Form Rp-7114 - Municipal Report Of Special Franchise Activity
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1New York State Department of Taxation and Finance
RP-7114 (2/13)
Office of Real Property Tax Services
Municipal Report of Special Franchise Activity
Please fill in all blanks (enter NA if not applicable)
Municipality name: __________________________ SWIS code: ___________________
1. Municipal boundaries
Were there boundary changes in your municipality January 1, 2012 - December 31, 2012? No____ Yes____
If Yes, date change occurred ________________________
If Yes, from which municipality did your municipality annex area __________________________________________
If Yes, which municipality annexed area from your municipality ___________________________________________
If Yes, please submit a map suitable for digitizing which clearly highlights the boundary change. It should contain at
least four Geographic Registration Points and their map unit values. These values must conform to a standard
coordinate system (i.e., State Plane Feet, Latitude & Longitude, Universal Transverse Mercator (UTM), etc.).
ORPTS will send a copy of this map to each special franchise owner to determine the value of property affected.
2. New special franchise
Give exact name and address of any public utility company, cable television system, or private pipeline owner to whom
you have granted a new franchise authorizing use of public place from January 1, 2012 to December 31, 2012 (not
including railroads or municipal corporations). Please attach a copy of the franchise (required by Real Property Tax
Law section 602). Please check the appropriate item below to indicate if construction is in place or anticipated next
year. Do not include property listed on last year’s special franchise tax roll. If necessary, attach a separate sheet for
additional names and addresses.
Name _________________________________________________________________________________________
Address _______________________________________________________________________________________
Construction status:
In place ________
Next year ________
3. Substantial changes to existing occupancy of the public right of way
Give exact name and address of any public utility company, cable television system or private pipeline owner, which
has constructed or placed any property in, under, upon or above any street, highway or public place, from January 1,
2012 to December 31, 2012. Please check the appropriate item to indicate if construction is subject to a special
franchise. If necessary, attach a separate sheet for additional names and addresses.
Name ________________________________________________________________________________________
Address_______________________________________________________________________________________
Subject to special franchise?
No _____
Yes _____
4. Comments
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
5. Signature of mayor, town supervisor, assessor, or authorized designee
Signature ___________________________________ Title ______________________________________________
Name __________________________________________ Telephone no.___________________________________
Office address ___________________________________________________________________________________
Please email to
Scott.Ziegler@tax.ny.gov
or fax to (518) 435-8631 before April 15, 2013
Or mail to:
NYS TAX DEPARTMENT
Clear Form
OFFICE OF REAL PROPERTY TAX SERVICES
ATTN SCOTT ZIEGLER
W A HARRIMAN CAMPUS
ALBANY NY 12227
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