Fillable Printable Application Form to Claim A Refund or Transfer Credit
Fillable Printable Application Form to Claim A Refund or Transfer Credit
Application Form to Claim A Refund or Transfer Credit
FORM REF-583
APPLICATION TO CLAIM A REFUND
OR TRANSFER CREDIT BASED ON OVERPAYMENT
OF REAL ESTATE TAXES, WATER CHARGES,
SEWER RENTS, OR IMPROVEMENT ASSESSMENTS
PLEASE READ THIS BEFORE COMPLETING THIS APPLICATION:
USE THIS FORM
to apply for a refund or to transfer a valid credit
ONLY in one of the following circumstances:
❑ If you believe that you have overpaid real estate taxes, water charges, sewer
rents, or improvement assessments;
❑ If you paid the correct amount of a tax or charge and another party also paid
the same tax or charge;
❑ If you mistakenly paid a tax or charge on a property in which you have
no interest; or
❑ If you paid a tax or charge that was later cancelled.
DO NOT USE THIS FORM to apply for a refund or to transfer a credit that
has resulted from a reduction in the assessed valuation of a property.
For that type of refund or credit transfer, you must use FORM REF-400.
NYC Department of Ffinance
Refunds and Adjustments Unit
25 Elm Place, 4th Floor
Brooklyn, NY
11201
www.nyc.gov/finance
FINANCE
NEW
●
YORK
THE CITY OF NEW YORK
DEPARTMENT OF FINANCE
REF-583 rev. 08/03
FINANCE
NEW
●
YORK
THE CITY OF NEW YORK
DEPARTMENT OF FINANCE
CITY OF NEW YORK
●
DEPARTMENT OF FINANCE
●
25 ELM PLACE
●
4TH FLOOR
●
BROOKLYN
●
NY 11201
Dear Taxpayer or Taxpayer’s Representative,
This packet was designed to help you obtain a refund or transfer of a real estate tax
credit for yourself or your client.
Please be sure to submit all the required information and all required documenta-
tion, signatures, and notarizations, so we can process your claim as quickly as pos-
sible.
You may use this application to request any ONE of the following options:
1. A refund, by check;
2. A transfer of the refund money to liquidate one or more charges on the same
property;
3. A transfer of the refund money to liquidate one or more charges on another
property in which you (or your client) have/has an interest; OR
4. A partial refund, by check, and the balance transferred as in #2 and #3 above.
PLEASE READ THE INSTRUCTIONS CAREFULLY as you complete this applica-
tion. If you have questions, please call Customer Assistance at 718-935-9500.
B.
APPLICANT'S INTEREST IN THE PROPERTY LISTED ABOVE
(CHECK (✓) THE APPROPRIATE BOX)
❑
OWNER
❑
TENANT
❑
MORTGAGEE
❑
MANAGING AGENT
❑
NONE
❑
OTHER (specify) _____________________________________
NAME OF OWNER
A.
Specify the total amount of overpayment
........................................................................ $
B.
Specify the amount to be transferred............................................................................... $
C. Specify the amount to be refunded ................................................................................. $
Applicant's name
c/o Attorney or representative, if applicable
Mailing Address (number and street)
City and State Zip Code
CLAIM NUMBER ▼
DESCRIPTION ▼
APPLICANT IS REQUESTING A REFUND OR TRANSFER FOR:
(CHECK (✓) THE APPROPRIATE BOX)
❑
REAL ESTATE TAX
❑
WATER AND/OR SEWER RENT CHARGE
❑
EMERGENCY REPAIR CHARGE
❑
FIRE DEPARTMENT CHARGE
❑
DEPARTMENT OF BUILDINGS CHARGE
❑
DEPARTMENT OF HEALTH CHARGE
❑
SIDEWALK REPAIR CHARGE
❑
OTHER __________________________________
❑
OVERPAYMENT
❑
CANCELLATION OF PREVIOUSLY PAID CHARGE
❑
PAYMENT ON WRONG PROPERTY
❑
OTHER (specify): ________________________________________________________________
OWNER'S EMPLOYER IDENTIFICATION NUMBER OWNER'S SOCIAL SECURITY NUMBER
(
IF CORPORATION OR PARTNERSHIP)(IF OWNER IS INDIVIDUAL)
Total amount of overpayment ...
Total amount of transfer ...........
Total amount of refund..............
REFUND OR TRANSFER TO:
REAL ESTATE TAX WATER/SEWER RENT CHARGE IMPROVEMENT ASSESSMENT
BOROUGH
LOT
BLOCK
WERE THE PAYMENTS MADE THROUGH A MORTGAGE ESCROW ACCOUNT? .......................................................
❑
YES
❑
NO
IF "YES", PLEASE GIVE THE NAME OF THE BANK OR MORTGAGE COMPANY AND MORTGAGE NUMBER ▼
Name: _________________________________________________________ Number: ___________________________________________________
INDICATE THE BOROUGH, BLOCK AND LOT THAT THE CREDIT (OR PORTION THEREOF) IS TO BE TRANSFERRED TO
▼
INDICATE THE CHARGE(S)/PERIOD(S)
▼
BOROUGH
▼
LOT
▼
BLOCK
▼
REASON FOR REFUND
OR TRANSFER OF CREDIT
:
(CHECK THE APPROPRIATE BOX)
ATTACH COPIES OF THE CANCELLED CHECKS AND RECEIPTED BILLS SHOWING PAYMENT OF THE TAXES OR CHARGES TO
BE REFUNDED OR TRANSFERRED. FAILURE TO SUBMIT THE REQUESTED MATERIALS WILL INVALIDATE THE APPLICATION.
IF THE APPLICANT IS NOT THE PAYER, THE PAYER MUST COMPLETE THE CONSENT FORM ON PAGE 2.
REF-583
TYPE OR PRINT ALL INFORMATION
1
2
3
4
5
6
FILE THIS FORM WITH:
NYC DEP.T OF FINANCE
25 ELM PLACE, 4TH FLOOR
BROOKLYN, NY 11201
❑
REAL ESTATE TAX ONLY
❑
REFUND ONLY
❑
IMPROVEMENT ASSESSMENTS
❑
TRANSFER ONLY
❑
WATER/SEWER RENT CHARGE ONLY
❑
TRANSFER PORTION AND REFUND BALANCE
FOR OFFICIAL USE ONLY
FOR OFFICIAL
USE ONLY
A.
INDICATE THE BOROUGH, BLOCK AND LOT ON WHICH PAYMENT WAS MADE
FINANCE
NEW
●
YORK
APPLICATION TO CLAIM A REFUND
OR TRANSFER CREDIT BASED ON OVERPAYMENT
OF REAL ESTATE TAXES, WATER CHARGES,
SEWER RENTS OR IMPROVEMENT ASSESSMENTS
EXAMINER ▼ APPROVED BY ▼
PRINT NAME: PRINT NAME:
SIGNATURE: DATE: SIGNATURE: DATE:
rev 08/03
✔
Form NYC-REF-583 Page 2
Line 1. Enter the full name of the payer, the individual or entity whose name appears on the check and who made the payment to be refunded.
If the payer is a partnership or corporation, enter the full name of the entity.
Line 2. If the payer is a partnership or corporation, enter the name and telephone number of the partner or officer signing this consent. If the
payer is represented by an attorney, trust or other entity, enter the name of the individual signing this consent and attach a Power of
Attorney, court order or other documentation of the representative's capacity.
Line 3. Sign. If the payer is not an individual, the person whose name appears on line 2 must sign this form.
Line 4. Enter the full address of the party signing this form.
Line 5. Have this form notarized and dated.
Name of payer ▼
Name of partner, corporate officer or legal representative of the payor, if applicable ▼ Telephone number ▼
I am the payer, or an officer, partner or legal representative of the payer, of a tax or charge upon which this claim is based. I have read this claim for
refund or transfer of credit and acknowledge that, to the best of my knowledge, it is true and correct. If the City of New York verifies that an overpayment
exists for this claim, I consent that the refund be paid to the applicant, and I release the City of New York from any claims arising from this refund.
Signature of payer (see instructions) ▼
Address ▼
CONSENT
1.
2.
3.
4.
AFFIDAVIT
5. Sworn to and subscribed to before me on this
______ day of _______________ 20 _______
State of ______________________________
County of _____________________________
Signature of Notary
▲ Stamp or Seal ▲
Name of payer ▼
Name of partner, corporate officer or legal representative of the payee, if applicable ▼ Telephone number ▼
I am the payer, or an officer, partner or legal representative of the payer, of a tax or charge upon which this claim is based. I have read this claim for
refund or transfer of credit and acknowledge that, to the best of my knowledge, it is true and correct. If the City of New York verifies that an overpayment
exists for this claim, I consent that the refund be paid to the applicant, and I release the City of New York from any claims arising from this refund.
Signature of payer (see instructions) ▼
Address ▼
CONSENT
1.
2.
3.
4.
AFFIDAVIT
5. Sworn to and subscribed to before me on this
______ day of _______________ 20 _______
State of ______________________________
County of _____________________________
Signature of Notary
▲ Stamp or Seal ▲
If a taxpayer is requesting a refund in which the overpayment was made by a bank or other lending
institution, then, a signed consent is required by both the taxpayer and the bank/lending institution.
If a taxpayer is requesting a refund in which the overpayment was made by a bank or other lending
institution, then, a signed consent is required by both the taxpayer and the bank/lending institution.
INSTRUCTIONS FOR C
ONSENT OF
PAYOR
NOTE: Complete the section below if you made none or only some of the payments to be refunded.
_____________________________________ ___________________ ____________________________ _______________________
Signature of Applicant Date Title (If Corporate Officer) Phone Number
7
_____________________________________ ___________________ ____________________________ _______________________
Signature of Agent Date Title (If Corporate Officer) Phone Number
8
REQUIREMENTS FOR ALL APPLICANTS
To be eligible for a refund or transfer of credit, you must show
either of the following:
●
That you paid the taxes or charges to be refunded, OR
●
That another party paid the taxes or charges and that the party
consents that the refund be made to you.
If you paid by check, you must submit a copy of the cancelled
check showing who made the payment.
If you paid in cash, you must submit the original
receipt you
received at the time of payment. This shows the receipt number,
the borough, block and lot, the account type, the due date of the
tax that was paid, and the payment date.
If you, personally, did not pay the taxes or charges, the City can-
not give you the refund or transfer of credit unless you produce a
written, notarized consent form from the party who actually made
the payment. Page 2 of this application has been provided for
this purpose.
Finally, please note: If you wish to request a refund or transfer of
credit for more than one property, you must file a separate Form
REF-583 for each property.
SPECIFIC INSTRUCTIONS
LINE 1 - DESCRIPTION OF PROPERTY
Enter the borough, block and lot credited with the payment upon
which this claim is based.
Enter the property owner's full name. If the property owner is a
partnership or a corporation, enter the full name of the entity.
Check the box which indicates your interest in the property. If
you have no interest in the property (which would mean that your
payment was credited to the wrong property), check NONE.
LINE 2 - APPLICANT INFORMATION
Enter the applicant's full name. If the applicant is a partnership
or corporation, enter the full name of the entity.
Enter the name of the applicant's attorney or representative, if
applicable. If the attorney for this refund claim is different from
the attorney of record for the action upon which this claim is
based, a letter of authorization from the original attorney must be
submitted.
Enter the mailing address. Correspondence and refund checks
will be mailed to this address. If the applicant is represented by
an attorney and wishes these items to be mailed to that attorney,
enter the attorney's address.
If the property owner is a partnership or a corporation, enter the
owner's Employer Identification Number. If the property owner
is an individual, enter the owner's Social Security Number.
LINE 3 - TYPE OF REFUND OR TRANSFER
Check the appropriate box for the type of refund or transfer of
credit that you are requesting.
LINES 4A - 4C - AMOUNT OF OVERPAYMENT
LINE 4A
Enter the total amount of the overpayment, including both the
amount to be transferred and the amount to be refunded by check.
LINE 4B
Enter the amount of the overpayment to be refunded.
LINE 4C
Enter the amount you wish transferred and indicate the borough,
block and lot that the credit is to be transferred to. You may
request that your credit be transferred to an unpaid charge on the
same property or to an unpaid charge on another property in
which you have an interest. Specify the type of charge(s) and the
period(s). If you do not specify a particular charge to which you
would like the credit applied, we will apply it to the oldest lien on
the property you have indicated.
LINE 5 - REASON FOR REFUND OR TRANSFER
Check the appropriate box for the reason you are claiming a
refund or transfer of credit.
LINE 6 - ESCROW ACCOUNTS
Check the box which indicates if your payments were made
through an escrow account. If the answer is "YES", write the
name of the bank or mortgage company and mortgage number in
the space provided.
SIGNATURE (on page 2)
Sign and date the form. If the applicant is a corporation, an offi-
cer must sign. If the applicant is a partnership, a partner must
sign.
NOTE
If the payments upon which your claim is based were made by
check, attach photocopies of the front and back of each cancelled
check (and copies of receipted bills, if available). If payments
were made in cash, original receipted bills must be attached.
Form NYC-REF-583 Page 3
REF-583 (REVISED 08/03)
Instructions for Form REF-583
FINANCE
NEW
●
YORK
NYC DEPARTMENT OF FINANCE
REFUNDS AND ADJUSTMENTS UNIT
25 ELM PLACE, 4TH FLOOR
BROOKLYN, NY 11201
www.nyc.gov/finance
TO:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
APPLICATION TO CLAIM A REFUND
OR TRANSFER CREDIT BASED ON
OVERPAYMENT OF REAL ESTATE
TAXES, WATER CHARGES, SEWER
RENTS OR IMPROVEMENT
ASSESSMENTS
FORM REF-583
FINANCE
NEW
●
YORK
THE CITY OF NEW YORK
DEPARTMENT OF FINANCE
