Application For Correction Of Assessed Value Of Tax Class Two Or Four Condominium Property Form Page 2

6. CLAIMS OF UNEQUAL OR EXCESSIVE ASSESSMENT

Applicant objects to the assessment on the grounds that it is (a) unequal or (b) excessive because the assessment exceeds the full value of the property or

statutory limits on increases, as follows:

Condominium as a whole

Units covered by application

a. Tentative actual assessment

$____________________

b. Applicant's estimate of market value

$____________________

c. Requested assessment = line b x 45% assessment ratio

$____________________

d. Number of tax lots

____________________

The applicant reserves the right to allege an assessment ratio lower than 45% and seek a lower assessment in a proceeding for judicial review of the

assessment the applicant may commence.

Do not use this form to claim unlawful assessment, misclassification, or error in determining the amount of the exemption; use Form TC106 with TC200.

7. PROPERTY DESCRIPTION - Describe the entire condominium.

NUMBER OF BUILDINGS

NUMBER OF STORIES ABOVE GRADE

YEAR OF CONSTRUCTION

USES (residential, office, retail, hotel, loft, factory, warehouse, storage, garage, theater, etc.):

Lot Numbers

FLOORS 3

___

_________________________________________________________________________________________

_________________________________________

SECOND FLOOR

_________________________________________________________________________________________

_________________________________________

FIRST FLOOR

BASEMENTS

_________________________________________________________________________________________

_________________________________________

OUTDOOR SPACE

(e.g. cell tower/telecom equipment, sinage, generators) _____________________________________________

_________________________________________

 Is any part of the condominium used for vehicle parking?

_____ If yes, number of: indoor spaces ________; outdoor spaces ________.

 Is any part of the condominium used for other nonresidential purposes?

______ If yes, number of retail units ________.

 Has any construction or major alteration work been done during the past two years?

______ If yes, submit Form TC200.

8. APPROXIMATE GROSS FLOOR AREA AS OF JANUARY 5, 2015

Floor

All uses (above grade)

Retail

Garage

Offices

sq.ft.

FLOOR 3 - _____

sq.ft.

SECOND FLOOR

sq.ft.

FIRST FLOOR

sq.ft.

BASEMENTS

sq.ft.

TOTAL AREA

9. OATH

This application must be signed by an individual having personal knowledge of the facts who is the applicant or a fiduciary or an agent or an officer of a

corporation or a general partner of a partnership or a member or manager of a limited liability company, which legal entity is the applicant or is a general

partner or member or manager of the applicant. If an agent signs, attach a notarized power of attorney signed by the applicant and Tax Commission Form

TC244, Agent's Statement of Authority and Knowledge. If a fiduciary, see Form TC600 for instructions on documentation of authority.

Print name of person signing ___________________________________ If signing as an officer, general partner or member or manager, specify name of

entity and person’s title.

Name of entity __________________________________________________________ Title ____________________________________________

Signer or entity is:  The applicant

 General partner of partnership applicant

 Member or manager of limited liability company applicant

 Officer of the board of managers.

 An attorney or other agent. A notarized power of attorney and Form TC244 must be attached.

If signing as fiduciary and applicant is a corporation, partnership, or LLC entity, specify name of entity and name and title of person for whom you are signing.

Name of entity ________________________________________

Name and title _____________________________________________________

I have read this form and all relevant instructions, whether on this form, or on another. I certify that all statements made on this application,

including the attached sheet(s) totaling _____ pages detailed above, are true and correct to the best of my knowledge and belief, and I understand

that such statements are being relied upon by the City of New York, and that they are subject to verification. I have read this entire form before

signing it. I am personally responsible for the accuracy of the information provided on this application, and any attachments. I also understand

that the making of any willful false statement of material fact on this application including the attached sheet(s) will subject me to the provisions

of the penal law relevant to the making and filing of false statements.

Signed

___________________________________________________________Date____________________

Sworn to before me:

County