Form Rp-470 - Application For Real Property Tax Exemption For Green Buildings
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2RP-470
New York State Department of Taxation and Finance
Office of Real Property Tax Services
(4/13)
Application for Real Property Tax
Exemption for Green Buildings
(Real Property Tax Law, Section 470)
(See the instructions, Form RP-470-Ins)
1. Name of owner(s)
2. Name of contact person
Mailing address
Daytime phone number
Evening phone number
E-mail address
(optional)
3. Location of property
(see instructions)
Street address
Village (if any)
City/Town
School district
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot:
4. Description of property for which exemption is sought:
New construction
Rehabilitation
Expansion
5. LEED-certified level for which exemption is sought:
Certified/Silver
Gold
Platinum
(attach copy of LEED certification)
6. Project implementation
a. Total cost of LEED-certified project: $ ________________________
(do not include costs attributable to ordinary maintenance and repairs)
b. Date project was started: ________________________
c. Date completed
___________________
(attach copy of Certificate of Occupancy):
Certification
I, ____________________________________, hereby certify that the information on this application and any
accompanying pages constitutes a true statement of facts.
_____________________________________________
______________________
Signature
Date
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