Form Rp-425-Rnw - Renewal Application For School Tax Relief (Star) Exemption - New York State Board Of Real Property Services
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2RP-425-Rnw rev. (6/04)
New York State Board of
Governor George E. Pataki
Real Property Services
Renewal Application for School TAx Relief (STAR) Exemption
Dear Property Owner,
You received an Enhanced STAR Exemption on your prior year school tax bill. YOU MUST
REAPPLY AND RESUBMIT PROOF OF INCOME to continue receiving the exemption.
The total 2003 income of all owners and any spouses of owners residing on the premises must be
$64,650 or less. The definition of income is adjusted gross income for federal income tax purposes less
any taxable distributions from an Individual Retirement Account (IRA). Please see the back of this form
for a description of how to calculate your income from your 2003 federal and State income tax forms.
All owners, including non-resident owners, must attach a copy of either their 2003 federal or
2003 State income tax return (if filed). (Tax schedules and tax form attachments are not routinely
required.) Return this form to your local assessor by taxable status date. Do not file this form with
the State Board of Real Property Services.
Name and telephone number of owner(s)
Mailing address of owner(s)
Day Number (
)
Evening Number (
)
E-Mail Address:
Location of property
Village (if any)
Street address
School district
City/town
Tax map number or section/block/lot ___________________________________________________________
Property identification (see tax bill or assessment roll)
Caution:
Anyone who misrepresents his or her primary residence, age or income shall be subject to a $100 penalty, shall
be prohibited from receiving the STAR exemption for five years, and may be subject to criminal prosecution.
All resident owners must sign and date.
I (we) certify that all of the above information is
that the property listed above is
correct and
owned by and is my (our) primary
Signature
Date
residence
. I (we) understand it is my (our)
obligation to notify the assessor if I (we)
Signature
Date
relocate to another primary residence and to
provide any documentation of eligibility that is
Signature
Date
requested.
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