Ogdensburg, NY · St. Lawrence County

No notary required

Income Worksheet for Exemption for Persons With Disabilities and Limited Incomes

This worksheet reports income for owners applying for a disability exemption who are not required to file a federal income tax return.

What this form is

Use this worksheet with Form RP-459-c or RP-459-c-Rnw if you are not required to file a federal income tax return. It collects income amounts, property and owner information, and the applicable income tax year. The form directs filers to attach W-2s and applicable Forms 1099-R or Form SSA-1099, then transfer the total to the related exemption form.

Who needs it

Owners applying for the disability exemption who are not required to file a federal income tax return should complete this worksheet.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This worksheet has no notary block; all owners and their spouses must sign and date the certification.

How to submit this form

  1. 1

    Download The Worksheet

    Download the income worksheet for the disability exemption.

  2. 2

    Complete The Income Lines

    Enter the requested income amounts and property information, and identify the applicable income tax year.

  3. 3

    Gather Income Attachments

    Attach W-2s and applicable Forms 1099-R or Form SSA-1099 as directed on the worksheet.

  4. 4

    Sign And Submit

    All owners and their spouses must sign and date the certification. Submit it to the city department named on the form.

Frequently asked questions

Who uses the disability exemption income worksheet?
Owners filing Form RP-459-c or RP-459-c-Rnw who are not required to file a federal income tax return use this worksheet.
What income information does the worksheet request?
It asks for wages, interest and dividends, unemployment compensation, retirement income, Social Security benefits, other income, and the total.
Do I need a notary for this worksheet?
No. The worksheet has no notary block; all owners and their spouses must sign and date the certification.
How do I submit the worksheet?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Income Worksheet for Exemption for Persons With Disabilities and Limited Incomes doesn’t need a notary — but if you have another Ogdensburg form that does, a commissioned online notary can help.