Notice Of Exception To Administrative Law Judge'S Determination Form - State Of New York Tax Appeals Tribunal Page 3

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No other action has been commenced before the Tax Appeals Tribunal nor has the Tribunal previously granted
any relief with respect to any of the above-stated items.
of
Wherefore, the party taking exception requests that the determination
the administrative law judge be
reviewed by the Tribunal, and if such determination is found erroneous, that it be reversed or modified.
Date
Signature of Party or Representative*
"If the exception is signed by any person other than the taxpayer, it
be accompanied by an authorized and duly executed power of
attorney, unless (1) a power of attorney has already been filed, or (2) this exception is signed by an individual otherwise authorized to do so
under the regulations of the Tax Appeals Tribunal (20 NYCRR 3000.2).

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