Form Rp-420-B-Org - Application For Real Property Tax Exemption For Nonprofit Organizations - Permissive Class I-Organization Purpose

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NYS DEPARTMENT OF TAXATION & FINANCE
RP-420-b-Org (9/08)
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR REAL PROPERTY TAX EXEMPTION FOR
NONPROFIT ORGANIZATIONS - PERMISSIVE CLASS
I-ORGANIZATION PURPOSE
(See general information and instructions on back of form)
1a. Name of Organization
d. Name of contact person
e. Day telephone no. of contact person
b. Mailing address
Evening telephone no.
c. Employer ID no.
f. E-mail address (optional)
2 a. Purpose (s) of the organization:
1. Bible
5. Infirmary
9. Bar association
13. Historical
2. Tract
6. Public playground
10. Medical society
14. Supervised youth sportsmanship
3. Benevolent
7. Scientific
11. Library
15. Enforcement of laws relating to
4. Missionary
8. Literary
12. Patriotic
children or animals
b. If the organization has more than one purpose, state the primary purpose:
c. State briefly specific activities related to each purpose checked above
_____________________________________
(Attach additional sheets if necessary)
FOR ASSESSOR’S USE
Assessing unit
County
______________________________________
_____________________________________________
City/Town
Village
___________________________________________
_____________________________________________
School District
_____________________________________________

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