Form Rp-425-Wkst - Income For Star Purposes Worksheet
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1RP-425-Wkst
New York State Department of Taxation and Finance
Office of Real Property Tax Services
(5/12)
Income for STAR Purposes Worksheet
To be used by individuals not required to file a federal or New York State income tax return.
Name of owner(s)
Location of property
Street address
City/town
School district
Village
(if any)
Worksheet for STAR Income
Tax year
Enter the amounts below that would have been reported if you were required to file a federal or state income tax return
(round to the
.
nearest whole dollar)
1 Total wages, salaries, and tips
................................................................. 1.
(attach W-2(s))
2 Taxable interest income and dividends........................................................................... 2.
3 Unemployment compensation ........................................................................................ 3.
4 Total pensions and annuities. Do not include IRA distributions
4.
(attach Form 1099) ............
5 Social security benefits
5.
(attach Form 1099) ................................................................................
6 Other income
6.
(list type and amount) .............................................................................................
7 Add lines 1 through 6...................................................................................................... 7.
8 Adjustments to income
8.
(list type and amount) ............................................................................
9 Subtract line 8 from line 7. This is your STAR income ................................................ 9.
I (we) certify that all of the above information is correct and that I am (we are) not required to file a federal or New York State income tax
return. All owners must sign and date below.
Signature
Date
Signature
Date
Signature
Date
Signature
Date
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