RP-421-k
New York State Department of Taxation and Finance
Office of Real Property Tax Services
(1/13) [Auburn, C/Newburgh]
Application for Real Property Tax Exemption for
Capital Improvements to Multiple Dwelling Buildings
Within Certain Cities
(Real Property Tax Law, Section 421-k)
(See instructions, Form RP-421-k-Ins)
1. Name and telephone no. of owner(s)
2. Mailing address of owner(s)
Daytime phone no. (
)
Evening phone no. (
)
E-mail address (optional)
3. Location of property (see instructions):
City of Auburn
City of Newburgh
_______________________________________________________________________
Street address
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot ______________________________________________________
4.
a.
Date title to multiple dwelling was acquired by owner: _______________
b.
Date owner occupied property: _______________
c.
Property for which exemption is sought has been converted from a multiple dwelling back to an
owner-occupied
one-family
two-family residence
(mark an X in one box):
5.
a.
Square footage of residence without improvement: ___________square feet
b.
Square footage of residence with improvement: ____________square feet
c.
As measured by square footage in question 5b, is more than one-half of the residence
at least five years old? Yes
No
6.
a.
Date of commencement of construction of improvement converting multiple dwelling to
one- or two-family residence: _______________
b.
Date completed
(attach copy of certification of occupancy or other documentation of
________________
completion):
7.
Describe the improvement for which exemption is sought
(attach additional sheets if necessary):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________