Secured Property Tax Penalty Waiver Request Form


Please provide the following information for your waiver request to be reviewed.


Property Information


(You may locate your block and lot by clicking here)

Owner Name


(Name of property owner/assessee)

Applicant Name


(Name of person filling out application)

Contact Information




Secured Property Tax Bill Information


Please enter information for each bill for which you are requesting a waiver. You may submit up to 4 bills per waiver application by selecting “Add Bill”. If you wish to submit more than 4 bills, you will be required to submit another request. Once complete, select “Add Waiver Reason” to continue.

View Sample Bill