ASSESSOR’S ADDENDUM – CORRECTION OF ERRORS
Town of _________________________________________ Date: _______________________
In the matter of the application of:
________________________________________________ _____________________________
Applicant Tax Map Number
________________________________________________ _____________________________
Address Property Location
________________________________________________ _____________________________
City State Zip Name of Owner
(If Different From Applicant)
Indicate one of the following:
[ ] CORRECTED TAX ROLL: For use with RP-554 Corrected Tax Roll Application
Year(s): ____________________ FOR: [ ] SCHOOL [ ] County [ ] TOWN
[ ] REFUND / [ ] CREDIT: For use with RP-556 Refund/Credit Application
Year(s): ____________________ FOR: [ ] SCHOOL [ ] County [ ] TOWN
Complete if correction involves a Valuation Change:
$________________ $_______________ $________________ $_______________
Prior Land Value Prior Total Value Correct Land Value Correct Total Value
Complete if correction involves Exemption Change: (Provide Corrected Figures and Code Below)
_________________ ________________ $______________ ______________________________
Correct Exemption Correct Exemption Code Correct Exempt Amount Notes
_________________ ________________ $______________ ______________________________
Correct Exemption Correct Exemption Code Correct Exempt Amount Notes
[ ] FOR OMITTED STAR EXEMPTION (REQUIRED): By Checking the preceding box the Assessor(s)
acknowledge that the circumstances have been researched and it has been determined that this
exemption was not removed per the direction of New York State due to a NYS Tax Liability, Star
Registration Action or exceeding the Star Income limit.
After having made a diligent inquiry into the facts and circumstances relative to the actions/and/or
decisions of the assessor’s office which resulted in the placement of the subject parcel and its
associated data upon the assessment roll. I (We) find the following:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
And therefore, based upon the foregoing, the assessor(s) herby recommend that the following action
be taken:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
______________________________________ ______________________________________
Assessor / Assessor Chairman Second Member – Board of Assessors
Rev. 09/2017
