Rabenda, Brian
RPT!.. :'30
LCS 300 :Rev. March,2007)
PETITION
SMALL CLAIMS ASSESSMENT REVIEW
IN COUNTIES OUTSIDE NEW YORK CITY
(~ne petition per parcel)
PART 1
GENERAL INFORMATION
SUPREME COURT, COUNTY OF O,,-rc.h-.f.i)
1. Filing # '1..007 - S- j~L -~j) Calendar #
2. Assessing Unit ~." 0,':' WC'f('I"'lJ4'-1
3. Date of final completion and filing of assessment roll ~l'r ,~ 2. c.l ;: "
(a) Total '50L'. C L' C
(b) Exempt amount io{ ,S" <0 c \,)
(c) Taxable assessed value (3a-3b) L ~t.{ . '-'( (J ()
4. Date of filing (or mailing) petition '~t7 3, Leo "7
5. Name of owner or owners of property: ~(', (l'-,R~"~,,,d c.-
Post Office Address: ,:.11 V{"", V" '\:'.'\. h.') Dr. v-IL
Telephone #:_ lAJ~f (' i .., ~..-) ~d.) N.~. l1...r7~
lc. ~ % "" ("
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 # 13~c., ~J Section (.~7 Block 0'1 Lot f..o 'i 0 0 ~
8, Location of property (street, road, highway number, and city, town or village)
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RECF:I\'....' I
AUG 0 3 2007
TOWN CLERK
PART II
!":Qr1'I'lJi'c; ;:nR o:1"'!;'("N
A, .l.s5eSSr-1ent 'equested on the ~cr'"1p:aint for"" ':e1 ....itl' :he 30a"0 of Assessment ,~eveN
2
3
Total assessment
:xempt amount, if any
Taxable assessment
(/(o* it, ~~8 .-
J
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8, C~:":ULA?:ON OF E::L.ALiZED '/ALLE AND MAXiM'.:M REDL:CT:ON :N ASS:::SSMENT
1, [l Property is NOTn a special assessing unit.
ASSESSED VALUE
E:lUAL:ZA T'CN RATE
EQUAliZED 'OLU E
2.
( l
Property IS in a spec:al assessing unit.
ASSESSED VALUE
CLASS ONE RATIO
.
EQUALIZED VALUE
3.
( ]
If the EQUALIZED 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 (market) 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 (market) value of property: $
Based on one or more of the following, petitioner believes this property should be assessed at %
of full (market) value:
1. ( ] The latest State equalization rate for the assessing unit In which the property Is located (enter latest
equalization rate: 'Yo).
2. ( ] The latest residential assessment rallo 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,
M
EXCESSIVE ASSESSMENT:
1, [V] The total assessed value exceeds the full (market) value of the property,
Total assessed value of property: $ '3GO. ()(J D ._
Complainant believes the total assessment should be reduced to a full value of $ / (, b: c:)'-fi. ,-
Attach list of parcels upon which complainant relies for objection, if applicable.
This amount may not be less than the amount Indicated in Section A (1), or Section B (3).
2, ( ] 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, etc),
Amount of exemption claimed: S , 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
E, I:-JFOF{,\lATiON TO SUPPORT THE FULL (MARKET) VALUE CLAIMED
1, [ Purchase price of property $ 3.5, C'e c -
Dale of purchase f:-eftJ I ~ I '7 ~ I
Realionship, If any, between sel~er and purct1aser
2. [ 1 If property has been recenUy offered for sale:
When and for how long:
How offered:
Asking price: $
3. [ If property has been recenUy appraised:
When: By Whom:
Purpose of appraisal:
Appraised value: $
4. [ If buildings have been recenUy remodeled, constructed, or addlllonallmprovements made, state:
Year remodeled. constructed, or additions made:
Dale commenced: Date completed:
Cost: $
5. [
Amount for which your property Is insured: $
Name of Insurance company and policy number:
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Pt.P ,,/1'1 '$2./
6. [XJ Purchase price of comparable property(les) recenUy sold: $
/11...000
.
PART III
LISTING OF TAXING DISTRICTS
Names of Taxing Districts
1. COUNTY: Dvtc..f\.es S Ct>u"",
2. TOWN: W"tOpi.. .-er)
3. VILLAGE:
4.
SCHOOL DISTRICT
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RPTL 730
PART IV
DESIGNATION OF REPRESENTATIVE OF 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 year assessment roll of
(assessing unit)
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) If the equalized value of the 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 of the 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 the making and filing of false Instruments.
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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.)