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DeDominicks, Authur & Diane ,./", //,. <' RPTL 730 PETITION SMALL CLAIMS ASSESSMENT REVIEW IN COUNTIES OUTSIDE NEW YORK CITY (one petition per parcel) f.'!~ f UCS 900 (Rev.'September 2003) lJUTCHFSS :.:']IJ;I11 Y CLr?h ';:; !:;',c'ICE PART 1 2005 JUL 29 Pli 5: 0 I GENERAL INFORMATION SUPREME COURT. C::OUNTY OF j };, .,L". 1. FiDng~ Calendar # 2- As......."". /{i;"Jh O>~ tuo/,t#H'~ /0 S 3. Dab! of final com plelion and filing of assessment ron I (a) Tolal ,~i/O, 110(/' I (b) Exempt amount (e) Taxable assessed value (3a-3b) '~rn'~- 4. Date offlling (or mamng) pe1l1ion 7 Z' 0:;- 5. Name, of oWllSr or owners of property: ;:Iv/Z.<..A. ~I b~4' J) J2')If I J-J/ (; 1(5 Post Office Address: It) CAr/tiel !fe/V"f> Telephone #: fJ;/L{ '/7')" 87 7 <6 6. Ifapplicable. name and address of representative of owner. if representative is firmg application: (OwneJ' must complete Designation of Representative secUon.) T elephtJne#: 7. Description of property as it appear.; on the assessment roll. Tax Mal> # /'3 {637 Seetim tr1,~S Block Of" Lot 7~:J :;.5"1 , 8. Localbn of property (slreer. road. hghway.number. and city. town orviDage} It> C IT/" He/ f.Jelbhf7 w1~p/~r FA/Is IU Lj /2S'70 I RECE.\\lED ~\jG \) , lG05 ,OWN CL.ERK t"AHI/I (;ROI INn~ FOR PFTITION A. Assessment requesled on the complaint form flied with the Board of Assessment Review 1. Total assessment 2. Exempt amount. if any 3. Taxable assessment B. CALCULATION OF EQUALIZED VAlUE AND MAXIMUM REDUCTION IN ASSESSMENT 1. r J Property is NOT in a special assessing unit .l\SSESSED VAl.UE + _ 3 L/CJl 000 - EQUAl.IZATION RATE ~~.5 EQUALIZED VAl.UE O-AA Rim] S 9 -If &. . I 2. r 1 Property IS in a special assessing unit ASSESSED VAl.UE + Cl.ASS ONE RATIO EQUAl.IZED VAl.UE 3. [ 1 Ifthe EQUALIZED VALUE exceeds $150,000, enter the ASSESSED VAl.UE here: MI~lliply /he ASSESSED VAl.UE by: Enter the result here: The result is the maximum total assessment request reduction allowable. x.25 C. l 1 UNEQUAL i\SSESSMENT: The total assessment is unequal because the property is assessed at a higher [7f8e ntage ,of full (market) value than (check one). or [ 1 (a) the average of aD other property on the assessment roD. or 1 (b) the average of residenliaJ property on the assessment ~~. ~ 4 ~ FuJI (market) value of property: $ ~"OI'7 ~0 . cn:, ~() fti.v .Aef?/AI5'A Based on Ont~ or more of the following, petitioner believes this property should be as'/essed at % of full (market) value: 1. lIThe lalesl State equalization rate for the assessing unit in Which the property is located (enter latest eqUcllization rate: '3~ ยท S- 'Yo). 2. r 1 The latest residential assessment ram forthe assessing unit in which the property is located (enter residential assessment ratio: 'Yo). 3. [ 1 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. l J Statements of the assessor or other local official that property has been placed on /he roll at -_%. Petitioner believes /he total assessment should be reduced to $ ~OO t 0"D\:l - . This amount may not be less than the total assessment amount indicated in Section A (1 . or Section B (3), whichever is greater. D. [ 1 EXCESSIVE ASSESSMENT: 1. r,..). The tot;3' assessed value exceeds the full (market) value of the property_ Total a~;sessed value of pmpert;y: $ Complainant believes the total assessment should be reduced to a full value of:/) Attach ~ist of Parcels upon which complahant relies tor objection, if applicable.. This amount may not be less than the amount indicated in Seelion A (1). or Section B (3). 2.. [ 1 The taX2lble assessed value is excessive because of the denial of aD or a portion of a partial exemptilln. Specify exemption (e.g., aged, clergy, veterans. etc). Amount of exemption claimed: :/) . Amount granted, if any: $ This amount may not be greater than the amount indicated in A (2). If applic~IIIDn for exemption was filed, aUsch a copy of application to this petition. E. 1_ f INFORMA T'ON TO SUPPORT THE FULL (MARKET) VALUE CLAIMED J Purchase price of property $ I ij- Y I (roo _ Date of purchase -=:t1:l ":> Relationship. if any, between seller and purchaser f\ fl h e 3. [ . -~-"J ..~.. u"'",u.ecen[1y altered tarsale: When and for how long: How offered: Asking price: $ 1 If property has bl!!en recently appraised: When: Purpose of appraisal: Appraised value: $ tJiJ By Whom: ~~ App 120, oW , 4. l If bUildings have been recently remodeled, conslrucled, or additional improvements made, slate: Year remodeled, c:onslrucled, oraddifions made: Date commenced: Date compleled: Cost: $ 5. r Amount for which your properly is insured: $ Name of insurance company and policy number: 2 at: OL'U ~1.l;---1 jv/.uJ u ~ 6. I Purchase price of comparable property(ies} recenUy 5old: $ PART 11/ LISTING OF TAXING DISTRICTS Names ofTaxinn Districts 1. COUNTY: D u .f(~e7 .7 Lv lAp pI J1lr-1 2. TOWN: 3. VILLAGE: 4. SCHOOL DISTRICT WAp pfn5f r RPTL 730 PART ,V DESIGNATION OF REPRESENTAT'VE OF FILE PETmON I, . as petitioner (or officer thereof) hereby designate - to act as my representative in any and all proceedings before the Small Claims Assessment Review orthe Supreme Court in County for purposes of reviewing the assessment of my real property as it appears on the year assessm t roll of ( ssessing unit) Date PARTV ELIGIBILITY AND CERTIFICATION I certify that: (a) The owns'r has previously filed a complaint required for administrative review of assessments. (b) The propsdy 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 reque:;ted assessment is not lower than the assessment requested on the complaint filed with fIlle assessor or the Board of Assessment Review. (d) If the equalized value of the property exceeds $150.000. the requested assessment reduction does not exceed 25 percent of the assessed value. (e) I have mailf~d. by certified mail. return receipt requested. or. delivered in person, within ten days after Ule day of fiUng this petition with the County Clerk. one (1) copy of this petilion to the clerk of lthe assessing unit, or if there by no such clerk. then to the officer who performs the customary dutie:; of that official. (f) I have mailed byregu'ar mail within 10 (ten) days after the filing of the Petition with the County CIerI: one (1) copy of the PefiliDn to: (a) The clerk of the Schoo' district(s)* within which the real property is located, or if thE!re be no c'erk or the name and address cannot be obtained. then to a trustee. and (b) Th,~ treasurer of the county in which the property is located_ I certify that all statements made on this application are true and belief. and I understand that the making of any willful false state me to the provisions of the P'enallaw relevant to the making a t to the best of my knowledge and f material fact herein will SUbject of false inslruments_ (-NOTE: Filing with the schoo,1 district is not required in Buffalo, Rochester, Syracuse or Yonkers_) ./ Sig~e of owner or representative