Form Rp-305 - Agricultural Assessment Application
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5RP-305 (1/00)
New York State Board of Real Property Services
AGRICULTURAL ASSESSMENT APPLICATION
For The 20
Assessment Roll
Renewal form RP-305-r may be filed with the Assessor for each year hereafter if this application is approved and
there are no changes in any information entered on this application form.
TO BE COMPLETED BY THE ASSESSOR
Exemption Code
Application Date
Tax Map Number
Exemption Amount
41720-County Formed Ag. Dist..
$
41730-Outside Ag. District
Soil maps filed on
41750-New orchard/vineyard
Soil group worksheet filed on
Soil map or soil worksheet modification (use RP-305-d)
Sent
Received
Property located in an established agricultural district ?
____ yes
____ no
County Legislature has adopted local legislation providing land used to support a commercial horse boarding
operation shall be eligible for an agricultural assessment ____ yes _____no
Form RP-305-a sent
Assessor's Signature
Date
INFORMATION TO BE COMPLETED BY APPLICANT
Tax Map Number
Acres
Is parcel in an agricultural district? ____yes ____no
If yes provide County District Number ____________
Mailing Address
Property Location
Same as Mailing Address
(check)
Landowner Name
or
Number and Street
Number and Street
City
State
Zip Code
City
State
Zip Code
Day no.
(
)
Telephone:
County
Town
Village
(
)
Evening no.
CERTIFICATION OF APPLICANT
I,
certify that the information entered on this application
constitutes a true statement of facts to the best of my knowledge and that all lands described are used for the purposes stated
herein. I have read the notice page explaining the consequence for converting land to a nonagricultural use and understand that
conversion of this parcel may subject it to payments based upon the amount of taxes saved.
Date
Signature of Owner
PENALTY FOR FALSE STATEMENTS: A person making false statements on an application for exemption is guilty of an
offense punishable by law.
(Continued on next page)
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