Form Rp-425-Ivp - School Tax Relief (Star) Exemption Optional Income Verification Program Application printable pdf download

Form Rp-425-Ivp - School Tax Relief (Star) Exemption Optional Income Verification Program Application

RP-425-IVP (1/07)

New York State Board of

Real Property Services

School Tax Relief (STAR) Exemption;

Optional Income Verification Program

Dear Property Owner,

If you are a senior citizen applying for the Enhanced STAR exemption, you must demonstrate that the

combined income of all of the owners of the property, and of any owner’s spouse who resides on the

premises, is no greater than the income standard for the applicable income tax year. You may do this in one

of two ways:

Option 1: Traditional method. Submit a copy of your income tax return(s) for the appropriate income tax

year to the Assessor with your STAR application by the application deadline each year. If you choose this

option, do not complete this form.

Option 2: STAR Income Verification Program: Supply your Social Security Number(s) and authorize

the New York State Department of Taxation and Finance to verify your income eligibility each year, instead

of submitting an application and copy of your tax return(s) to the Assessor every year. To choose this

option, you must complete this form and submit it to the Assessor along with a traditional STAR application

and the necessary New York State income tax return(s) by the application deadline for the year in which you

choose this option. For more information about this option and the Privacy Act notification, please see the

back of this page.

To participate in the STAR income verification program, complete the following:

LOCATION OF PROPERTY

Street address

Village (if any)

City/town

School district

Tax map number or section/block/lot __________________________________________________________

Property identification (see tax bill or assessment roll)

AUTHORIZATION

I (we) hereby authorize the New York State Department of Taxation and Finance to annually verify,

using my (our) Social Security Number(s) supplied below, whether my (our) income is greater than the

applicable annual income standard for purposes of the Enhanced STAR exemption.

Please Print

Social Security

First Name

M.I.

Last Name

Number

Signature

Important: This authorization must be signed by all of the owners of the property, and by any owner’s

spouse who resides on the premises. Attach additional sheets if necessary.

Form Rp-425-Ivp - School Tax Relief (Star) Exemption Optional Income Verification Program Application