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Form Rp483-C - Application For Real Property Tax Exemption For Temporary Greenhouses Page 2

RP-483-c (9/00)

CERTIFICATION

I, _____________________________________hereby certify that the information on this application and

any accompanying pages constitutes a true statement of facts.

________________________________________

________________________

Signature

Date

FOR ASSESSOR’S USE

1. Date application filed: _______________ 2. Applicable taxable status date: _________________

3. Action on application:

Approved

Disapproved

4. Assessed valuation of parcel in first year of exemption: $ __________________________

5. Increase in total assessed valuation in first year of exemption: $ _________________________

6. Amount of exemption in first year:

Percent

Amount

County ____________________

$ _____________________

City/Town __________________

$ _____________________

Village _____________________

$ _____________________

School district ________________

$ _____________________

___________________________________________

_____________________

Assessor’s signature

Date

Form Rp483-C - Application For Real Property Tax Exemption For Temporary Greenhouses Page 2