Form Rp-425-Tpn - Request For Mailing Of Notice To A Third Party Regarding Enhanced Star Exemption

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RP-425-TPN
NYS Department of Taxation and Finance
Office of Real Property Tax Services
(5/12)
Request for Mailing of Notice to a Third Party
Regarding Enhanced STAR Exemption
Instructions: A senior citizen eligible for the enhanced STAR exemption may use this form to request that a notice be
sent to an adult third party to assist the senior citizen fulfill the eligibility requirements regarding enhanced STAR.
This form must be submitted to the assessor of the assessing unit in which the senior citizen resides no later than
60 days before the taxable status date in your municipality.
This section to be completed by recipient of the enhanced STAR exemption
1.
Your name
2.
Mailing address
ZIP code
3.
Property identification number
(see tax bill or assessment roll)
I request that a notice be mailed to the person whom I have designated below. In making this request, I understand that
no state or local government employee has any liability if for any reason the notice is not mailed to or not received by my
designee.
4.
Signature
Date
This section to be completed by a third party
1.
Third party name
2.
Mailing address
ZIP code
3.
Daytime telephone number
Evening telephone number
I consent to the designation provided by this form.
4.
Third party signature
Date
Clear Form

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