on f ollowing p age, e xcept f or an ow ner who i s a bsent
from t he residence du e t o di vorce, l egal s eparation or abandonment. Attach additional s heets i f
necessary. Income does NOT include gifts, inheritances, a return of capital, proceeds of a reverse
mortgage ( although i nterest or di vidends r ealized f rom t he i nvestment of s uch pr oceeds a re
income), reparation pa yments t o vi ctims of
Nazi pe rsecution, or
monies e arned t hrough
employment i n t he Federal F oster G randparent P rogram. Note t hat i f your i ncome ex ceeds t he
locally a pplicable i ncome c eiling, your application w ill be c onsidered f or e nhanced S TAR
purposes. H owever, i f you ha ve not s ubmitted i ncome i nformation f or t he year r equired f or
enhanced STAR purposes, you may need to submit form RP-425.