Form Rp-458-A - Application For Alternative Veterans Exemption From Real Property Taxation Page 2
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2RP-458-a (1/03 (rev. 8/06))
2
11. Date title to this property was acquired: _________________________ (attach copy of deed)
12. Has the owner(s) ever received or is the owner(s) now receiving a veterans exemption based on eligible funds
on property in New York State?
Yes
No
If yes, the amount of eligible funds used in the purchase was $_________________
The location of the property was or is: ___________________________________(same as in question 3) or
Street address: ________________________________________________________________________________
Village of_____________________ City/Town of__________________ School District___________________
I (we) hereby certify that all statements made on this application are true and correct to the best of my (our)
knowledge and belief and I (we) understand that any willful false statement made herein will subject me (us) to the
penalties prescribed therefore in the Penal Law.
ALL OWNERS MUST SIGN APPLICATION
_____________________________________
_______________
Signature of owner(s)
Date
_____________________________________
_______________
Signature of owner(s)
Date
Clear Form
SPACE BELOW FOR ASSESSOR’S USE ONLY
Period of war
Combat zone
active service or
service (including
Service connected
expeditionary
expeditionary
disability rating
medal recipient
medal) (10% or
____(x 50% or
(15% or ceiling
ceiling Max.)
ceiling Max.)
Max.) approved
approved
approved
Alternative veterans
exemption (RP-458-a)
Assessment
Yes
No
Yes
No
Yes
No
Total
Village of
Town/City of
County of
_________________________________________
________________________
Assessor’s signature
Date
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