Form Rp-459-C - Application For Partial Tax Exemption For Real Property Of Persons With Disabilities And Limited Incomes Page 2
Download a blank fillable Form Rp-459-C - Application For Partial Tax Exemption For Real Property Of Persons With Disabilities And Limited Incomes in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Rp-459-C - Application For Partial Tax Exemption For Real Property Of Persons With Disabilities And Limited Incomes with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2RP-459-c (9/09)
2
Name of owner(s)
Source of income
Amount of income
______________________________ _______________________________
____________________
______________________________ _______________________________
____________________
______________________________ _______________________________
____________________
Name of spouse(s) if
Source of income
Amount of income
not owner of property
of spouse(s)
of spouse(s)
______________________________ _______________________________
____________________
______________________________ _______________________________
____________________
______________________________ _______________________________
____________________
Subtotal income of owner(s) and spouse(s)
$ ___________________
10. Of the income specified in #9 how much, if any, was used to pay for an
owner’s care in a residential health care facility? (See instruction #10)
(Attach proof of amount paid: enter zero if not applicable.)
$ ___________________
(#9 minus #10)
$ ___________________
11. If a deduction for unreimbursed medical and prescription drug expenses is
authorized by any of the municipalities in which property is located
(see instructions #11), complete the following:
(a) Medical and prescription drug costs;
$ ___________________
(b) Subtract amount of (a) paid or reimbursed by insurance:
$ ___________________
(c) Unreimbursed amount of (a) (attach proof of expenses and
reimbursement, if any; enter zero if option not available):
$ ___________________
Total income of owner (s) and spouse (s) [#10 minus #11 (c)]
$ ___________________
12. Did the owner or spouse file a federal or New York State Income Tax return for the preceding year?
Yes
No If answer is Yes, attach copy of such return or returns. (See instruction #12.)
13. Does a child (or children), including those of tenants or lessees, reside on the property and attend a public
school, grades K through 12?
Yes
No
If Yes, show name and location of school(s): __________________________________________________
_______________________________________________________________________________________
If Yes, was the child (or were the children) brought into the residence in whole or in substantial part for the
purpose of attending a particular school within the school district?
Yes
No
I certify that all statements made on this application are true and correct.
Signature
Marital Status
Phone No.
Date
(If more than one owner, all must sign.)
SPACE BELOW FOR USE OF ASSESSOR
Date application filed
Exemption applies to taxes levied by or for:
Application approved
Application disapproved
County
Town
School
Village
Proof of disability submitted
Proof of ownership submitted
____________________________________________
______________________________________
Assessor’s signature
Date
Clear Form
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Rp-459-c - Application For Partial Tax Exemption For Real Property Of Persons With Disabilities And Limited Incomes
Financial
Form Rp-459-c-rnw - Renewal Application For Partial Tax Exemption For Real Property Of Persons With Disabilities And Limited Incomes
Financial
Form Rp-459-c-rnw - Renewal Application For Partial Tax Exemption For Real Property Of Persons With Disabilities And Limited Incomes
Financial
Form Rp-489-d - Application For Real Property Tax Exemption For Subsidized Railroad Real Property
Financial
Form Rp-485-e - Application For Real Property Tax Exemption For Real Property In An Empire Zone
Financial
Form Rp-421-f - Application For Real Property Tax Exemption For Capital Improvements To Residential Property - 1995
Financial
Form Rp-485-b - Application For Real Property Tax Exemption For Commercial, Business Or Industrial Property - 1995
Financial
Related Categories
Parent category: Financial