Form Rp-491-A (Eden) - Application For Conservation Easement Agreement Exemption: Certain Towns

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New York State Department of Taxation and Finance
RP-491-a
(Eden)
Office of Real Property Tax Services
(12/14)
Application for Conservation Easement
Agreement Exemption: Certain Towns
Application for exemption must be filed with Town of Eden Assessor by March 1
Do not file form with the Office of Real Property Tax Services
1. Name and telephone numbers of owner(s):
2. Mailing address of owner(s):
Day No. (
)
Evening No. (
)
E-mail address:
3. Location of property
a.
town of Eden.
Street address
Property identification
(see tax bill or assessment roll)
b. Tax map number or section/block/lot
4. Conservation easement encumbers:
the entire parcel identified in 3b; or
a portion of the parcel identified in 3b (attach survey or other documentation identifying portion subject to
easement)
Attach copy of conservation easement agreement as adopted by town board.
5. The property to which the conservation easement applies is subject to a commitment for the preservation of open
space for open area for a period of:
15 to 29 years
30 to 49 years
50 to 75 years
perpetuity
Certification
, hereby certify that the information on this application and any
I (we),
accompanying pages constitutes a true statement of facts.
Signature
Date
Signature
Date

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