APPLY ONLINE
For quick look-up, if you have a PROPERTY ID and PIN CODE (enter here).
Property Address
We are doing our best to make sure you are selecting the correct address of your property by providing address sugestions as you are typing in. Please select the correct address as it shows up. None of the suggestions is your address? Simply type it manually in full. Feel free to contact customer service at 516.746.4646 for additional support.
Contact Details
What is YOUR relationship to this property?
Owner Person in contract to purchase Tenant Trustee/Executor/Guardian LLC Member Corporation Officer
Mailing Address
Same as property address
Do you reside at this address? Yes No
How did you hear about us? I'm a client of Empire's Received an email from Empire Received snail mail from Empire Heard about from family/friend Search engine TV Commercial Newspaper Ad Radio Other
Did you apply for a reduction last year? Yes No
Terms and Signature
Signature (use your mouse to sign your name in the box below)
Please sign.
By submitting an electronic signature, you are providing an electronic mark, that is held to the same standard as a legally binding equivalent of a handwritten signature provided by you. For purposes of the acknowledgement, a digital mark is considered typed INITIALS of your First, Middle (if applicable) and Last name (legal name may include middle name, initial or suffix) followed by the typed date.
I agree to the Terms and Conditions and I agree that my electronic signature is the legally binding equivalent to my handwritten signature.
