Form Rp-470 - Application For Real Property Tax Exemption For Green Buildings Page 2

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Page 2 of 2 RP-470 (12/14)
For assessor’s use
1. Date application filed:
2. Applicable taxable status date:
3. Action on application:
Approved
Disapproved
4. Assessed valuation of parcel in first year of exemption: $
5. Increase in total assessed valuation in first year of exemption: $
6. Amount of exemption in first year:
Percent
Amount
$
Town
County
$
Village
$
School district
$
Assessor’s signature
Date

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