Authorization Form

2028/29 Nassau County Authorization Form

Property Information

First Name *

Last Name *

Email Address *

Cell Phone

Street *

City *

State *

Zip Code *

Mailing Address

Same as Property Address Different Than Property Address

Comments

I hereby authorize The Tax Relief Pro to act as my representative in filing all necessary documents to properly manage the property tax grievance process. At your sole discretion, you are also authorized to file a Small Claims Assessment Review (SCAR) petition with the New York State Supreme Court to pursue a tax reduction on my behalf.

Additionally, The Tax Relief Pro is authorized to request and receive any refund resulting from a successful reduction of my property assessment. In cases where there is overpayment of taxes, The Tax Relief Pro is authorized, to collect and deposit those refunds and deduct all that is owed to The Tax Relief Pro. I acknowledge that there is no guarantee of a successful outcome.

I agree to compensate you as follows:

Compensation Terms:

1. Fee - I agree to pay a fee equal to 50% of the total annual tax savings (including school, general, and applicable village taxes) resulting from a reduction in my assessed property value and any additional interest associated. This fee is due upon receipt of the decision granting a reduction. I undertsand the savings will be in the form of either reduced 2028-2029 School tax bills and/or 2029 General Tax bills and/or 2028-2029 Village tax bills, a refund of overpayment and/or credit on the following year’s tax bill. If payment is not made within thirty (30) days’ notice of the reduction, I agree to reimburse all reasonable costs associated with the collection of the amount owed, including attorney’s fees and interest on any outstanding balance.

2. Sale of Property - If the subject property is sold before the fee obligation is fulfilled, the fee shall be incorporated into the contract of sale and paid by the buyer. A copy of the contract must be provided to The Tax Relief Pro. If I, as the seller, fail to ensure this is included in the contract, I remain personally responsible for the fee.

3. Additional Terms: I may cancel this agreement within three (3) days of signing and receive a full refund.

a. I understand that it is not legally required to retain any representative to file a property tax grievance.

b. The Tax Relief Pro agrees to make reasonable efforts to communicate any settlement offers made by Nassau County outside of hearings or trial.

Eligibility Notice: I understand that I must be listed as the homeowner in the records of the Nassau County Clerk, be an authorized agent of the homeowner, a person who has contracted to purchase the property, or a legal representative of a deceased homeowner’s estate in order to sign this agreement and be eligible to receive a property tax refund.

Relationship to Property

Section

Block

Lot

Aggrieved Party Individual Non-Individual

Date of Signature *

Please enter a valid date in MM/DD/YYYY format

Signature *

Signature is required

Terms and Conditions *
I agree to the following Terms & Conditions: I represent and warrant that I am at least 18 years of age, and that I am the owner of this property, or am authorized by the owner, to submit this tax grievance authorization form. I agree that the signature will be the electronic representation of my signature for all purposes when I (or my agent) use on documents, including legally binding contracts, just the same as pen-and-paper signature.

Disclaimers

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