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James & Julie Husted RPTL 730 UCS 900 (Rev... March.aoo1) PEntlON SMALL CI,AIMS AS$._8MENT.I'lE\(JEw. 1Nc:oUtlITlES OUT8Il1EMMV()1\kcttv (one petitionpe,..,.f081) 1. Filing i# Calendar ## 2. Assessing Unit 3. Date of final completion and filing of assessment roll 77-// /~)q . 1 . (a) Toml ~ =15; Db l.) (b) Exempt amount (c) Taxable assessed value (3a~b) fo::tz:i; O/)/J 4. Date offiling (or mailing) petition 'J-/&Jc9 5. Name of owner or owners of property: 0G-m.e..8 f <fi~ ~ ""f"/l.(Jtc:J PostOffioeAddress: 11=1-1/9 rS'hn}jl6ll' U. ~pln~~s tu(/~tJr Telephone ,: _- '1ltt _ Ylf7 _ / ~S 5' () 6. If applicable, name and addrsae of rspreaen1ative of owner, if repl'888n~ Is filing ~p1ication: -- () (Owner~comPIe18 Designation of Repr;Ne~ aection.):Jl>hn ~l u-/b -f'rbp?I",,"!. 14 "-€c!V6f1Dr? 'C/alt5fs; 'f8'Santiy /1YJeJ'd3),,(l, J-/OfelA:e-ll J'CiNl! Telephone ; _ 6l ~dU f 1~S-33 1 7. Description of property as it appears on the aS8888lTlent roll. Tax Map , Section Block Lot {p I:S ~ - 0 I - OS:ONc _ 060 0 8. Location of property (street, road, highw!!y nu.,Inber, and city, 10wn ~r.village) I J -=t -II q S ftny KJ IIf2d 7bwn D{ W4Jp,no IS' RECEIVED JUL 1 0 2009 TOWN CLERK PART \I GROUNDSFORPETITlON ~- A ~.S$..Iefrt~uesl8don the complaint fonn filed with the Board of Aseessment Review 5~/DOO 1. 2. 3. To1alaS$8$$lt18nt Exemptamc>>.tnt. if any Taxableaesessment c:; 7)l). 757")7) , B. CALCULATION OF EQUALIZED VALUE AND MAXIMI..)M>REDOCTION IN ASSESSMENT 1. [ ] Property is NOT in aSpecil1ll8sSessing unit ASSESSED VALUE + EQUALIZATION RATE .. EQUALIZED VALUE 2. [ 1 Property IS In a spedal ass8ssing unit ASSESSED VALUE + CLASS ONE RATIO EQUALIZED VALUE 3. [] If the EQUALIZED VALUE exceeds $450,000. entar the ASSESSED VALUE hef8.: MtJ\1:iPIY~ASSESSED VALUE by: . EntBr the ~It "'1'8: The. ~isthe maximum total assessment Alquestl8duction allowable. x.25 c. [ ] UNEQUAL ASSESSMENT: The 101a1 aS88$Sm8l1t is unequal because the proJJ8rty is assessed ata higher percenfage offull (market) value than (check one). . /- / . [ ] (a) the average of all other property on the assessment roll, or [ ] (b) the average of retidential property on the asee8fll1l8nt roll. F~II(n:;rk8t)~~CJfpro~rty: $ ea.cion ooe or more of tI1$folloWlllg;PetitiOrilll' believ. thiS pfO~riysh()\Jla'~' a~il~d at % of full (market) value: 1.. [ ThelatntS1ate equalizatiOn rate for the assessing unit in which1he propertyisloC8tBd(etlb:Jtl818st . equaliation rate: %). 2. [ The. latest l'8$i(iential aseessmentratio for the asse$Sing unit in whic;h thepl'QJJ8rty is located (enter !Midential a8ee88Tllent ratio: CHI)_ 3. [ A sample of ~ val~s of AJ<:8nt sales pices and aseellil8fl18ntB of COmpl""'le l'8eidenti.1 properties C>h which petitioner relies for objection (list paroels on a _parate sheet and attac;h). ...., . [ J SUd8mentsc>fthea868$SOr or other localoflicial that property has been p1ac>ed on theroU.ilt CHI. ). Petiti~b8r.VeSthe totafall&ll&snientt;hould be redllced 10 $ . _ This amount may not bt-1..1han 1tJe tDtal asaessllIent amount indlc:atBd in Section A (1), or Section B (3), whichever is arenr. D. . [/ EXCESSIVE ASSESSMENT: . ,. [~--""'-""'(_"''''of''_. Total assessed value of property.. $. I t') ~ iYiSf) . h . Complainant beHeves 'the 10181 aSS88ement should be I8duced1o a fuU value of $c::nt;,. 2"?~ Attach list of parcels upon which complainant l8lies for objection, if applicable. ' This amount may not be less than the amount indicated in Section A (1), or Section B (3). 2. [ .1 The taxable assessed value is exce88ive .bet:ause .01 the denial of all.or II portio!, of !I partial exemption. Specifyexemption (e.g., aged, dergy, veterans, ete). Amountofexemptionclaimed: $ ..... . . ... . &notintgrantBd, if any: $ amourn may not be gl8atBrthan the amountirtdicafedin A (2). If application fOr exemption was filed, attach a copy of appliP8tion 101l1is ~on. "-... . This E. 1. [ INFORMATION TO SUPPORT THE FULL (MARKET) VALUE CLAIMED PUrohase price of property $ Da18ofpI.Jrchase Relationship, if any, between seller and purchaser 2. [ ] If property has been l'8C8nUy of'fentd for sale: lMlen and for how long: How ofl'8l8d: ~king price: $ . 3. I '1 If property has been I8cenUy appraised: Wlen: =rjD8 ByWlom: ~'1 ~a.lun Purpose ofappraisal: ~'.R~7 /Y! ar!e:f Val 'e Appraised value: $ 6 aD, m51.J , 4. [ 1 If buildings have been F8cenUy F8modeled, construclBd,or additional improvements made, slate: Year remodeled, conslruct8d, or additions made: Date commenced: Date completec:l: Cost: $ 5. [ ] Amount for which your property is insured: $ Name of insurance company and policy number: 6. [ PUn::haseprice of comparable property(ies) I8cently sold: $ PART III LISTING OF TAXING DISTRICTS Names of Taxina DistriclB 1. COUNTY: [j)~S 2. TOWN: tJo.-pp L-vL~ S 3. VILLAGE: 4. SCHOOL DISTRICT WapjJt~ RP1L730 J i. PART IV DESIGNATION OF REPRESENTATIVE TO FILE PETITION I, ' 0l..(vJM1, ~d 0 as petitiOner (or officer thereof) hereby designate d~ \. \al"M fD.' ,'" " " / toaer. my representative inany and all ~ings before the Small Claims Assessment RevieW of the Supreme Court in Ff) u.Jr_ !.PSi\' County for purposes of reviewing the assessment of my real property as it appears on thecl t:tfj year assessment roll of '^~,', > .' t"R ,~, ~ C' o . . ature of Owner (Or officertnereof) I ~A (j, Date ' I certify that: PART V ELIGIBILITY AND CERTIFICATION The owner has previously filed a complaint required for administrative review of assessments. The property isJrnproVecJt)y.a ofl~,t\Yoodhree family, owner~piedreskfentj~l~t(ucture . used exClusIVely for' residential purposeS, and is not a condominium; except a condominium ~:~nated as Class 1 in Nassau County ,or as "homestead- CJa~inanaPProvedassessing ThereqLlested a$SeSSmentis not lower than the assessment requested on the complaint filed with the assessor or the Boa~()f~essment Review. If the equaliZed value or~~prtl.~rtY:iex~. $~()iOOO, the requested assessment rect~cti()fld08$ ',flot~Xceed'~~. pc!rcentoftheaSS8$Sect ,v,~lue. I have mailed; bycertlfledmail, retumreceipt requeSted, or, delivered hi person, WithiJ'den daY$ after the day of filing this petition ~, the County Clerk, one (1) copy of this petition to the clerk ofthe assessing unitt or if there 'by no such clerk, then to the officer who performs the customary dutieS of that offic!~1. lliave mailed by regular mail within 10 (ten) days after the filing of the Petition with the County Clerk one (1) copy ofthe Petition to: (a) The clerk of the schOOl district(s)* within which the real property is locat~,()r if there be no clerk or the name and address cannot be obtained, then to a trustee, (b) Thetreiilsurer of the county in which the property is located, and (e) The assessor, or, the chairman ofthe board of assessors I certifythlat allst;ll;emeots made on this application are true and correct to the best of my knowledge and belief, and I understand that the making of any willful false statement of material fact herein will subject me to the provisions of the Penal law relevant to the making and filing of false instruments. (a) (b) (c) (d) (e) (f) Signature of owner or representative (*NOTE: You are. not required to file with the Buffalo City School District, the Rochester City School Oistrict, the Syracuse.City School District or the Yonkers City School District.)