Form Rp-305-Pr - Agricultural Payment Report - 1998 Page 2

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RP-305-pr (1/98)
Page 2
III. Parcel Identification Data From Assessment Roll For Year Entered In Item 5: (continued)
15. School District Code. (six digits)
16. Number of acres, to the nearest tenth of an acre, converted to nonagricultural use.
(Should not exceed acreage entered in item 3, Section I)
.
acres
17. Assessed value of converted portion of parcel. (See instructions on apportionment of value)
$
18. Exempt assessed value of converted portion of parcel. (See instructions on apportionment of value)
$
IV. Payment Calculations
Tax Rate x Exemption = Tax Savings x Payment x Interest Rate = Payment
Taxing
Jurisdiction
Factor 5x
Factor
COUNTY
5
5
TOWN
SCHOOL
5
5
TOTAL
V. Property Transfer Information (If Known)
List below each property transfer that included the parcel identification in Section I, which occurred between the time the
parcel last received an agricultural exemption and the time it was converted to nonagricultural use. List the most recent
transfer first, and for each transfer included the sale price, sale date, acreage sold/converted, and tax map number.
Sale Price
Sale Date
Acres
Tax Map Number
Sold/Converted
1
2
3
4
VI. Related Conversions (If Known)
List below all other parcels converted to nonagricultural use which were originally portions of the parcel receiving an
agricultural assessment, as indicated in Section III. For each of these parcels include the amount of acreage converted (to the
nearest tenth). the date of conversion, and the tax map number.
Acres Converted
Date Converted
Tax Map Number
1
2
3
VII. I hereby certify that the information contained in this report constitutes a true statement of fact.
Signature of Assessor or Chairperson of Board of Assessors
Date
Send this report within 45 days of final roll filing to: Office of Real Property Services, Agricultural Unit,
NEW YORK STATE, 16 Sheridan Avenue, Albany, New York 12210-2714.

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