Exemption From Real Estate Taxation Page 5

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NEW YORK CITY DEPARTMENT OF FINANCE

PROPERTY TAX EXEMPTION UNIT

EXEMPTION FROM REAL ESTATE TAXATION FOR

F I N A N C E

PROPER TY OWNED BY NONPROFIT ORGANIZATIONS

NEW YORK

THE CITY OF NEW YORK

A P P E N D I X

DEPARTMENT OF FINANCE

nyc.gov/finance

P R O P E R T Y U S E

C O M P L E T E A S E P A R A T E P R O P E R T Y U S E 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

Borough: _______________________ Block: ___________ Lot: ___________ (if different from that shown under Section 1 - Ownership Information)

Are there any buildings or other improvements on the property?...................................................................................................

yes

If there are no buildings or other improvements, describe the use of the property: ________________________________________________________

If there are no buildings or improvements, are such contemplated? ..............................................................................................

yes

If "yes," indicate anticipated date of construction start: ______ / ______ / ______

If buildings or other improvements are contemplated, give full details of proposed use(s): __________________________________________________

_________________________________________________________________________________________________________________________

Do the minutes of the organization contain a resolution(s) authorizing the contemplated building or other improvement?...........

yes

IF "YES," ATTACH A COPY OF RESOLUTION(S).

State detailed financial resources for contemplated buildings or other improvements: _____________________________________________________

_________________________________________________________________________________________________________________________

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

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

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

15.

If "yes," state use and indicate specific portion of the property used, frequency of use, and fee charged or contributions received for use: ____________

_________________________________________________________________________________________________________________________

A F F I D A V I T

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