Form Rp-466-A - Application For Volunteer Firefighters / Ambulance Workers Exemption In Certain Counties - 1999

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RP-466-a ( 12/99 )
New York State Board of Real Property Services
Application for Volunteer Firefighters /
Ambulance Workers Exemption in Certain Counties
APPLICATION MUST BE FILED WITH YOUR ASSESSOR OR OTHER DESIGNATED
LOCAL OFFICIAL ON OR BEFORE TAXABLE STATUS DATE.
Do not file application with State Board of Real Property Services
2. Mailing address of owner (s)
1. Name and telephone number of owner (s)
__________________________________________
_____________________________________
_____________________________________
__________________________________________
Day No.
(
)
__________________________________________
Evening No.
(
)
__________________________________________________________________________________________
(Street address)
__________________________________________________________________________________________
(City / Town)
_________________________________________________________________________________________
(Village if any)
__________________________________________________________________________________________
(County)
Property identification (see tax bill or assessment roll)
Tax map number or section/ block / lot:______________________________________________
4.
Name of incorporated volunteer fire company,
fire department or incorporated volunteer ambulance
service: _____________________________________________________________
5.
Relationship to incorporated volunteer fire company, fire department or incorporated volunteer
ambulance service indicated in question 4:
certified by company, department or service as enrolled
member for at least five years; or
certified by company, department or service as having accrued at
least 20 years of active service. (see instructions)
6.
Does the applicant reside in the city, town or village served by the incorporated volunteer fire company,
fire department or incorporatedvolunteer ambulance service indicated in question 4 ?
yes or
no
7.
Is the property the primary residence of the applicant ?
yes
or
no
8. Does the applicant or do the applicant and his/her spouse own the property ?
yes
or
no. (attach proof of ownership.)
9.
Is any portion of the property used for other than residential purposes (farming, commercial, vacant
land, professional office, etc.) ?
yes
or
no. If yes, explain such use and describe the
portion that is so used. ___________________________________________________________________
10.
Did the applicant previously receive a village tax exemption for service as a volunteer firefighter pursuant
to section 466 of the Real Property Tax Law ?
yes
or
no ? if yes, indicate name of
village and last year in which exemption was granted. ______________________

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