Form Rp-467 - Application For Partial Tax Exemption For Real Property Of Senior Citizens (And For Enhanced School Tax Relief (Star) Exemption)
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3RP-467 (11/09)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR PARTIAL TAX EXEMPTION FOR REAL PROPERTY OF
SENIOR CITIZENS (AND FOR ENHANCED SCHOOL TAX RELIEF (STAR) EXEMPTION)
NOTE: General information and instructions for completing this form are contained in RP-467-Ins
Persons who qualify for the senior citizens exemption are also deemed eligible for the enhanced school tax relief
(STAR) exemption. No separate application for the STAR exemption (RP-425) need be filed unless the assessor
cannot determine eligibility for enhanced STAR based on this application. Application must be filed with your
local assessor by taxable status date. Do not file this form with the Office of Real Property Tax Services.
l. Name and telephone no. of owner(s)
2. Mailing address of owner(s)
____________________________________
______________________________________
____________________________________
______________________________________
Day No. (
) ______________________
______________________________________
Evening No. (
)____________________
______________________________________
E-mail address (optional) ____________________________________________________________
3. Location of property (see instructions)
___________________________________________
________________________________________
Street address
Village (if any)
___________________________________________
________________________________________
City/Town
School District
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot___________________________________________________
4. Indicate documents submitted with application as proof of age of owners (See instruction #4):
Birth certificate
Baptismal certificate
Other (specify) ________________________
5. Date applicant(s) acquired ownership of property (see instruction #5): ________________________
6. Indicate document submitted with application as proof of ownership (See instruction #6):
Deed
Mortgage
Other (specify) _____________________________________
7. Do all the owners of the property presently occupy the premises as their legal residence?
Yes
No
If the answer to 7 is NO, is an owner receiving medical care as an in-patient in a residential health
care facility?
Yes
No
If answer is YES, specify name and location of the facility. ________________________________
________________________________________________________________________________
If answer to 7 is NO, is the non-resident owner the spouse or former spouse of the resident owner and
is he or she absent from the residence due to divorce, legal separation or abandonment?
Yes
No
If answer is NO, explain. ___________________________________________________________
________________________________________________________________________________
8. Is any portion of the property used for other than residential purposes (commercial, professional
office, etc.)?
Yes
No
If answer is Yes, explain such use and describe the portion that is so used.
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