Application For Exemption From Real Estate Taxation For Property Owned By Nonprofit Organizations

Real Estate Tax Exemption Application for Nonprofit Organizations

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S E C T I O N 2 - O R G A N I Z A T I O N P U R P O S E

1. Check () the purpose(s) of the organization from the listing below:

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Bar Association

Benevolent

Bible

Cemetery

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Charitable

Educational

Historical

Hospital

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Infirmary

Library

Literary

Medical Society

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Missionary

Parsonage or Manse

Patriotic

Public playground

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Religious

Scientific

)

Supervised youth sportsmanship

Tract (religious

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Enforcement of law relating to children or animals

Moral or mental improvement of men, women or children

State briefly specific activities related to each purpose checked above: ___________________________________________________________________

___________________________________________________________________________________________________________________________

S E C T I O N 3 - F E D E R A L I N C O M E T A X S T A T U S O F O R G A N I Z A T I O N

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Is the owner exempt from federal income tax? ........................................................................................................................................................

YES

IF YES, COMPLETE QUESTIONS 2, 3 AND 4 AND ATTACH A COPY OF EXEMPTION DETERMINATION OR RULING LETTER.

IF NO, COMPLETE QUESTIONS 5 THROUGH 7 OF THIS SECTION, AND IF APPLICABLE, COMPLETE SECTIONS 4 AND 5

AND ATTACH A COPY OF EACH RETURN FILED FOR THE ORGANIZATION FOR THE LAST FISCAL YEAR.

If exempt, indicate section, subsection and paragraph of the Internal Revenue Code (IRC): ___________________________________________________________

If exemption was recognized by an advance ruling, indicate expiration date of ruling: _________ / _________ / _________

If exemption was recognized by a group exemption letter, provide name and address of organization receiving group exemption.

Organization: ______________________________________ Address: _____________________________________________________________

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If the owner is not currently exempt from federal income tax, has it applied for exemption?...................................................................................

YES

If the application has been made, but not approved, indicate section, subsection and paragraph of the IRC: ______________________________________________

ATTACH A COPY OF THE APPLICATION, REQUEST OR STATEMENT AND ATTACHMENTS.

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For the last fiscal year, did the organization file IRS Form 990-T (Exempt Organization Business Income Tax Return)? .....................................

YES

IF "YES," ATTACH COPY OF FORM 990-T.

S E C T I O N 4 - P R O P E R T Y U S E

C O M P L E T E A S E P A R A T E S E C T I O N

F O R E A C H I N D I V I D U A L L O T F O R W H I C H Y O U A R E A P P L Y I N G F O R E X E M P T I O N

U S I N G I N D I V I D U A L S H E E T S P R O V I D E D B Y

T H E D E P A R T M E N T O F F I N A N C E O R P H O T O C O P I E S O F T H I S P A G E

ATTACH A CERTIFICATE OF OCCUPANCY FOR EACH LOT

Borough: _______________________________________ Block: _____________________ Lot: _____________________

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Are there any buildings or other improvements on this lot? ....................................................................................................................................

YES

If NO, go to 10.

If the property contains a building, describe in detail the use(s) of the building, floor by floor (attach additional pages, if necessary):

Basement: ________________________________

1st Floor:__________________________________

2nd Floor: ___________________________________

3rd Floor: ________________________________

4th Floor: ________________________________

5th Floor: __________________________________

Additional Floors:___________________________

Additional Comments: _____________________________________________________________________

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Is the property or any portion thereof occupied by persons or organizations other than the applicant?.................................................................

YES

If "yes," indicate the following: a) Name of occupant(s) _______________________________________ b) Type of use __________________________________

c) Portions of the property so occupied ___________________________________________________________________________________________________

d) Term(s) of occupancy (length of lease), etc. _________________________________________ e) Amount of rent paid _______________________________

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Are there unoccupied/vacant buildings, portions of buildings or other improvements on the property? .................................................................

YES

If "yes," describe the future contemplated use(s) of the unoccupied/vacant areas: __________________________________________________________________

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