Form Rp-470 - Application For Real Property Tax Exemption For Green Buildings Page 2

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RP-470 (4/13) (back)
For Assessor’s Use
1. Date application filed: ____________
2. Applicable taxable status date: ________________
3. Action on application:
Approved
Disapproved
4. Assessed valuation of parcel in first year of exemption: $ _______________________
5. Increase in total assessed valuation in first year of exemption: $ ______________________
6. Amount of exemption in first year:
Percent
Amount
County
__________________
$ __________________
City/Town
__________________
$ __________________
Village
__________________
$ __________________
School District
__________________
$ __________________
______________________________________________
_________________________
Assessor’s signature
Date
Clear Form

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