Form Rp-483 - Application For Tax Exemption Of Agricultural And Horticultural Buildings And Structures Page 2

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RP-483 (10/07)
2
9. Is the building or any portion thereof, used for residential purposes?
Yes
No
If the answer is “yes”:
a. Are all occupants employees or the immediate families of employees who are primarily employed in
connection with the operation of lands actively devoted to agricultural or horticultural use?
Yes
No
b. If any occupants are related by blood or marriage to the applicant, state the relationship: __________
c. Briefly describe the nature of the duties performed by any employee (s) who reside in the building:
_________________________________________________________________________________
10. Identification of lands actively devoted to agricultural or horticultural use:
a. Total acreage:
b. Is this land part of the same parcel on which the newly constructed or reconstructed building or
structure is located?
Yes
No
If the answer is “no”, identify the parcel (s) containing such land:
Tax map number or section/block/lot:
c. Briefly describe the agricultural or horticultural use of such land:
I,
, hereby certify that the information on this application
constitutes a true statement of fact to the best of my knowledge.
____________________
Date
Signature of owner(s)
Clear Form
SPACE BELOW FOR ASSESSOR’S USE
Date application filed: ___________________________
Application approved
Applicable taxable status date: ______________________
Application disapproved
Assessed valuation of parcel including new construction or reconstruction:
$ __________________
Assessed valuation of parcel excluding new construction or reconstruction:
$ __________________
Assessed valuation of exemption granted (difference between above):
$ __________________
_________________
Date
Assessor’s signature

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