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Property Refund Request REF-01 - New York
| Property Refund Request Form. This is a New York form and can be used in Department Of Finance City Of New York New York Local County . |
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TM NEW YORK CITY DEPARTMENT OF FINANCE Finance 4. 1. Property Address: ____________________________________________________________________________________ NUMBER AND STREET Zip 2. City: _____________________ State:_____ Code: ________ 3. Borough:_________ Block: ________ Lot(s): __________ Incorrect Property: Borough: _________________ Block:_______________________ Lot:_______________________ SECTION I - GENERAL INFORMATION - All information must be provided. INSTRUCTIONS: Please read the instructions for further details before completing this form. Please print all information and initial any changes that you make on this application. Mail to: NYC Department of Finance, Property and Parking Refunds Unit, 59 Maiden Lane, 20th Fl., New York, NY 10038 PROPERTY REFUND REQUEST G PROGRAM OPERATIONS DIVISION G PROPERTY AND PARKING REFUNDS UNIT K I made a payment on an incorrect property. If you checked this box, complete the following: 5. Type of Request (Check the applicable choice(s)): 6. a. ABA or Routing Number: 7. If you checked Direct Deposit in #6, complete 7a, b and c. 8. If you checked Paper Check in #6, complete 8a, b and c. K Apply Credit to Another Property K Missing/Misapplied Payment K Direct Deposit K Paper Check If you checked Refund in # 5, how would you like to receive it? (Check only one box): b: Bank Account Number: c: Account Type: K Refund K Checking K Savings a. Make Refund Check Payable to: ___________________________________________________________________ PRINT NAME b. Mail the Refund Check to this address: ______________________________________________________________ c. City: _________________________________________ State:_________________ Zip Code: _________________ NUMBER AND STREET APT/FLOOR (OR FIRM IF APPLICABLE) 1. Filers Name: _________________________________________________________________________________________ 2. Firm Name (if applicable): ____________________________________________________________________________ Email 3. Telephone Number: (____) _________________ Extension: _________ Address: _______________________________ 4. Please indicate your relationship to the property: K Current Owner Please indicate the date you took ownership of the property: _______/_______/_______ PRINT FIRST NAME PRINT LAST NAME SECTION II - FILER INFORMATION K K K K K K Prior Owner Please indicate the date when you sold the property: _______/_______/_______ Officer of the cooperative management board PRINT FIRST NAME Representative of the mortgage company or bank that pays the property taxes Escrow Account/ Customer Name: ___________________________________________ Loan Number: ________________________ PRINT LAST NAME Title Company Name of Title Company: ______________________________________ Title Number: ________________________ Member of the condominium management board Attorney/legal representative that brought an assessment reduction resulting in credit Attorney Name: ___________________________ Attorney Group #: ______ Tax Periods: ____/_____ to ____/_____ Other. Please explain the nature of your relation to the property owner (e.g., family member, managing agent, executor of estate or trustee, etc.): __________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com K K Not the attorney/legal representative that brought the action that resulted in the credit, but I have a letter of authorization from that attorney/legal representative authorizing me to request this refund. (Attach a copy of the letter.) Visit Finance at nyc.gov/finance REF-01 - Rev. 01.11.12 Property Refund Request Form SECTION III - ACCOUNT CREDIT INFORMATION Page 2 Please check one of the following to indicate the reason there is a credit on this account: K Overpayment. Indicate the amount: $ _________________________ Date of payment:________/________/________ K Reduction in assessed property value K The reduction is due to a court order. (Please provide a copy of the court order if interest must be paid on the refund.) MONTH DAY YEAR SECTION IV - PAYMENT INFORMATION Please note that attorneys filing based on reductions in assessed value do not need to complete this section. K Abatements or Exemptions K Senior Citizen Rent Increase Exemption (SCRIE) K Disability Rent Increase Exemption (DRIE) K Other (Please explain):_________________________________________________________________________ K Cancellation of a charge already paid K Payment made erroneously K Other (Please explain): ___________________________________________________________________________ Check one of the choices below to indicate how payment of the charges was made that resulted in the credits. If you are filing this request based on a missing or misapplied payment, you must attach proof of payment. You must also provide proof if payment was made by a mortgage company for multiple parcels. Acceptable proof of payment is listed after each choice. K Cash or check paid at a Finance Business Center. Please provide receipt number _________________________ or attach a copy of receipt. K Check mailed. Please attach a copy of the front and back of the cancelled check. K Credit/Debit Card. Indicate Transaction Confirmation Number or Receipt Number: ___________________________ K Payment made by mortgage company or bank. Please attach a copy of the front and back of the cancelled check or proof K Other: __________________________________________________________________________________________ of Fedwire payments. For payments made for multiple properties, you must also provide a disbursement sheet showing how payment was to be allocated. A. SECTION V - CREDIT OPTION INFORMATION Please select one of the following choices in A. ENTIRE REFUND or B. PARTIAL REFUND to indicate how you want your credit distributed: K ENTIRE REFUND K I want the entire credit to be refunded to me in the form of a refund check. K I want the entire credit to be transferred to the below property, which I also own. (Please note that credits that resulted from an attorney action generally may not be transferred and must be refunded.) Please indicate the amount to be transferred, the account type to where the money should be transferred (see #3 in the instructions for more information), and the period to which the money should be applied below. AMOUNT ACCOUNT TYPE PERIOD Borough _______________________ Block __________________________ Lot __________________________ $ ___________________________________
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