Form EXC-0728 "Request to Remove Property Tax Exemption(S)" - New York City

This version of the form is not currently in use and is provided for reference only.
Download this version of Form EXC-0728 for the current year.

What Is Form EXC-0728?

This is a legal form that was released by the New York City Department of Finance - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 14, 2019;
  • The latest edition provided by the New York City Department of Finance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form EXC-0728 by clicking the link below or browse more documents and templates provided by the New York City Department of Finance.

ADVERTISEMENT
ADVERTISEMENT

Download Form EXC-0728 "Request to Remove Property Tax Exemption(S)" - New York City

417 times
Rate (4.6 / 5) 21 votes
NYC DEPARTMENT OF FINANCE — PROPERTY DIVISION
®
REQUEST TO REMOVE PROPERTY TAX EXEMPTION(S)
MAIL TO: NYC Dept. of Finance, Property Exemptions Administration/Compliance Unit, 59 Maiden Lane, 22nd Floor,
New York, New York 10038
INSTRUCTIONS: Fill out this application to remove a property tax exemption you currently receive. DO NOT use this
application to apply for an exemption. NOTE: If you volunteering renouncing your exemption, you will be charged a $500
processing fee in addition to the adjusted property tax due.
SECTION 1 - Property Information
PROPERTY ADDRESS:
ZIPCODE:
UNIT/APT. NUMBER
CHECK BOX IF
THIS IS A COOP
BOROUGH:
BLOCK:
LOT:
SECTION 2 - Property Tax Exemption(s) or Abatement(s)
Please select from the list below (check all that apply):
STAR - Basic or Enhanced
Veterans
Condo/Cooperative Abatement
Clergy
Other (please specify): ________________________
Senior Citizen/Disabled Homeowners Exemption
A) On ________ - ________ - ________ the homeowner passed away. A copy of the death certificate is attached.
DAY
YEAR
MONTH
Decedent’s name: ________________________ Decedent’s SS#:
B) As of ________ - ________ - ________ I am voluntarily renouncing the exemption(s) as described above.
MONTH
DAY
YEAR
SECTION 3 - Signatures and Certifications
Who is submitting this application for removal or adjustment of the property tax exemption(s)?
Title / Abstract Company
Owner(s)
Managing Agent / Owner Representative
I certify that all statements made on this application are true and correct to the best of my knowledge and that
I have made no willful false statements of material fact.
_____________________________ _____________________________ ____________________________ _____________
PRINT NAME
SIGNATURE
COMPANY
DATE
_____________________________ _____________________________ ____________________________ _____________
PRINT NAME
SIGNATURE
COMPANY
DATE
EXC-0728 Rev. 03.14.19
NYC DEPARTMENT OF FINANCE — PROPERTY DIVISION
®
REQUEST TO REMOVE PROPERTY TAX EXEMPTION(S)
MAIL TO: NYC Dept. of Finance, Property Exemptions Administration/Compliance Unit, 59 Maiden Lane, 22nd Floor,
New York, New York 10038
INSTRUCTIONS: Fill out this application to remove a property tax exemption you currently receive. DO NOT use this
application to apply for an exemption. NOTE: If you volunteering renouncing your exemption, you will be charged a $500
processing fee in addition to the adjusted property tax due.
SECTION 1 - Property Information
PROPERTY ADDRESS:
ZIPCODE:
UNIT/APT. NUMBER
CHECK BOX IF
THIS IS A COOP
BOROUGH:
BLOCK:
LOT:
SECTION 2 - Property Tax Exemption(s) or Abatement(s)
Please select from the list below (check all that apply):
STAR - Basic or Enhanced
Veterans
Condo/Cooperative Abatement
Clergy
Other (please specify): ________________________
Senior Citizen/Disabled Homeowners Exemption
A) On ________ - ________ - ________ the homeowner passed away. A copy of the death certificate is attached.
DAY
YEAR
MONTH
Decedent’s name: ________________________ Decedent’s SS#:
B) As of ________ - ________ - ________ I am voluntarily renouncing the exemption(s) as described above.
MONTH
DAY
YEAR
SECTION 3 - Signatures and Certifications
Who is submitting this application for removal or adjustment of the property tax exemption(s)?
Title / Abstract Company
Owner(s)
Managing Agent / Owner Representative
I certify that all statements made on this application are true and correct to the best of my knowledge and that
I have made no willful false statements of material fact.
_____________________________ _____________________________ ____________________________ _____________
PRINT NAME
SIGNATURE
COMPANY
DATE
_____________________________ _____________________________ ____________________________ _____________
PRINT NAME
SIGNATURE
COMPANY
DATE
EXC-0728 Rev. 03.14.19
Request to Remove Property Tax Exemption(s)
Page 2
SECTION 4 - Contact Information
If we have a question about this application, who should we contact?
Contact Name: ________________________________________________________________________________________
Mailing Address: _______________________________________________________________________________________
City: ___________________________________________________ State: ________________ Zip: ___________________
Telephone #: ( ________) __________________________ Mobile #: ( ________) __________________________________
Email Address: ________________________________________________________________________________________
PLEASE DO NOT FORGET TO ATTACH ALL THE REQUIRED DOCUMENTATION AND TO SIGN AND DATE
THE APPLICATION. FAILURE TO DO SO WILL DELAY THE PROCESSING OF YOUR APPLICATION.
PLEASE KEEP A COPY OF THIS APPLICATION FOR YOUR RECORDS.
PRIVACY ACT NOTIFICATION
The Federal Privacy Act of 1974, as amended, requires agencies requesting Social Security Numbers to inform individuals
from whom they seek this information as to whether compliance is voluntary or mandatory, why the request is being made
and how the information will be used. The disclosure of Social Security Numbers by owners is mandated by Section
11-102.1 of the Administrative Code of the City of New York. Disclosure by lessees is voluntary. Disclosure is requested
to facilitate the processing of real property income and expense data. Such data, including any Social Security Numbers
so disclosed, are used for tax administration purposes. The data, including any Social Security Numbers, may be further
disclosed to other departments or agencies, or to persons employed by such departments or agencies, only for such
purposes, or as otherwise provided by law or judicial order.
For Office Use Only:
Batch #: ___________________ Reviewer: __________________________________________________________________
Supervisor: ___________________ Date Completed: _________________________________________________________
Builiding Class: _________ Tax Class: ______________________________________________________________________
Page of 2