Real Estate Tax Exemption Application for Nonprofit Organizations
Page 4
S E C T I O N 6 - P R O P E R T Y U S E
6
,
C O M P L E T E A S E P A R A T E S E C T I O N
F O R E A C H I N D I V I D U A L L O T F O R W H I C H Y O U A R E A P P L Y I N G F O R E X E M P T I O N
U S I N G I N D I V I D U A L
.
S H E E T S P R O V I D E D B Y T H E D E P A R T M E N T O F F I N A N C E O R P H O T O C O P I E S O F T H I S P A G E
1.
Borough: _______________________ Block: ___________ Lot: ___________ (if different from that shown under Section 1 - Ownership Information)
2.
Are there any buildings or other improvements on the property?...................................................................................................
yes
no
3.
If there are no buildings or other improvements, describe the use of the property: ________________________________________________________
4.
If there are no buildings or improvements, are such contemplated? ..............................................................................................
yes
no
5.
If "yes," indicate anticipated date of construction start: ______ / ______ / ______
6.
If buildings or other improvements are contemplated, give full details of proposed use(s): __________________________________________________
_________________________________________________________________________________________________________________________
7.
Do the minutes of the organization contain a resolution(s) authorizing the contemplated building or other improvement?...........
yes
no
IF "YES," ATTACH A COPY OF RESOLUTION(S).
8.
State detailed financial resources for contemplated buildings or other improvements: _____________________________________________________
_________________________________________________________________________________________________________________________
9.
If the property contains a building, describe in detail the use(s) of the building, floor by floor (attach additional pages, if necessary):
Basement: __________________________
1st Floor: __________________________
2nd Floor: __________________________
3rd Floor: __________________________
4th Floor: __________________________
5th Floor: __________________________
Additional Floors: _________________________
Additional Comments: ____________________________________________________________
10.
Is the property or any portion thereof occupied by persons or organizations other than the applicant?.........................................
yes
no
11.
If "yes," indicate the following: a) Name of occupant(s) ___________________________________ b) Type of use _____________________________
c) Portions of the property so occupied _________________________________________________________________________________________
d) Term(s) of occupancy (length of lease), etc. ____________________________________ e) Amount of rent paid ___________________________
12.
Are there unoccupied/vacant buildings, portions of buildings or other improvements on the property? ........................................
yes
no
13.
If "yes," describe the future contemplated use(s) of the unoccupied/vacant areas: _________________________________________________________
_________________________________________________________________________________________________________________________
14.
Is the property or any portion thereof occasionally used by persons or organizations other than the applicant? ...........................
yes
no
15.
If "yes," state use and indicate specific portion of the property used, frequency of use, and fee charged or contributions received for use: ____________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
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A F F I D A V I T
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STATE OF NEW YORK
SS:
COUNTY OF
___________
__________________________________________________ being duly sworn, says under penalty of perjury that
he/she is the owner/applicant or the ___________________________________ of the owner/applicant(s), that the statements
contained in this application, including any attachments to this application, are true to his/her knowledge.
Signature of APPLICANT OR REPRESENTATIVE
Subscribed and sworn to before me this
Affix
___________day of________________ 20______
official stamp or
seal, here.
________________________________________
Notary Public