RP-5849-DET
New York State Department of Taxation and Finance
Office of Real Property Tax Services
(10/13)
Notice of Determination of Loss of Property Value
Due to Superstorm Sandy
2. Property location (enter Same if not different from
1. Name and mailing address of owner(s)
mailing address)
3. Tax map number or section/block/lot: __________________________________________________________
4. Property owner’s claimed loss to improvements on the property (excluding value of the land):
10-19%*
20-29%*
30-39%*
40-49%*
50-59%
60-69%
70-79%
80-89%
90-99%
100%
5. Assessor’s determination
Application approved as submitted to Assessor
Assessor determines loss to improvements on the property (excluding value of the land) to be:
10-19%*
20-29%*
30-39%*
40-49%*
50-59%
60-69%
70-79%
80-89%
90-99%
100%
Application denied
the loss in improved value was below the minimum percentage necessary to qualify for relief, or
the application was not filed within allowable time frame
6.
Determination applies to the following assessments:
County
City/Town
Village
Special District
School District
If you disagree with the assessor’s determination, you may appeal to the Board of Assessment Review by submitting
a written complaint to the assessor on or before the day the board meets or with the board on such day. You may
use complaint Form RP-5849-BAR. The Board of Assessment Review is scheduled to meet on
Date
Signature of assessor
*Assessment relief for a loss of less than 50% of improved value is available only if the municipality’s local law or
resolution has specifically authorized relief in those loss categories.
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