APPLICATION FOR PARTIAL TAX EXEMPTION
FOR REAL PROPERTY OF AGED PERSONS 2010-2011
(Please refer to the instructions before filling out the application.)
House Number & Street: ________________________________________________ Apt. Number ______________
City ______________________________ State ____________________________ Zip Code _________________
TOWN _____ S D _____ SECTION _____ BLOCK ________ LOT ________ CA# or BLDG.#_____ TAX UNIT# _____
For Condos & Co-ops only
Names of ALL Owners
(as recorded on latest deed)
Date of Birth
Social Security Number
Telephone Number Day ( ) ___________________ Evening ( ) ___________________ Fax ( ) _________________
Proof of Ownership. Indicate ALL documents that apply and submit them with this application.
Co-op owners must attach a copy of the Certificate of Shares.
Latest recorded deed – Liber/Deed # _______________ Page # _______________
Probated Will(s) of deceased owner(s)
Entire Trust – If property is in a trust.
If any owner appearing on any proof of ownership or the spouse of any owner, is deceased, a death certificate must be attached to this application.
Proof of Age. Indicate documents submitted for ALL owners.
Proof of Residency. Indicate documents submitted for ALL owners.
Current NYS car registration
2008 NYS Resident income tax return
a. Do all owners presently reside on the property to be exempted?
b. Is the non-resident owner absent from the residence due to divorce, le