RP-466-c [Suffolk] Supp (1/03)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
REPORT OF ENROLLED MEMBER OF VOLUNTEER FIRE
COMPANY, FIRE DEPARTMENT OR AMBULANCE SERVICE
(For Use in Suffolk County Only)
I, _____________________________________, as _____________________________________
(name)
(official title)
of the __________________________________________________________________, certify that the
(name of volunteer fire company, fire department or ambulance service)
attached list contains the names and legal addresses of __________ currently enrolled members who
(number)
have served at least five years in such named volunteer fire company, fire department or ambulance
service. If applicable, a list of currently enrolled members consisting of ___________ names who have
(number)
provided at least 20 years of active service is also attached. The list(s) is (are) being provided to the
assessor (or other designated official) of the
Town or
Village of _____________________________
(Town or Village name)
for purposes of administering the partial exemption for volunteer firefighters/ambulance workers in
Suffolk County (Real Property Tax Law, §466-c).
________________
_____________________________________
(Date)
(Signature)
attachment(s)
Clear Form
INSTRUCTIONS
In accordance with the provisions of section 466-c(5) of the Real Property Tax Law, incorporated
volunteer fire companies, fire departments and ambulance services are required annually to file a list of
their enrolled members eligible for the partial real property tax exemption for volunteer firefighters and
ambulance workers within Suffolk County. The list must be filed on or before taxable status date with the
assessor or other official designated to administer the exemption for county, town, village and/or school
district purposes. In Suffolk County towns, taxable status date is March 1. Taxable status date for most
villages which assess is January 1, but the village clerk should be consulted for variations.