Veterans Property Tax Exemption Application Form Page 2
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2Veterans Property Tax Exemption Application
Page 4
Section 4 - certification by co-op board of managers
FOR COOPERATIVE PROPERTIES ONLY
The following information must be completed by an officer of the cooperative corporation:
Applicant's unit number: ___________
Floor number of this unit: ___________
Number of shares in this unit owned by applicant: ____________ Date applicant purchased these shares: _______ / _______ / _______
Borough: ______________________ Block: ______________ Lot: ____________ of the building in which this unit is located.
Total number of shares for this development: _________________________
I certify that the above information is true and correct.
(
)
____________________________________
________________________________
______________ ________________
Signature of Officer
print name
Title
Telephone number
C E R T I F I C A T I O N a n d S I G N A T U R E
I (we) certify that all statements made on this application are true and correct to the best of my (our) knowledge and belief. I (we) understand that any
willful false statements made herein will subject me (us) to the penalties prescribed in the Penal Law.
_______________________________________
_______________________________________
__________________
_______________________________________
_______________________________________
__________________
_______________________________________
_______________________________________
__________________
Signatures of all applicants
Non-relative witness
Date
O F F I C E U S E O N L Y
deed dated__________________________19________,
exhibited _________________________________________________
shows title vested in _________________________________________________________________________________________
recorded in __________________ county on__________________19_______,
in liber _______________ of conveyances at page
_____________
section _____________
volume _____________
block _______________
lot ___________
street address _______________________________________________________________________________________________
deed checked by ________________________________________
Granted ______________
Denied _____________
41121 ________________
% ownership _________________
Reason ___________________________
41131 ________________
% commercial ________________
__________________________________
41141 ________________
% disability __________________
Reviewed by _______________________
CRT’d BY __________________________
date ______________________________
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