Form Rp-421-H -Application For Real Property Tax Exemption For Capital Improvements To Residential Property - 2004

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RP-421-h[Syracuse] (11/04)
NYS DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR REAL PROPERTY TAX EXEMPTION FOR CAPITAL IMPROVEMENTS
TO RESIDENTIAL PROPERTY
(Real Property Tax Law, Section 421-h)
(Instructions for completing this form are contained in Form RP-421-h-Ins)
l. Name and telephone no. of owner(s)
2. Mailing address of owner(s)
__________________________________
____________________________________
__________________________________
Day No. ( )_______________________
Evening No. ( )____________________
____________________________________
3. Location of property (see instructions)
___________________________________
___________________________________
City of Syracuse
Street Address
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot ________________________________________________
4. Is property for which exemption is sought a one family residence?
___Yes ___
No
(If no, property is not eligible for exemption.)
5. a. Square footage of residence without improvement________square feet
b. Square footage of residence
with improvement_________square feet
c. As measured by square footage in question 5b, is more than one-half of the residence
at least five years old?
___yes
___no
6. a. Date of commencement of construction of improvement
____________
b. Date completed (attach copy of certification of occupancy or other documentation of
completion) ________________
7. Describe the improvement for which exemption is sought (attach additional sheets if
necessary).
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
8. Cost of improvement: $______________ (supply documentation)

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