Form Tc 159 - Affidavit In Support Of Application For Correction

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THE TAX COM MIS SION OF THE CITY OF NEW YORK

One Cen tre Street, Room 929, New York, NY 10007

TC 159

AF FI DA VIT IN SUP PORT OF AP PLI CA TION FOR COR REC TION

ver. 1/98

Copy

IN STRUC TIONS: Use this form to sub mit fac tual state ments or docu ments. Sub mit one origi nal af fi da vit and one pho to copy for each par cel. The

pho to copy must in clude all at tach ments. See the ad di tional in struc tions on the re verse side.

PROP ERTY AND HEAR ING IN FOR MA TION

BOR OUGH

BLOCK

LOT

CONDO#

AS SESS MENT YEAR

REP RE SEN TA TIVE

GROUP#, IF ANY

HEAR ING DATE

CAL EN DAR PAGE

HEAR ING OF FI CER, IF KNOWN

OTHER LOTS COV ERED BY THIS SUB MIS SION

STATE MENT

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AT TACH MENTS - List all sched ules and docu ments at tached

At tach ment

Num ber of pages

__________________________________________________________________________________

_________________

__________________________________________________________________________________

_________________

__________________________________________________________________________________

_________________

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To tal pages at tached

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The af fi ant states that the at tached docu ments are true cop ies, and that in the case of a lease, con tract or other trans ac tion that they ac cu rately de -

scribe the trans ac tion and that the trans ac tion is be tween un re lated per sons deal ing at arms- length ex cept as oth er wise speci fied here:

_______________________________________________________________________________________________________________

OATH

The oath must be signed by an in di vid ual hav ing per sonal knowl edge of the facts. The sub mis sion of ma te ri ally false or mis lead ing in for ma tion is a crime.

Name of per son sign ing and re la tion to ap pli cant: ________________________________________________________________________________________

Spec ify source of per sonal knowl edge:

____________________________________________________________________________________________

Place and date where oath ad min is tered: County _______________________________ State _______________ Date ____________________

Per son author ized to ad min is ter oath:

No tary Pub lic

Tax Com mis sion hear ing of fi cer

The per son whose sig na ture ap pears be low swears or af firms un der pen alty of per jury that the state ments

con tained in this af fi da vit, in clud ing at tach ments, are true to his or her per sonal knowl edge, are free from

mis lead ing omis sions and may be re lied upon by the Tax Com mis sion in mak ing its de ter mi na tion.

Sig na ture of af fi ant:

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