Form Rp-554-V - Application For Corrected Village Tax Roll For The Year
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2RP-554-v (9/04)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR CORRECTED VILLAGE TAX ROLL
FOR THE YEAR 20 ____
Part 1: To be completed in duplicate by Applicant. APPLICANT MUST SUBMIT BOTH COPIES TO VILLAGE ASSESSOR (OR
CHAIRMAN OF VILLAGE BOARD OF ASSESSORS). 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. If parcel is located in a village that has ceased to be an assessing unit, you
must instead complete form RP-554 and submit it to the county director of real property tax services.
____________________________________________
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 _______________________
(as it appears on tax bill)
7. I hereby request a correction of real property tax levied by the village, for the following reasons (use additional sheets if necessary).
____________________________________________________________________________________________________________
___________________________
_________________________________________
Date
Signature of Applicant
PART II: For use by VILLAGE ASSESSOR’S USE: Village Assessor shall 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 Assessor
PART III: For Village Board of Trustees’ use:
_____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
Reasons: ________________________________________________________________
__________________________
________________________________________________
Date
Signature of Chief Executive Officer
or Official Designated by Resolution
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