Form Rp-5849-Bar - Superstorm Sandy Assessment Relief Act Complaint On Real Property Assessment

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RP-5849-BAR
New York State Department of Taxation and Finance
Office of Real Property Tax Services
(10/13)
Superstorm Sandy Assessment Relief Act
Complaint on Real Property Assessment
Before the Board of Assessment Review for ___________________________________
(city, town, village, or county)
Part 1 - General information
1. Name and telephone number of owner(s)
2. Mailing address of owner(s)
Day no.: (
)
Evening no.: (
)
Email:
3. Name, address, and telephone number of representative of owner, if representative is filing application.
(If applicable, complete Part 3 on page 3.)
4. Property location
Street address
Village (if any)
City/Town
County
School District
5. Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot:
Type of property:
Residence
Farm
Other
Commercial
Industrial
Description:
6. Percent of assessment reduction granted on the assessment roll:

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