RP-466-f [Montgomery] (1/07)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR VOLUNTEER FIREFIGHTERS /
VOLUNTEER AMBULANCE WORKERS EXEMPTION
(For Use in Montgomery County Only)
APPLICATION MUST BE FILED WITH YOUR ASSESSOR OR OTHER DESIGNATED
LOCAL OFFICIAL ON OR BEFORE TAXABLE STATUS DATE
Do not file application with the Office of Real Property Tax Services
l. Name and telephone no. of owner(s)
2. Mailing address of owner(s)
Day No. (
)
Evening No. (
)
E-mail address (optional)
3. Location of property in Montgomery County:
Street address
City/Town
Village (if any)
Fire District (if any)
School District
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot: ____________________________________________________________
4. Name of incorporated volunteer fire company, fire department or incorporated volunteer ambulance service:
___________________________________________________________________________________________
5. Relationship to incorporated volunteer fire company, fire department or incorporated volunteer ambulance
service indicated in question 4 (see instructions):
a. •
certified by company, department or service as enrolled member for at least five years;
b. •
certified by company, department or service as having accrued at least 20 years of active service; or
c.
un-remarried spouse of deceased member who received exemption under 5(b).
6. Does the applicant reside in the city, town, or village served by the incorporated volunteer fire company, fire
department or incorporated volunteer ambulance service indicated in question 4?
yes
no
7. Is the property the primary residence of the applicant?
yes
no
8. Does the applicant or do the applicant and his/her spouse own the property?
yes
no (attach proof
of ownership.)
9. Is any portion of the property used for other than residential purposes (farming, commercial, vacant land,
professional office, etc.)?
yes
no
If yes, explain such use and describe the portion that is so used.
10. Did the applicant previously receive a village tax exemption for service as a volunteer firefighter pursuant to
section 466 of the Real Property Tax Law?
yes
no
If yes, indicate name of village and last year in which exemption was granted.
RP-466-f [Montgomery] (1/07)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR VOLUNTEER FIREFIGHTERS /
VOLUNTEER AMBULANCE WORKERS EXEMPTION
(For Use in Montgomery County Only)
APPLICATION MUST BE FILED WITH YOUR ASSESSOR OR OTHER DESIGNATED
LOCAL OFFICIAL ON OR BEFORE TAXABLE STATUS DATE
Do not file application with the Office of Real Property Tax Services
l. Name and telephone no. of owner(s)
2. Mailing address of owner(s)
Day No. (
)
Evening No. (
)
E-mail address (optional)
3. Location of property in Montgomery County:
Street address
City/Town
Village (if any)
Fire District (if any)
School District
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot: ____________________________________________________________
4. Name of incorporated volunteer fire company, fire department or incorporated volunteer ambulance service:
___________________________________________________________________________________________
5. Relationship to incorporated volunteer fire company, fire department or incorporated volunteer ambulance
service indicated in question 4 (see instructions):
a. •
certified by company, department or service as enrolled member for at least five years;
b. •
certified by company, department or service as having accrued at least 20 years of active service; or
c.
un-remarried spouse of deceased member who received exemption under 5(b).
6. Does the applicant reside in the city, town, or village served by the incorporated volunteer fire company, fire
department or incorporated volunteer ambulance service indicated in question 4?
yes
no
7. Is the property the primary residence of the applicant?
yes
no
8. Does the applicant or do the applicant and his/her spouse own the property?
yes
no (attach proof
of ownership.)
9. Is any portion of the property used for other than residential purposes (farming, commercial, vacant land,
professional office, etc.)?
yes
no
If yes, explain such use and describe the portion that is so used.
10. Did the applicant previously receive a village tax exemption for service as a volunteer firefighter pursuant to
section 466 of the Real Property Tax Law?
yes
no
If yes, indicate name of village and last year in which exemption was granted.
2
RP-466-f [Montgomery] (1/07)
I certify that all statements made on this application are true and correct.
Signature of applicant (and spouse, if spouse also owns property)
_____________________________________________/_____________________________________(_________)
date
INSTRUCTIONS FOR APPLICATION FOR VOLUNTEER FIREFIGHTERS /
Clear Form
VOLUNTEER AMBULANCE WORKERS EXEMPTION IN MONTGOMERY COUNTY
Authorization for exemption: Section 466-f of t he Real Property Tax Law a uthorizes the governing body of a
county, town, village, fire district or school district in a county having a population of between 49,000 and 49,900
according t o the l atest federal de cennial cen sus (only Mont gomery County curr ently sa tisfies this s tandard) to
partially exempt the residence of a volunteer firefighter or volunteer ambulance worker.
Computation and duration of exemption: The exemption is available only to members of incorporated volunteer
fire companies, fire de partments or i ncorporated v olunteer am bulance services who have been certified as be ing
enrolled members f or a t l east five y ears. The m unicipality de termines t he pro cedure for ce rtification. At l ocal
option of the county, city, town, village, fire district or school district, the exemption may be granted for the life of
an e nrolled m ember w ho has a ccrued m ore t han 20 years of act ive ser vice. In a ddition, a t local opt ion, t he
exemption may be continued or reinstated for the un-remarried spouse of an enrolled member accrued at least 20
years of active service and was receiving the exemption prior to his or her death.
The exemption may be granted only to applicants who reside in the city, town or village served by the fire
company, fire department or ambulance service. T he exemption is available only to the primary residence of the
applicant and only to property (or the portion thereof) exclusively used for residential purposes.
The exemption equals 10 percent of the assessed value of the property. However, for village tax purposes,
where the p roperty previously r eceived t he $500 exemption a uthorized by s ection 466 of t he Real P roperty T ax
Law, the minimum exemption is $500.
Place and time of filing application: The a pplication m ust be f iled annually i n the as sessor’s o ffice ( or ot her
official a s de signated by t he municipality) on or be fore t axable status da te. Taxable s tatus da te i n towns w ithin
Montgomery County is March 1. Taxable status date for most villages which assess is January 1, but the village
clerk shoul d be c onsulted f or v ariations. Taxable s tatus da tes i n ci ties is g overned by ci ty cha rter. P roof of
certification of enrolled m embership in the f ire c ompany or de partment o r a mbulance service or s tatus as un -
remarried spouse of e nrolled member who served 20 years shall be a s r equired by t he county, town, village, f ire
district or school district authorizing the exemption. Proof of ownership of the property needs to be filed with the
owner’s i nitial a pplication. T he a ssessor m ay r equest pro of of p rimary r esidence ( e.g. voter’s r egistration, tax
return).
FOR ASSESSOR’S USE
1. Date application filed: ______________
2. Taxable status date: ______________
3. Action on application:
Approved or
Disapproved
County
City/Town
Village
Fire District
School District
__________________________________________
_____________________
Assessor’s signature
Date
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