RP-467-Rnw (9/09)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
RENEWAL APPLICATION FOR PARTIAL TAX EXEMPTION
FOR REAL PROPERTY OF SENIOR CITIZENS
(AND FOR ENHANCED SCHOOL TAX RELIEF (STAR) EXEMPTION)
To be filed with your local assessor by Taxable Status Date
Do not file this form with the Office of Real Property Tax Services.
Telephone No.
Day (
)
Evening (
)
Email address (optional)
Name and address of applicant
1.
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot________________________________________________
2.
Since filing your application last year, fully describe in the lines below any changes in:
a. title to the property (due to death, addition or deletion of owner);
b. legal residence or occupancy of the property (e.g. confinement of owner in hospital or nursing
home, divorce, legal separation or abandonment by spouse); or
c. use of residence for other than residential purposes (store, office, farm, etc.).
d. State whether any children of owners, tenants or leaseholders living on the premises attend
public school grades K-12, and, if so, give the name and location of the school or schools. If a
child or children attending public school grade K-12 are living on the premises, state whether
such child or children were brought into the property in whole or in substantial part for the
purpose of attending a particular school within the school district.
Check here if there has been no change in items, a, b, c and d above.
Explanation of changes that have occurred as indicated in Question #2 (attach additional sheets if
necessary).
3.
Did the owner or spouse file a federal or New York State income tax return for the preceding
year?
Yes
No
IF YES, attach a copy of the return(s)
4.a.
The income of each owner and spouse of each owner for the calendar year immediately preceding
the date of application must be set forth on following page, except for an owner who is absent
from the residence due to divorce, legal separation or abandonment. Attach additional sheets if
necessary. Income does NOT include gifts, inheritances, a return of capital, proceeds of a reverse
mortgage (although interest or dividends realized from the investment of such proceeds are
income), reparation payments to victims of Nazi persecution, or monies earned through
employment in the Federal Foster Grandparent Program. Note that if your income exceeds the
locally applicable income ceiling, your application will be considered for enhanced STAR
purposes. However, if you have not submitted income information for the year required for
enhanced STAR purposes, you may need to submit form RP-425.