Form Rp-421-N [oneonta] - Application For Real Property Tax Exemption For Capital Improvements To Multiple Dwelling Buildings Within Certain Cities Page 2

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Page 2 of 2 RP-421-n [Oneonta] (12/14)
Certification
, hereby certify that the information on this application and any
I,
accompanying pages constitutes a true statement of facts.
Signature
Date
For assessor’s use
1. Date application filed:
2. Applicable taxable status date:
3. Action on application:
Approved
Disapproved
4. Assessed valuation of parcel including improvement: $
5. Assessed valuation of parcel excluding improvement: $
6. Assess valuation of improvement eligible for exemption: $
(4. minus 5.)
* This figure is the “exemption base” and must be recalculated in any year in which there is a change in level of
assessment of 15 percent.
Percent amount
Dollar amount
City
$
%
Assessor’s signature
Date

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