Form Rp-7114 - Municipal Report Of Special Franchise Activity
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1New York State Department of Taxation and Finance
RP-7114
Office of Real Property Tax Services
(1/15)
Municipal Report of Special Franchise Activity
Please fill in all blanks (enter NA if not applicable)
Municipality name:
SWIS code:
Municipal boundaries
Were there boundary changes in your municipality January 1, 2014 - December 31, 2014? Yes
No
If Yes, date change occurred
If Yes, from which municipality did your municipality annex area?
If Yes, which municipality annexed area from your municipality?
If Yes, please submit a map suitable for digitizing which clearly highlights the boundary change. It should contain at least four
Geographic Registration Points and their map unit values. These values must conform to a standard coordinate system (i.e., State
Plane Feet, Latitude & Longitude, Universal Transverse Mercator (UTM), etc.). ORPTS will send a copy of this map to each special
franchise owner to determine the value of the property affected.
New special franchise
Give exact name and address of any public utility company, cable television system, or private pipeline owner to whom you have
granted a new franchise authorizing use of public place from January 1, 2014 to December 31, 2014 (not including railroads or
municipal corporations). Please attach a copy of the franchise (required by Real Property Tax Law section 602). Please check the
appropriate item below to indicate if construction is in place or anticipated next year. Do not include property listed on last year’s special
franchise tax roll. If necessary, attach a separate sheet for additional names and addresses.
Name:
Address:
Construction status:
In place
Next year
Substantial changes to existing occupancy of the public right of way
Give exact name and address of any public utility company, cable television system or private pipeline owner, which has constructed
or placed any property in, under, upon or above any street, highway or public place, from January 1, 2014, to December 31, 2014.
Please check the appropriate item to indicate if construction is subject to a special franchise. If necessary, attach a separate sheet for
additional names and addresses.
Name:
Address:
Subject to special franchise?
Yes
No
Comments
Signature of mayor, town supervisor, assessor, or authorized designee
Signature:
Title:
Name:
Telephone number:
Office address:
Please email to: ORPTS.Utility.Reports@tax.ny.gov or fax to (518) 435-8631 before April 15, 2015
NYS TAX DEPARTMENT
Or mail to:
ORPTS UTILITY REPORTING
Clear Form
W A HARRIMAN CAMPUS
ALBANY NY 12227-0801
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