Basic Star Property Tax Exemption Application - Nassau County - 2017-2018

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NASSAU COUNTY DEPARTMENT OF ASSESSMENT
2017-2018 BASIC STAR Property Tax Exemption Application
(Nassau County does not charge a fee to file this application.)
Any alteration of this application may result in a denial.
Ownership
(A copy of the latest Deed; not the mortgage)
Names of ALL Owners (as recorded on Deed)
Date of Birth
Marital Status
Social Security Number
a)
b)
c)
Property Address
Deed (Liber) #
Deed (Page) #
Telephone Number
Telephone Number
(If Known)
(If Known)
Day
Evening
Cooperative Bldg# _____ Cooperative Apt# _____ Corporation Name _______________
Cooperative Apartment owners must attach a copy of the CERTIFICATE OF SHARES
Property Identification
For Condominiums & Co-ops Only
Town
School Dist.
Section
Block
Lot
CA# or Bldg#
Tax Unit#
Proof of Residence (See Application Instructions on Page 2. Copies of your proof of residence must be
attached to this application.)
A Basic STAR Application must be re-filed when your primary residence or the Deed to the property changes
and you must notify the Assessor, in writing within 60 days of the date of transfer, to remove any
exemption(s) on a previous residence prior to filing the new application. This exemption is not transferable.
Copy of the Entire Trust (Required if the property has been placed in a Trust)
CERTIFICATION (All Primary Resident Owners Must Sign)
I (We) certify that all of the above information made on this application is true and correct and that the property listed above is my (our) legal
primary residence. I (We) understand it is my (our) obligation to provide any documentation of eligibility that is requested and to notify the
assessor if I (we) relocate to another primary residence. I (We) understand that any willfully false statements of fact will be grounds for
disqualification from further exemption for a period of five years and a fine as set forth in New York State Real Property Tax Law.
Signature(s)
Date
__________________________________________________
________________________
__________________________________________________
________________________
Note: The completed application must be filed with the Nassau County Department of Assessment on or before the taxable status date of
January 2, 2017. Due to the extremely large volume of STAR applications processed by this Department, it is recommended that the
applications be filed before December 30, 2016.
** Senior Citizen Homeowners (65 or older): If your income qualifies, you may be eligible for the Enhanced STAR Exemption.
_______________________________________________________________________________________________________
THIS SPACE IS FOR ASSESSOR’S USE ONLY
Proof of Ownership
Yes
No
Approved
Yes
No
Proof of Primary Residence
Yes
No
Assessor’s Signature ____________________________ Date __________________

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