Form Rp-6704-B1 - Star Reimbursement Application Form School Tax Levy For The 2015-2016 Fiscal Year

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RP-6704-B1 (7/15)

Department of Taxation and Finance

Office of Real Property Tax Services

STAR Reimbursement Application Form

School Tax Levy for the 2015-2016 Fiscal Year

School code ________________________________

County name _____________________________________

School district name __________________________________

(1)

(2)

(3)

(4)

(5)

(6)

Total

number of

assessed value

STAR

number of

assessed value

enhanced

of enhanced

of all STAR

reimbursement

Muni

basic STAR

of basic STAR

STAR

exemptions

amount

Code

Municipal name

Class

exemptions

(columns 2 + 4)

(see instructions)

School district totals

I hereby certify that the information contained in this report constitutes a true statement of fact: _________________________________________________________

Signature of State Aid Designee

Name (print) _______________________________________________

Title _______________________________________________________________

Date _________________

Telephone number __________________________

Fax number ______________________________

E-mail address _____________________________________________________

Clear Form