Attachment A - Application For Reimbursement Of Remediation Costs Under The Brownfield And Contaminated Site Remediation Act Form
ADVERTISEMENT
1ATTACHMENT A
STATE OF NEW JERSEY
DEPARTMENT OF THE TREASURY
DIVISION OF TAXATION
PO BOX 269
TRENTON, N.J. 08695-0269
A
R
R
C
U
PPLICATION FOR
EIMBURSEMENT OF
EMEDIATION
OSTS
NDER THE
B
C
S
R
A
ROWNFIELD AND
ONTAMINATED
ITE
EMEDIATION
CT
TO: Office of the Director
Division of Taxation
PO Box 269
Trenton, NJ 08695-0269
Attn: S. Curtis Seifert
The developer does hereby certify that:
1. The place of business which is the subject of this application is located in the area which is the subject of a
Redevelopment Agreement entered into with the New Jersey Commerce and Economic Growth Commission
and the New Jersey State Treasurer and is intended to generate new tax revenues which are in excess of the total
remediation costs to be reimbursed pursuant to the Redevelopment Agreement.
2. He has entered into a Memorandum of Agreement with the Commissioner of Environmental Protection and is in
compliance with same and has received a Letter of No Further Action issued by DEP.
3. He has entered into a Redevelopment Agreement with the State and is in compliance with same.
4. The total remediation costs actually and reasonably incurred and paid for subject property amounts to
$__________________. Developer has paid for all applicable oversight costs with DEP.
5. Check all appropriate boxes:
He has not received any property tax exemption for the subject property pursuant to the Environmental
Opportunity Zone Act.
He has received a property tax exemption for the subject property pursuant to the Environmental
Opportunity Zone Act in the amount of $__________ and has made in lieu of tax payments in the amount of
$________________.
He has not received any other State, Local, or Federal tax incentives or grants to remediate the subject
property.
He has received other State, Local, or Federal tax incentives or grants to remediate the subject property in
the amount of $________________.
6. The occupancy rate of buildings subject to the Redevelopment Agreement is ________%.
I do hereby certify the above information to be true and correct and submitted for the purpose of obtaining approval
for reimbursement of remediation costs pursuant to N.J.S.A. 58:10B-28.
DEVELOPER:
Address: _______________________________
BY:_______________________________
_______________________________
(Title)
Fax: _______________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Attachment A - Application For Approval Of Blackjack, Poker, Roulette, Craps, And Blackjack/poker Combination Variation Games - Colorado Division Of Gaming
Financial
Form Gew-ta-rv-6 - Application For Extension Of Time To File The Ge/use Tax Annual Return & Reconciliation (form G-49), The Ta Tax Annual Return & Reconciliation (form Ta-2), Or The Rvst Annual Return & Reconciliation (dual Rate Form Rv-3
Financial
Form Gew-ta-rv-6 - Application For Extension Of Time To File The Ge/use Tax Annual Return & Reconciliation (form G-49), The Ta Tax Annual Return & Reconciliation (form Ta-2), Or The Rvst Annual Return & Reconciliation (form Rv-3) - 2010
Financial
Form Gew-ta-rv-6 - Application For Extension Of Time To File The Ge/use Tax Annual Return & Reconciliation (form G-49), The Ta Tax Annual Return & Reconciliation (form Ta-2), Or The Rvst Annual Return & Reconciliation (form Rv-3)
Financial
Form Gew-ta-rv-6 - Application For Extension Of Time To File The Ge/use Tax Annual Return & Reconciliation (form G-49), The Ta Tax Annual Return & Reconciliation (form Ta-2), Or The Rvst Annual Return & Reconciliation (form Rv-3)
Financial
Ca Arng Form 149 - Application For Correction Of Military Records Under The Provisions Of California Military And Veterans Code 474
Legal
Related Categories
Parent category: Financial