Form Rp-7021 - Utility Advisory Appraisal Request Form

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Revised RP-7021 (04/11)
NYS DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
VALUATION SERVICES BUREAU
UTILITY ADVISORY APPRAISAL REQUEST FORM
1. LOCAL GOVERNMENT REQUESTING UTILITY ADVISORY APPRAISAL (Roll Sect. 6)
Municipality Name _____________________________
SWIS Code ______________
County Name _________________________________
Date of Request ____________
Requested Completion for the 20 ____ Assessment Roll
ACR Years _______ to ______
Do you intend to maintain a 100% LOA in the interim years?
Yes _______
No _______
If yes, do you want to receive utility advisory appraisals for the interim years? ____________________
2. CHIEF EXECUTIVE OFFICER OR ASSESSOR REQUESTING ADVISORY APPRAISAL
Printed Name
__________________________________
Title ______________________
Signature
_____________________________________
Telephone No. _______________
Office Hours
_________________
3. LIST COMPANIES TO BE APPRAISED
EXCEPTIONS OR COMPANIES
NOT REQUESTED
______________________________________
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NOTE: Utility structures such as office buildings, warehouses, garages, maintenance and service centers, conference centers,
telephone central office buildings, repeater huts, cell towers, and CATV sites will be the responsibility of the local assessor.
Return completed request and a copy of the most recent Roll Section 6 to:
Utility Advisory Appraisal Team
Valuation Services Bureau
NYS Office of Real Property Tax Services
WA Harriman State Campus
Albany, NY 12227

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