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MANHATTAN RESIDENT PARKING TAX EXEMPTION APPLICATION

PURPOSE OF EXEMPTION CERTIFICATE

HOW TO COMPLETE THIS APPLICATION

HE PURPOSE OF THE EXEMPTION CERTIFICATE IS TO PROVIDE PROOF TO

STEP 1: P

STEP 1:

RINT OR TYPE YOUR NAME AND SOCIAL SECURITY NUMBER

PARKING FACILITY OPERATORS THAT THE OWNER OR LESSEE OF A MOTOR

STEP 2: I

STEP 2:

VEHICLE IS NOT REQUIRED TO PAY THE ADDITIONAL

ORK

ITY

NDICATE THE REASON FOR FILING THIS APPLICATION BY CHECKING THE

. F

PARKING TAX

OR THOSE WHO QUALIFY

THE TAX ON PARKING SERVICES WILL

APPROPRIATE BOX

10¼%

18¼%. (T

10¼%

BE AT A RATE OF

INSTEAD OF

HIS RATE INCLUDES

1. 1. N N

R R

. I

EQUEST

F YOU DO NOT HAVE A

ARKING

XEMPTION

. P

§1105

THAT IS IMPOSED UNDER

TATE

LEASE NOTE THAT

AND

CERTIFICATE FOR THE CURRENT PERIOD

PLEASE CHECK THIS BOX AND

1107

12/1/96

HAVE BEEN AMENDED EFFECTIVE

TO EXEMPT FROM TAX

A, B

COMPLETE SECTIONS

AND

GARAGE FACILITIES OWNED BY THE CITY OR CITY AGENCY OR A PUBLIC

CORPORATION THE MAJORITY OF WHOSE MEMBERS ARE APPOINTED BY THE

2. 2. A A

DDITIONAL VEHICLE

F YOU HAVE A

ARKING

XEMPTION

CHIEF EXECUTIVE OFFICER OF SUCH CITY OR LEGISLATIVE BODY OF THE CITY

CERTIFICATE FOR THE CURRENT PERIOD

PLEASE CHECK THIS BOX AND

. T

INDICATE THE LICENSE PLATE NUMBER

HEN COMPLETE SECTIONS

AND

WHO IS ELIGIBLE?

AS IT PERTAINS TO THE ADDITIONAL VEHICLE

NY INDIVIDUAL WHO FULFILLS ALL OF THE FOLLOWING REQUIREMENTS IS

3. 3. R R

O O

A C

D D

T T

A C

O O

EISSUANCE

F F

ERTIFICATE

O O

HANGE

F F

ELIGIBLE FOR A

ARKING

XEMPTION

ERTIFICATE

R R

A A

, P

F F

, C

A A

L L

ESIDENTIAL

DDRESS

ARKING

ACILITY

ONSUMER

FFAIRS

ICENSE

N N

, M

V V

O O

L L

P P

S S

T T

HAS HIS OR HER PRIMARY RESIDENCE IN

ANHATTAN

UMBER

OTOR

EHICLE

R R

ICENSE

LATE

UBSEQUENT

O O

I I

O O

E E

C C

. . S

OWNS A MOTOR VEHICLE OR LEASES IT FOR A TERM OF ONE YEAR OR MORE

SSUANCE

F F

XEMPTION

ERTIFICATE

HOULD ANY OF THESE CHANGES

REGISTERS THE VEHICLE PURSUANT TO THE VEHICLE AND TRAFFIC LAW AT HIS

OCCUR DURING THE EFFECTIVE PERIOD OF YOUR

ARKING

XEMPTION

OR HER PRIMARY

ANHATTAN RESIDENTIAL ADDRESS

IN THE CASE OF A

ERTIFICATE

THE CERTIFICATE WILL BECOME INVALID AND A NEW

LEASED VEHICLE THAT IS REGISTERED PURSUANT TO THE VEHICLE AND TRAFFIC

CERTIFICATE MUST BE ISSUED

LAW

LEASES THE VEHICLE AT SUCH ADDRESS

AND

3.1

3.1 I

F YOU HAVE CHANGED YOUR

ANHATTAN RESIDENTIAL ADDRESS

DOES NOT USE THE VEHICLE FOR BUSINESS PURPOSES

PLEASE CHECK THIS BOX AND COMPLETE SECTION

PRIMARY RESIDENCE

IS A PERMANENT PLACE OF RESIDENCE WHERE THE

3.2

3.2 I

183

F YOU HAVE CHANGED THE

PARKING FACILITY

OR THE PARKING

INDIVIDUAL RESIDES OR INTENDS TO RESIDE MORE THAN

DAYS IN THE

MONTHS FOLLOWING THE DATE OF THE APPLICATION FOR EXEMPTION

FACILITY GETS A NEW

ONSUMER

FFAIRS

ICENSE NUMBER

PLEASE

ACTORS EXAMINED IN MAKING THIS DETERMINATION INCLUDE THE

CHECK THIS BOX AND COMPLETE SECTION

’

DWELLING PLACE DESIGNATED AS THE INDIVIDUAL

S ADDRESS ON SUCH

3.3

3.3 I

F YOU CHANGE YOUR

LICENSE PLATE NUMBER AND

OR YOUR

ITEMS AS HIS OR HER MOTOR VEHICLE REGISTRATION

INCOME TAX

’

VEHICLE

PLEASE CHECK THIS BOX AND COMPLETE SECTION

RETURN

DRIVER

S LICENSE

VOTER REGISTRATION CARD OR DOCUMENTS

. (S

19 RCNY §19-01 “P

FILED WITH PUBLIC AGENCIES

RIMARY

NOTE:

NOTE: I

F MORE THAN ONE TYPE OF CHANGE HAS OCCURRED

PLEASE

”.)

ESIDENCE

A, B

CHECK ALL APPLICABLE BOXES AND COMPLETE SECTIONS

”

“

HE TERM

LEASE FOR A TERM OF ONE YEAR OR MORE

SHALL NOT

AND

AS APPROPRIATE

INCLUDE ANY LEASE THE TERM OF WHICH IS LESS THAN ONE YEAR

STEP 3: C

STEP 3:

A, B

OMPLETE SECTION

AND

AS APPROPRIATE

IRRESPECTIVE OF THE FACT THAT THE CUMULATIVE PERIOD FOR WHICH

SUCH LEASE MAY BE IN EFFECT IS ONE YEAR OR MORE AS THE RESULT OF

1. 1. S S

A A . P

ECTION

LEASE PROVIDE US WITH YOUR

ANHATTAN RESIDENTIAL

THE RIGHT TO EXERCISE AN OPTION TO RENEW OR OTHER LIKE PROVISION

. Y

(

ADDRESS

OU MUST PROVIDE PHOTOCOPIES OF TWO DOCUMENTS

RESIDENTIAL LEASE OR DEED

VOTER REGISTRATION CARD

UTILITY BILL

ARKING

XEMPTION

ERTIFICATE WILL BE ISSUED PROVIDED THAT

’

DRIVER

S LICENSE

ETC

TO PROVE RESIDENCY

SERVICES ARE RENDERED ON A MONTHLY BASIS OR LONGER AT THE FACILITY

THAT IS THE PRINCIPAL PARKING FACILITY WHEN THE VEHICLE IS NOT IN USE

2. 2. S S

B B . P

ECTION

LEASE PROVIDE US WITH THE NAME AND ADDRESS OF THE

. C

PRINCIPAL PARKING FACILITY

IS THE FACILITY WHERE THE MOTOR

PRINCIPAL PARKING FACILITY

HECK THE BOX IF IT IS A RESIDENTIAL PARKING

’

VEHICLE IS PARKED

GARAGED

OR STORED THE MAJORITY OF THE TIME

FACILITY OR PROVIDE THE FACILITY

ONSUMER

FFAIRS

ICENSE

UMBER

HIS NUMBER MAY BE OBTAINED FROM THE PARKING FACILITY OPERATOR

WHEN AND WHERE TO APPLY/IMPORTANT DEADLINES

RESIDENTIAL PARKING FACILITY

IS A GARAGE OR PARKING LOT

OMPLETED

APPLICATIONS

ALONG

WITH

ANY

REQUESTED

MAINTAINED

OPERATED

OR CONDUCTED BY THE OWNER OR LESSEE

DOCUMENTATION SHOULD BE MAILED TO THE

ARKING

XEMPTION

OF A MULTIPLE DWELLING FOR THE EXCLUSIVE ACCOMMODATION OF

. A

ECTION

PPLICATIONS MUST BE RECEIVED BEFORE THE

OF THE MONTH

THE TENANTS OR RESIDENTS OF SUCH MULTIPLE DWELLING AND

. P

TO ENSURE THAT A CERTIFICATE WILL BE DATED FOR THAT MONTH

ARKING

THEREFORE EXEMPT FROM THE

ONSUMER

FFAIRS LICENSING LAW

NOT

. A

XEMPTION

ERTIFICATES WILL

BE ISSUED IN PERSON

XEMPTION

3. 3. S S

C C . P

ERTIFICATES WILL BE MAILED TO APPLICANTS

ECTION

LEASE PROVIDE US WITH THE LICENSE PLATE NUMBER

. Y

MAKE AND YEAR OF THE VEHICLE

OU MUST PROVIDE PHOTOCOPIES OF THE

LEASE NOTE THE FOLLOWING

CURRENT VEHICLE REGISTRATION RECEIPT OR YOUR INSURANCE CARD

• T

SHOWING YOUR CURRENT

ANHATTAN RESIDENTIAL ADDRESS

ARKING

XEMPTION

ERTIFICATE BECOMES EFFECTIVE ON THE

FIRST DAY OF THE MONTH FOR WHICH IT IS ISSUED AND REMAINS VALID

STEP 4: C C

STEP 4:

. . S

ERTIFICATION

IGN AND DATE THE APPLICATION

UNTIL THE FOLLOWING

UGUST

STEP 5: M

STEP 5:

AIL COMPLETED APPLICATION AND DOCUMENTATION TO

• T

ERTIFICATE WILL BE HONORED ONLY BY THE PARKING FACILITY

. T

DESIGNATED

ERTIFICATE WILL BE VALID ONLY FOR THE VEHICLE

NYC D

F F

EPARTMENT OF

INANCE

. T

DESIGNATED

ERTIFICATE SHOULD BE GIVEN TO YOUR PARKING

P P

T T

E E

S S

ARKING

XEMPTION

ECTION

FACILITY PRIOR TO PAYMENT FOR SERVICES FOR THE MONTH IN WHICH IT

25 E

P P

, 3 , 3

F F

LACE

LOOR

BECOMES EFFECTIVE

AYMENTS MADE BEFORE THE

ERTIFICATE IS

B B

, NY 11201

ROOKLYN

PRESENTED TO THE PARKING FACILITY ARE NOT EXEMPT

718) 935-6079/6080

FOR INFORMATION OR ASSISTANCE, CALL: (

PRIVACY ACT NOTIFICATION

IMPORTANT REMINDER

1974,

EDERAL

RIVACY

CT OF

AS AMENDED

REQUIRES ALL AGENCIES

HIS APPLICATION WILL NOT BE PROCESSED UNLESS IT IS COMPLETE AND ANY REQUIRED

REQUESTING IDENTIFYING NUMBERS TO INFORM INDIVIDUALS FROM WHOM THEY SEEK

. U

APPLICATIONS WILL BE RETURNED

DOCUMENTATION IS SUBMITTED

NPROCESSIBLE

INFORMATION WHY THE REQUEST IS BEING MADE AND HOW THE INFORMATION IS

. T

PENALTIES:

USED

HE DISCLOSURE OF IDENTIFYING NUMBERS

INCLUDING

OCIAL

ECURITY

11-102.1

UMBERS IS REQUIRED BY

ECTION

OF THE

DMINISTRATIVE

ODE OF THE

NY PERSON WHO IMPROPERLY OBTAINS OR MISUSES A

ARKING

XEMPTION

. S

ITY OF

ORK

UCH NUMBERS WHICH ARE DISCLOSED ON ANY REPORT OR

$100

ERTIFICATE WILL BE LIABLE FOR PENALTIES OF NOT MORE THAN

IN THE CASE OF

RETURN ARE USED FOR TAX ADMINISTRATION PURPOSES

AND AS MAY BE REQUIRED BY

$500

. A

NEGLIGENCE AND NOT MORE THAN

IN THE CASE OF FRAUD

PERSON FILING A

LAW

OR WHEN THE TAXPAYER GIVES WRITTEN AUTHORIZATION TO THIS DEPARTMENT

. T

FALSE APPLICATION MAY ALSO BE PROSECUTED UNDER THE

ENAL

HESE PENALTIES

(

FOR ANOTHER DEPARTMENT

PERSON

AGENCY OR ENTITY TO HAVE ACCESS

LIMITED

1145

SHALL BE IN ADDITION TO ANY PENALTIES IMPOSED UNDER

ECTION

RTICLE

)

OR OTHERWISE

TO THE INFORMATION CONTAINED IN HIS

HER RETURN

OF THE

ORK

TATE

Manhattan Resident Parking Tax Exemption Application Instructions - Nyc D Epartment Of Epartment Of Finance

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