RP-458-a-Dis (10/98)
New York State Board of Real Property Services
RENEWAL APPLICATION FOR ALTERNATIVE VETERANS
EXEMPTION FROM REAL PROPERTY TAXATION BASED ON
SERVICE CONNECTED DISABILITY COMPENSATION RATING
1. Name and telephone no. of owner(s)
2. Mailing address of owner(s)
______________________________________________
______________________________________________
______________________________________________
Day No.__(____)_________________________________
______________________________________________
Evening No.__(____)______________________________
______________________________________________
3. Location of property (see instructions)
______________________________________________
______________________________________________
Street address
Village (if any)
______________________________________________
City/Town
Property identification (see tax bill or assessment roll)
Tax map number of section/block/lot _________________________________________________
4.
Does the veteran currently* have a service connected disability compensation rating from the United States
Veteran’ s Administration or Department of Defense? _____Yes ______No
If Yes, attach written evidence of such rating issued within one year of the date of this application.
Is this compensation rating permanent? _____Yes ______No
* If the veteran is deceased, indicate on the line below the date of death and attach written evidence of the veteran's
compensation rating at the time of death.
Date of veteran's death______________
I (we) hereby certify that all statements made on this application are true and correct to the best of my knowledge and
belief and I (we) understand that any willful false statement made herein will subject me (us) to the penalties prescribed
therefor in the Penal Law.
__________________________________
_________________________________
__________________________________
Date
Signature of owner(s)
INSTRUCTIONS
1.
When the alternative veterans exemption is granted based on a service-connected disability rating received from the United
States Veterans Administration or the United States Department of Defense, evidence of continued exemption eligibility
must be provided by the property owner if the disability rating increases or decreases.
2.
The change in percentage of disability rating must be certified on this form (RP-458-a-Dis) and filed with the assessor
prior to taxable status date in order for the exemption to be properly adjusted. Where property is located in a village which
assesses, a separate renewal application should be filed with both the village and town assessors.
3.
Taxable status date for most towns is March 1. In the Counties of Erie and Westchester, taxable status date for towns is
June 1. In Nassau County, taxable status date for towns is January 2. Taxable status date for most villages is January 1;
however, the village clerk should be consulted to insure certainty. Charter provisions control the taxable status date in
cities. To ascertain the correct taxable status dates in cities, inquiry should be made of city assessors.