Form Rp-420-A/b-Use - Application For Real Property Tax Exemption For Nonprofit Organizations Ii - Property Use - 2008
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4RP-420-a/b-Use (9/08)
NYS DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR REAL PROPERTY TAX EXEMPTION FOR
NONPROFIT ORGANIZATIONS
II – PROPERTY USE
1 a. Name of organization
2. Employer ID no
3a. Name of contact person
b. Mailing address
b. Day telephone no. of contact person
Evening telephone no.
c. Address of property
c. E-mail address (optional)
d. Property identification (see tax bill or assessment roll) Tax map number or section/block/lot
4 a. Has any part of this property been conveyed to another person or organization?
Yes
No
b. Is the property or any part thereof under contract for sale?
Yes
No
c. Is the property or any part thereof for sale?
Yes
No
d. If answer to 4 a, b, or c is yes, give full details (indicate question letter):
5. Name of grantee as set forth in deed by which property was acquired if different from answer to question 1.
6. If the property was acquired within the last three (3) years, indicate: Date of acquisition:
Deed recording information – Book of Deeds:
Page:
7. Was the property acquired from anyone who has or had any interest in the owning organization (e.g., officer,
director, employee, member, etc.)?
Yes
No
If yes, explain the relationship and circumstances of sale (including purchase price and terms of sale):
8. Is the property mortgaged?
Yes
No
a. If yes, does the holder of the mortgage presently (or did it formerly) have any interest in the owning
organization?
Yes
No
b. If answer to 8a is yes, explain the relationship and details of mortgage(s), original principal amount,
principal currently outstanding, interest rate, original term of mortgage, term remaining:
(attach additional sheets if necessary)
FOR ASSESSOR’S USE
Assessing unit
County
City/Town
Village
School District
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