Looking for a New York State Tax Forms And Templates? Download it for free!

Form Rp-483-B - Application For Tax Exemption For Reconstructed Or Rehabilitated Historic Barn 1997 Page 2

RP-483-b (1/97)

CERTIFICATION

I, ______________________________________

thereby certify that the information on this application and

any accompanying pages constitutes a true statement of facts.

____________________________________________

______________________________________

Signature

Date

__________________________________________________________________________________________

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

Form Rp-483-B - Application For Tax Exemption For Reconstructed Or Rehabilitated Historic Barn 1997 Page 2