Form Rp-466-C (Nassau) - Application For Volunteer Firefighters / Ambulance Workers Exemption (For Use In Nassau County Only) - 2008

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RP-466-c [Nassau] (9/08)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR VOLUNTEER FIREFIGHTERS /
AMBULANCE WORKERS EXEMPTION
(For Use in Nassau County Only)
APPLICATION MUST BE FILED WITH YOUR ASSESSOR OR OTHER DESIGNATED
LOCAL OFFICIAL ON OR BEFORE TAXABLE STATUS DATE
Do not file application with the Office of Real Property Tax Services
l.
Name and telephone no. of owner(s)
2. Mailing address of owner(s)
Day No. (
)
Evening No. (
)
E-mail address (optional)
3. Location of property in Nassau County:
(Street address)
City or town (check one):
Hempstead
North Hempstead
Oyster Bay
Glen Cove
Long Beach
Village (if any):
School district:
Property identification (see tax bill or assessment roll)
County tax map number or section/block/lot: _______________________
Village tax map number or section/block/lot: _______________________
4. Name of incorporated volunteer fire company, fire department or incorporated volunteer ambulance service:
_________________________________________________________________________________________
5. Relationship to incorporated volunteer fire company, fire department or incorporated volunteer ambulance
service indicated in question 4(see instructions):
a.
certified by company, department or service as enrolled member for at least five years;
b.
certified by company, department or service as having accrued at least 20 years of active service;
c.
un-remarried spouse of deceased enrolled member who received exemption under 5(a) or 5(b) and
who was killed in the same line of duty; or
d.
un-remarried spouse of deceased member who received exemption under 5(b).
6. Does the applicant reside in the city, town, or village served by the incorporated volunteer fire company, fire
department or incorporated volunteer ambulance service indicated in question 4?
yes
no
7. Is the property the primary residence of the applicant?
yes
no
(attach proof – e.g., copy of
driver’s license, voter’s registration)
8. Does the applicant or do the applicant and his/her spouse own the property?
yes
no
(Attach proof
of ownership, e.g., copy of deed)
9. Is any portion of the property used for other than residential purposes (farming, commercial, vacant land,
professional office, etc.)?
yes
no
If yes, explain such use and describe the portion that is so used.

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