Form Rp-495 Pilot - Local Government Exemption Impact Report

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RP-495 PILOT (9/08)
LOCAL GOVERNMENT EXEMPTION IMPACT REPORT
(for local use only -- not to be filed with NYS Department of Taxation & Finance - Office of Real Property Tax Services)
Date: _______________________________
Taxing Jurisdiction: ______________________
Fiscal Year Begining: ______________________
Total equalized value in taxing jurisdiction: $ ______________________
Exemption
Statutory
Number of
Payments in Lieu of Taxes
Code (Column
Exemption Description
Authority
Exemptions
(PILOTs)
(Column
A)
(Column B)
(Column C)
(Column D)
E)
Totals

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