RP-3616 (11/02)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
Optional County Services Application for State Aid
(RPTL Section 1573(3-a))
______________________________________________________________________________________________
County Director’s First Name
Middle Initial
Last Name
_______________________________________________________________________________________________
Street Name & Number
City/Town
________________________________________________________________________________________________________
State
Zip Code
Phone Number
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This application must be filed by the County Director of Real Property Tax Services within 90 days of the filing
of the final assessment roll for the assessing units where assessment, appraisal, or exemption services were provided
for all locally assessed parcels. However, upon approval, payment will be made directly to the Chief Fiscal Officer for
the County. The assessing units where assessment, appraisal or exemption services were provided for all locally
assessed parcels, pursuant to RPTL 1537, and a summary of the services provided must be listed in the space
provided on the back of this form. ORPS will confirm with the assessing unit (s) that the services were performed.
The State Aid payment will be based on the number of parcels taken from the Assessors Report submitted for the final
assessment roll for which the State Aid is being requested.
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I, ___________________________________, the county director of the county in which the municipalities listed
on the back of this form are located, do hereby make application for State Aid pursuant to Section 1573(3-a) of the Real
Property Tax Law.
The final assessment roll for which the State Aid is being requested was filed on _________________________.
Date
Signed: ________________________________________________ Date:_______________________________
County Director
Submit this Application to:
YOUR REGIONAL
NYS OFFICE OF REAL PROPERTY TAX SERVICES