Form Otc 988-S - Application For Ad Valorem Tax Exemption For Nonprofit Schools And Colleges- Tulsa County - 2016 Page 2

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Form 988-S Application for Ad Valorem Tax Exemption for Nonprofit Schools and Colleges
Page 2
You must provide a written explanation as a response to the following questions.
Answers may be attached.
1. Explain exact usage of the real and or personal property being claimed exempt:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
2. Explain exact usage of all income from the real and personal property being claimed exempt:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Please attach a copy of all documents which support this application
for exemption.
(Example: articles of incorporation, bylaws, resolutions, income-expense statements, deeds,
contracts, leases, catalogs, etc.)
Must provide a copy of IRS Section 501(c)(3) and your filing with Oklahoma Secretary of State.
Please provide the name of person who may be contacted if additional information is needed.
Name: ____________________________________________________ Title: ____________________________
Address: _____________________________________________________________________________________
City: _____________________________________________________ State: ________
Zip: _____________
Phone Number: ( ________ ) ________________________
Affidavit
I, ______________________________________ being duly sworn, upon oath, under penalty of perjury do hereby depose and
say that I am (Title) __________________________________ , of ___________________________________ organization; that
as such I am acquainted with the books, accounts, and affairs of said organization and know the foregoing statements to be true,
correct and complete, and that all information requested herein has been fully and correctly given
(68 O.S. § 2945 provides penalties for false oaths).
Signature: _______________________________________________________________________
Subscribed and sworn to before me this ___________ day of ___________________ , _________ .
My commission expires: ______________________ , _______________ .
____________________________________________________________________ , Notary Public
Notary Seal
Assessor Use Only
School
Application for Exemption:
Approved
Disapproved
District
Assessor/ Deputy: ___________________________________________ Date: ________________
Account Number: ___________________________________________

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