Form Rp-458 - Application For Veterans Exemption From Real Property Taxation Page 2
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2RP-458 (1/07)
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9.
Of the eligible funds listed in item 8, specify below the amounts, if any, which were used in the purchase of
real property:
Line no.
1. Full purchase price of property…………………………………………………….. $____________________
2. Amount of down payment (if any)…………………………………………………. $____________________
3. Amount of purchase money mortgage given or assumed at the time of purchase…. $____________________
Paid to__________________________Date Paid____________________
4. Improvements to property………………………………………………………….. $____________________
Paid to_________________________Date Paid_____________________
Paid to_________________________Date Paid_____________________
5. Total amount of eligible funds used in the purchase of the property
(line 2+line 3+ line 4 …………………………………………………….…………. $____________________
If more space is needed, attach additional schedule stating line number to which it is applicable.
10. Is the owner claiming a total exemption pursuant to Section 458(3) of the Real Property Tax Law (eligibility
for or use of federal funds to acquire a residence with special fixtures or facilities made necessary by a
veteran’s disability)?
Yes
No
If yes, enter the name of the School District.
If yes, attach proof of the eligibility for or monies received from the United States government.
11. Has the owner(s) ever received or is the owner(s) now receiving an alternative veterans exemption on property
in New York State?
Yes
No
If yes, year first granted________year last granted___________
Location of property_________________________________of________________County, State of New York.
The property was exempt for which of the following purposes: County_______________________________
City/Town___________________________________ Village____________________________________
12. Is this application made for the purposes of reobtaining a previously granted eligible funds exemption which
will be subject to a local change in level of assessment (see instructions).
Yes
No
I (we) hereby certify that all the statements made on this application are true and correct to the best of my (our)
knowledge and belief and I (we) understand that any willful false statement made herein will subject me (us) to the
penalties prescribed therefore in the Penal Law.
_________________________________________
State of New York
Signature of owner or authorized representative
County of_________________________________
_______________________________________, being duly sworn, deposes and says that the statements contained
in this application are true to the best of his or her knowledge.
Subscribed and sworn to me this______day of______________20_____
________________________________________
Commissioner of deeds or notary public
SPACE BELOW FOR ASSESSOR’S USE ONLY
Clear Form
Application approved:_________
Application denied:_________
Amount of eligible funds: $____________________
_______________________________
Amount of exemption: $_______________________
_______________________________
___________________________________________
_______________________________
Assessor’s signature
Date
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