RP-6085 (5/01)
For Office Use Only
Swis Code ________
Hearing
STATE OF NEW YORK
Date
________
COMPLAINT
on
Tentative State Equalization Rate,
Class Equalization Rates and/or Class Ratios
before the
STATE BOARD OF REAL PROPERTY SERVICES
PLEASE PRINT OR TYPE, COMPLETE ALL BOLDED AREAS.
______________________________________________________________________________________________________
I, __________________________________________, ______________________________________________________
Name
Title of Chief Executive Officer or Legal Representative
hereby complain and object to the tentative State equalization rate (and tentative class equalization rates and tentative class
ratios, if applicable) established by the State Board of Real Property Services for the final assessment roll completed in the year
________ for the
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County,
City,
Town,
Village of
(Choose only one)
_________________________________________, ____________________________________________________
Name of Assessing Unit
County
____________________________________________________________ ________________________________
Signature of Chief Executive Officer or Legal Representative
Date
If a legal representative is filing this complaint, please complete the following address section.
____________________________ __________________________ __________ ___________________________
Street Address
City/State
Zip
Phone #
______________________________________________________________________________________________________
Does a representative of your municipality plan to attend the rate hearing scheduled in Albany?
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YES
Or
NO
Attendance at the hearing is not required nor is it necessary to attend a hearing to file a complaint. No new complaints,
objections or documentation may be received at the hearing, nor will staff respond to the complaint at the hearing. Municipal
officials may make oral comments at the hearing amplifying material submitted with the complaint.
This complaint form and supporting documentation must be mailed or served upon the State Board at least five days before the hearing date
to:
Darlene A. Maloney
Assistant to the State Board
New York State Board of Real Property Services
16 Sheridan Avenue
Albany, NY 12210-2714
Late documentation will not be accepted. Please refer to the “Notice of Tentative State Equalization Rate” which specifies the rate
complaint submission deadline. Attach specific supporting documentation for each objection in accordance with section 186-15.2 of the
State Board’s rules. If written objections are not filed, the tentative State equalization rate will be made final without change.
(over)