RP-421-i [Albany] (7/06)
NYS DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR REAL PROPERTY TAX EXEMPTION FOR CAPITAL
IMPROVEMENTS TO MULTIPLE DWELLING BUILDINGS WITHIN CERTAIN CITIES
(Real Property Tax Law, Section 421-i)
APPLICATION FOR EXEMPTION MUST BE FILED WITH THE CITY OF ALBANY ASSESSOR
BY MARCH 1. (Instructions for completing this form are contained in Form RP-421-i-Ins)
l. Name and telephone no. of owner(s)
2. Mailing address of owner(s)
Day No. (
)
Evening No. (
)
E-mail address (optional)
3. Location of property (see instructions)
________________________________________________________________________, City of Albany
Street Address
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot ______________________________________________________
____________________________________________________________________________________
4.
a.
Date title to multiple dwelling was acquired by owner _______________
b.
Date owner occupied property
_______________
c.
Property for which exemption is sought has been converted from a multiple dwelling
back to an owner-occupied
___one-family/___two-family residence. (check one)
5.
a.
Square footage of residence without improvement___________square feet
b.
Square footage of residence with improvement____________square feet
c.
As measured by square footage in question 5b, is more than one-half of the residence
at least five years old?
___yes
___no
6.
a.
Date of commencement of construction of improvement converting multiple dwelling to
one- or two-family residence _______________
b.
Date completed (attach copy of certification of occupancy or other documentation of
completion) ________________
7.
Describe the improvement for which exemption is sought (attach additional sheets if necessary).
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
8.
Cost of improvement: $____________________ (supply documentation)