Form Rp-554 - Application For Corrected Tax Roll For The Year

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RP-554 (9/04)
NEW YORK STATE DEPARTMENT OF TAXATION AND FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR CORRECTED TAX ROLL
FOR THE YEAR 20 ___
Part 1: To be completed in duplicate by Applicant. APPLICANT MUST SUBMIT BOTH COPIES TO COUNTY DIRECTOR OF REAL
PROPERTY TAX SERVICES. (In Nassau and Tompkins Counties, submit to Chief Assessing Officer). NOTE: To be used only prior to
expiration of warrant for collection. For wholly exempt parcel, attach statement signed by assessor or majority of board of assessors
substantiating that assessor(s) have obtained proof that parcel should have been granted tax exempt status on tax roll.
____________________________________________
Day(
)
Evening ( _)_______________
1a. Name of Owner
2. Telephone Number
____________________________________________
_____________________________________________________
____________________________________________
_____________________________________________________
1b. Mailing Address
3. Parcel Location (if different than 1b.)
_____________________________________________________________________________________________________________
4. Description of real property as shown on tax roll or tax bill (Include tax map designation)
5. Account No. ___________________________________
6. Amount of taxes currently billed _______________________
7. I hereby request a correction of tax levied by ___________________________________________________________________
(county/city/school district; town in Westchester County; non-assessing unit village)
for the following reasons (use additional sheets if necessary): ________________________________________________________
____________________________________________________________________________________________________________
_______________________________
____________________________________________
Date
Signature of Applicant
PART II: For use by COUNTY DIRECTOR: Attach written report (including documentation of error in essential fact) and
recommendation. Indicate type of error and paragraph of subdivision 2, 3 or 7 of Section 550 under which error falls.
Date application received: ________________
Period of warrant for collection of taxes: __________________
Last day for collection of taxes without interest: _______________________
Recommendation:
Approve application*
Deny Application
__________________________
_________________________________________________________
Date
Signature of County Director
*
If box is checked, this copy is for assessor and board of assessment review of city/town/village of _______________
which are to consider attached report and recommendation as equivalent to petition filed pursuant to section 553.
PART III: For use by TAX LEVYING BODY or OFFICIAL DESIGNATED BY RESOLUTION _____________________________:
(Insert Number or Date)
_____APPLICATION APPROVED
Amount of taxes currently billed: $___________________
Notice of approval mailed to applicant on (enter date): __________
Corrected tax: $ __________________________________
Order transmitted to collecting officer on (enter date): __________
_____APPLICATION DENIED
Reason: ________________________________________________________________
Seal of Office
__________________________
________________________________________________
Date
Signature of Chief Executive Officer
or Official Designated by Resolution
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