RP-553 (1/06)
NEW YORK STATE DEPARTMENT OF TAXATION AND FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
NOTICE AND PETITION OF ASSESSOR TO THE BOARD OF ASSESSMENT
REVIEW FOR THE _______________________ (assessing unit) FOR
CORRECTION OF THE 20___ FINAL ASSESSMENT ROLL
To be completed in duplicate by assessor, or designated member of the Board of Assessors. Assessor is to transmit copy by certified mail,
return receipt requested, to individual named in Part 2, item 1, EXCEPT where the proposed correction will result in a lower assessment.
Transmit original to Chairman of Board of Assessment Review
PART 1: NOTICE OF PETITION
You are hereby notified that the Board of Assessment Review for _____________________________________________ will convene at
Assessing Unit
____________(a.m./p.m.) on ____________ at __________________________________________________ for the purpose of acting on
Time
Date
Location
the Assessor’s or Board of Assessor’s petition (see below) to correct the __________________ final assessment roll.
Year
Note: You may appear at the meeting and present any information relevant to the petition below. The Board of Assessment Review will
notify the tax levying body of any changes to be made. The tax levying body will then notify you of any such change.
PART 2: PETITION
____________________________________________
Day (
)
Evening ( __)________________
1a. Name of Owner
2. Telephone Number
____________________________________________
_____________________________________________________
____________________________________________
_____________________________________________________
1b. Mailing Address
3. Parcel Location (if different than 1b.)
____________________________________________
1c. E-mail Address (optional)
_____________________________________________________________________________________________________________
4. Description of real property as shown on tax roll or tax bill (Include tax map designation)
5.
Account No. ___________________________________
6a. Entry appearing on final assessment roll:
6b. Entry on final assessment roll should be:
Land Value _______________________________
Land Value _______________________________
Total Value _______________________________
Total Value _______________________________
Exempt Value ____________________________________
Exempt Value ____________________________________
7. Type of error (see definitions on reverse side):
Clerical error, as defined in Sec. 550 (2), para. _____
Error in essential fact, as defined in Sec. 550 (3), para. _____
Unlawful entry, as defined in Sec. 550(7), para. ______
Omitted parcel of taxable real property or an omitted improvement on current or preceding year’s assessment roll.
Incorrect grant of partial exemption on preceding year’s assessment roll; no transfer of title has occurred.
______ An entry of assessed valuation of taxable State-owned land on current or preceding year’s roll which is less than amount approved
by the Office of Real Property Tax Services.
______ An entry of assessed valuation of a special franchise on current or preceding year’s roll which is less than final assessment thereof
made by the Office of Real Property Tax Services or the full value of that special franchise as determined by the Office of Real
Property Tax Services adjusted by the final state equalization rate established by the Office of Real Property Tax Services for the
assessment roll upon which that value appears.
______________________
8. Describe how error occurred (Be specific; do not repeat definitions on reverse side; attach documentation)
______________________________________________________________________________________________________
______________________________________________________________________________________________________
(Use additional sheets if necessary)
I, _________________________________________, Assessor or designated member of the majority of the Board of Assessors of the
________________________, hereby petition the Board of Assessment Review to correct the 20___ final assessment roll as indicated above.
Assessing Unit
__________________________
________________________________________________
Date
Assessor’s signature