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Disabled Crime Victim/good Samaritan Exemption Application - New York Department Of Finance

NYC DEPARTMENT OF FINANCE

PROGRAM OPERATIONS DIVISION

DISABLED CRIME VICTIM/GOOD SAMARITAN

EXEMPTION APPLICATION

Finance

Instructions: This application is for your eligible New York City property only. Please read the instruc-

tions before you fill it out and answer all questions completely. If you have any questions, contact 311 or

email personalexemptions@finance.nyc.gov. Applications must be postmarked by March 15

(or by

the following business day if March 15

falls on a weekend) to be eligible for the following tax year.

Eligibility Requirements

•

The property must be a one-, two- or three-family residence where improvements have been made to

accommodate a physical disability incurred by a victim of a crime, or by a Good Samaritan who tries to

stop a person who has committed a crime in the Samaritan’s presence.

•

The crime victim or Good Samaritan must be the property’s owner, a member of the owner’s household

or a resident of the property.

•

Improvements made to the property must also have resulted in an increase in the property’s assessed value.

If eligible, the exemption will be granted until the improvement is no longer a necessary accommodation for

the disabled crime victim or Good Samaritan.

The Department of Finance will inform you of all exemption benefits

that you are eligible for on your Property Tax Bill.

Mail your completed application to:

NYC Department of Finance

Personal Exemptions Unit

59 Maiden Lane, 24th Floor

New York, NY 10038

SECTION I - OWNER INFORMATION

1. Owner #1’s Name:

a. _____________________________________ b. ___________________________________

FIRST NAME

LAST NAME

c. Is this Owner #1’s primary residence?

YES

d. Social Security #:

e. Date of Birth:

2. Owner #2’s Name:

a. _____________________________________ b. ___________________________________

FIRST NAME

LAST NAME

c. Is this Owner #2’s primary residence?

YES

d. Social Security #:

e. Date of Birth:

Visit Finance at nyc.gov/finance

Crime Victim Ex. Appl. Rev. 09.08.14

Disabled Crime Victim/good Samaritan Exemption Application - New York Department Of Finance

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