Department of Taxation and Finance
Ofce of Real Property Tax Services
Application to Renounce
Previously Granted Exemption(s)
RP-496
(6/20)
Part 1 – To be completed by the applicant and led with the County Director of Real Property Tax Services.
Part 2 – For use by the County Director:
The amount that must be paid in connection with this renunciation request is:
Part 3 – For use by the County Treasurer:
Name(s) of owner(s)
Mailing address of owner(s)
(number and street or PO box) Location of property (street address)
City, village, or post ofce State ZIP code City, town, or village State ZIP code
Daytime contact number Evening contact number School district
E-mail address
Property identication: Tax map number or section/block/lot: (see tax bill or assessment roll)
1 Exemption(s) being renounced:
2 If you are renouncing the STAR exemption, are you doing so only for the purpose of receiving the STAR credit? . . Yes No
3
I am voluntarily renouncing the exemption(s) as described above, on and after the following date
(mmddyyyy).
If the property is no longer your primary residence, enter the date on which your primary residence changed. ..
Signature Date
Amount paid by applicant Date payment received
Signature Date
Sum of the subtotals on Form(s) RP-496-W (attach form(s)) ............................................................................. $
Processing fee:
This fee does not apply if only STAR is on line 1 and either:
the applicant answered Yes on line 2, or
school taxes have not yet been levied on the assessment roll on which the exemption appears ............... $ 500.00
Total $
Amounts distributed to:
Town/City: $
School: $
Village: $
Special district(s)
(give name and dollar amount for each district. For example: District A, $300; District B, $250):
State
(STAR only): $
Page 2 of 2 RP-496 (6/20)
Instructions
Authorization
Real Property Tax Law § 496 authorizes a property owner to
voluntarily give up his or her claim to a tax exemption on one or
more preceding assessment rolls.
Time and place for ling
A property owner may le a voluntary exemption renunciation
application with the County Director of Real Property Tax
Services (or in Nassau or Tompkins Counties, with the Chief
Assessing Ofcer; this form does not apply to real property
located within New York City). The application must be led no
later than ten years after the levy of taxes upon the assessment
roll on which the renounced exemption appears. Do not le
the form with the New York State Department of Taxation and
Finance or the Ofce of Real Property Tax Services.
Calculation of amount owed
The County Director, after consulting with the assessor when
appropriate, shall compute the total amount owed by the
property owner. For the STAR exemption, the amount owed is
the actual amount of the tax savings. For all other exemptions,
the amount owed is the assessed value that was exempted
multiplied by the applicable tax rate or rates. Interest shall then
be added at the rate prescribed by Real Property Tax Law
§ 924-a, or by such other applicable law, for each month, or
portion thereof, since the levy of taxes upon such assessment
roll. A processing fee of $500 also shall be charged. The
processing fee does not apply if only the STAR exemption is
being renounced and either:
the renunciation is only for the purpose of switching to the
STAR credit, or
school taxes have not yet been levied on the assessment roll
on which the exemption appears.
Notication
After entering the amount owed in Part 2 of the application,
the County Director shall return the application to the property
owner. The Director also shall send a copy of the application to
the assessor, and in the case of a STAR exemption, a copy to
the Commissioner of Taxation and Finance.
Distribution
The property owner shall pay the total amount due to the County
Treasurer no later than 15 days after the notication is mailed to
the owner by the County Director. The Treasurer shall issue a
payment receipt to the property owner. After deducting the $500
processing fee (if applicable), the Treasurer shall distribute the
taxes and interest owed to the affected municipal corporations,
and, in the case of the STAR exemption, to the Commissioner.