Form 1998rpie - Income And Expense Statement - Agreement To Use The 1999 Tax Commission

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1998RPIE Page 11
AGREEMENT TO USE THE 1999 TAX COMMISSION
INCOME AND EXPENSE STATEMENT
F I N A N C E
NEW YORK
FILE THIS FORM WITH THE DEPARTMENT OF FINANCE, RETURNS PROCESSING,
25 ELM PLACE, 3RD FLOOR, BROOKLYN, NY 11201
PRINT OR TYPE ALL INFORMATION
MANHATTAN ........1
check
BRONX ................2
BOROUGH
your
:
:
BROOKLYN ..........3
BLOCK
LOT
boro
:
QUEENS ..............4
CODE
code #
STATEN ISLAND ...5
NAME OF OWNER
ADDRESS OF
:
:
OF PROPERTY
PROPERTY
:
:
EMPLOYER IDENTIFICATION NUMBER
SOCIAL SECURITY NUMBER
Filing this form without the signature of an authorized individual listed below may be deemed a failure to file an Income and Expense
Statement and may subject the owner to the penalties for nonfiling pursuant to Section 11-208.1 of the Administrative Code of the
City of New York. If an addendum is required but not submitted, the filing of this form will be deemed defective.
Place an "X" in the appropriate box.
I am:
A.
the owner.
B.
a general partner of the partnership that owns this property.
C.
a corporate officer of the corporation that owns this property.
specify position:
D.
the attorney/agent for the owner, partnership or corporation. (A notarized power of attorney must be attached.)
E.
trustee or receiver.
F.
net lessee, who included operating information for the entire building.
G.
executor/executrix/administrator/administratrix of the decedent's estate.
H.
official of a government agency holding title to the above referenced property.
specify position:
I.
mortgagee (bank) in possession of foreclosed property.
The Department of Finance may use my Tax Commission Income and Expense Statement filed in 1999 in lieu of the
required Real Property Income and Expense Statement (RPIE-98) because I have already submitted the most up-to-
date information to the Tax Commission. Along with this Agreement form I have included an addendum or computer-
ized rent roll if my property is completely commercial or mixed-use with commercial portions and has a final actual
assessment of more than $1,000,000.
I certify that all information in this document is true and correct to the best of my knowledge and belief. I understand
that the willful making of any false statements of material fact herein will subject me to the provisions of law relevant to
the making and filing of false instruments and will render this filing null and void.
Signature
Name
Date
(please print)

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