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Senior Citizen Homeowners' Exemption Initial Application For 2018/2019 - New York Department Of Finance Page 3

SCHE

Senior Citizen Homeowners’ Exemption

INITIAL APPLICATION FOR 2018/2019

PLEASE PRINT

Condominium unit

1–3 family dwelling

IF FAMILY UNIT WITH 4 OR MORE UNITS, ENTER

Cooperative

4+ family dwelling

% OF SPACE USED FOR PRIMARY RESIDENCE: ____________ %

Yes

2. OWNER(S) INFORMATION

• For a life estate, provide owner info for life estate holder and spouse.

• For a trust, provide owner info for beneficiary/trustee and submit copy of entire Trust Agreement.

• If an owner is deceased, do not include info. Submit copy of death certificate.

• If the property was willed to an owner, please submit copy of last will and testament, probate or court order.

• For divorced, legally separated, or abandoned owners, do not include info for absent owner.

Submit copy of court documents.

• For owner receiving medical care in a health care facility, submit documentation from health care facility.

SCHE Initial Rev. 12/4/2017

Senior Citizen Homeowners' Exemption Initial Application For 2018/2019 - New York Department Of Finance Page 3