Form Rp-6704-B2 - Star Reimbursement Application Form School Tax Levy For The 2017-2018 Fiscal Year

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Department of Taxation and Finance

RP-6704-B2 (7/17)

Office of Real Property Tax Services

STAR Reimbursement Application Form

School Tax Levy for the 2017-2018 Fiscal Year

School code ________________________________

County name _____________________________________

School district name __________________________________

(3)

(1)

(2)

(4)

(5)

(6)

(7)

Calculated

Capped

Calculated

Capped

maximum

Tax rate

Basic

maximum

Enhanced

maximum

savings

per $1,000 of

certified

savings

certified

savings

assessed

per basic

exemption

per basic

exemption

per enhanced

exemption

value

Muni

amount

exemption

amount

exemption

Code

Municipal name

Class

(col. 1 x 2, /1000)

(excludes library levy)

(per ORPTS)

(col. 1 x 5, /1000)

(per ORPTS)

I hereby certify that the savings per exemption was limited to the lower of the calculated and capped amounts above: ___________________________________________________________

Signature of State Aid Designee

[ ] Mark an X here if the information below is identical to that on Form RP-6704-B1. If so, you do not have to re-enter it.

Name (print) ________________________________________________

Title ________________________________________________________________

Date ___________________

Telephone number __________________________

Fax number ______________________________

E-mail address ________________________________________________________

Clear Form