Pina & Chester R. Perine Jr
RPTL 730
UCS 900 (Rev. March,2007)
PETITION
SMALL CLAIMS ASSESSMENT REVIEW
IN COUNTIES OUTSIDE NEW YORK CITY
(one petition per parcel)
UPREME COURT, COUNTY
1.
Filing # Calendar #
AsSeSSingUnit~ ~\r .--p.d. I W~f'I5 FiL(I"i. NY /;?5-iJD
Date of final completion and filing of assessment roll' I J
2.
3.
5. Name of owner or owners of property: V \ I\~ ~ C-he..stt'...r M. '&-"VO f'.L,
Post Office Address: 31- --;t;,.... '"Bd./ \r1tt.pPi:jers ~t1sf f\J'II~s-1D
.Telephone #: g +S - ~ .3,;l " I SO I
(a) Total
(b) Exempt amount
(c) Taxable assessed value (3a-3b)
4. Date of filing (or mailing) petition
6. If applicable, name and address of representative of owner, if representative is filing application:
(Owner must complete Designation of Representative section.)
Telephone#:
7. Description of property as it appears on the assessment roll.
Tax Map # 1.15~ Section (e ~5 1- Block ();t Lot '7 '33 9-1 '1
8. Location of property (street, road, highway number. and city, town or village)
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REceIVED
JUL 2 0 2Q(S
TOWN CLERK
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PART II
GROUNDS FOR PETITION
A.
Assessment requested on the complaint form filed with the Board of Assessment Review
~ ~1t, ~~
1.
2.
3.
Total assessment
Exempt amount, if any
Taxable assessment
B.
CALCULATION OF EQUALIZED VALUE AND MAXIMUM REDUCTION IN ASSESSMENT
1.
[ ]
Property is NOT in a special assessing unit.
ASSESSED VALUE
+
EQUALIZATION RATE
=
EQUALIZED VALUE
2.
[ ]
Property IS in a special assessing unil
ASSESSED VALUE
+ CLASS ONE RATIO
=
EQUALIZED VALUE
3.
[ ]
If the EQUALIZEQ. VALUE exceeds $450,000, enter the ASSESSED VALUE here:
Multiply the ASSESSED VALUE by:
Enter the result here:
The result is the maximum total assessment request reduction allowable.
x.25
c.
[ ]
UNEQUAL ASSESSMENT: The total assessment is unequal because the property is assessed at a higher
percentage of full (marl<et) value than (check one).
] (a) the average of all other property on the assessment roll, or
] (b) the average of residential property on the assessment roll.
Full (marl<et) value of property: $
Based on one or more of the following, petitioner believes this property should be assessed at %
of full (mar1<et) value:
1. [ The latest State equalization rate for the assessing unit in which the property is located (enter latest
equalization rate: %).
2. I The latest residential assessment ratio for the assessing unit in which the property is located (enter
residential assessment ratio: %).
3. [ A sample of market values of recent sales prices and assessments of comparable residential
properties on which petitioner relies for objection (list parcels on a separate sheet and attach).
4. [ Statements of the assessor or other local official that property has been placed on the roll at
%.
Petitioner believes the total assessment should be reduced to $ . This amount may
not be less than the total assessment amount indicated in Section A (1), or Section B (3), whichever
is greater.
D.
[ ]
EXCESSIVE ASSESSMENT:
1. [ ]
The total assessed value exceeds the full market) value of the property.
Total assessed value-of property: $ ., .
Complainant believes the total assessment sho Id be reduced to a full value of $ 3 10, Of) D
Attach list of parcels upon which complainant relies for objection. if applicable. I
This amount may not be less than the amount indicated in Section A (1), or Section B (3).
The taxable assessed value is excessive because of the denial of all or a portion of a partial
exemption. Specify exemption (e.g., aged. clergy, veterans, ete).
Amount of exemption claimed: $ . Amount granted, if any: $ . This
amount may not be greater than the amount indicated in A (2).
If application for exemption was filed, attach a copy of application to this petition.
2. [ ]
E. ".tNFORMATION TO SUPPORT THE FULL (MARKET) VALUE CLAIMED
1. [Vf Purchase price of propertY D
Date of purchase ;l. I
Relationship, if any, betwe n slier and purchaser n \)fU..,..,
2. [ If property has been recently offered for sale:
When and for how long:
How offered:
Asking price: $
3. [ If property has been recently appraised:
When: By Whom:
Purpose of appraisal:
APpraised value: $
4. [ ] If buildings have been recently remodeled, constructed, or additional improvements made, state:
Year remodeled, constructed, or additions made:
Date commenc8d: Date completed:
Cost: $
5. [~ Amount for which your property is insured: $ d
Name of insurance company and policy number: A I-L..::rIA1E. po LI C Y .:tt q I 3 'il' ~ '13 T,;L
6. [ ~urchase price of comparable property(ies) recently sold: $ S'<.€...... OL--4-\-O....c..h~
PART III
LISTING OFTAXING DISTRICTS
Names of Taxina Districts
1.
2.
3.
COUNTY: 1> \A- ~S
TOWN tA!.~ p I AtleY'
VILLAGE: ,J I f-t J
SCHOOL DISTRICT WOffl''j er5 Cen+r.J
4.
RPTL 730
PART IV
DESIGNATION OF REPRESENTATIVE TO FILE PETITION
I,
, as petitioner (or officer thereof) hereby designate
to act as my representative in any and all proceedings before the Small
Claims Assessment Review of the Supreme Court in
County for purposes of reviewing
the assessment of my real property as It appears on the
Signature of Owner
(Or officer thereof)
Date
PART V
ELIGIBILITY AND CERTIFICATION
I certify that: .
(a) The owner has previously filed a complaint required for administrative review of
assessments.
(b) The property is improved by a one, two or three family, owner-occupied residential structure
used exclusively for residential purposes, and is not a condominium; except a condominium
designated as Class 1 in Nassau County or as "homestead" Class in an approved assessing
unit.
(c) The requested assessment is not lower than the assessment requested on the complaint
filed with the assessor or the Board of Assessment Review.
(d) Ifthe equalized value ofthe property exceeds $450,000, the requested assessment
reduction does not exceed 25 percent of the assessed value.
(e) I have mailed, by certified mail, return receipt requested, or, delivered in person, within ten
days after the day of filing this petition with the County Clerk, one (1) copy of this petition to
the clerk of the assessing unit, or if there by no such clerk, then to the officer who performs
the customary duties of that official.
(f) I have mailed by regular mail within 10 (ten) days after the filing of the Petition with the
County Clerk one (1) copy of the Petition to:
(a) The clerk ofthe school district(s)* within which the real property is located, or if
there be no clerk or the name and address cannot be obtained, then to a trustee,
(b) The treasurer of the county in which the property is located,
and
(c) The assessor, or, the chairman of the board of assessors
I certify that all statements 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 ~e ~. and filin alse instruments.
Signature of owner or representative
(*NOTE: You are not required to file with the Buffalo City School District, the Rochester City School District,
the Syracuse City School District or the Yonkers City School District.)