Form Rp-483 - Application For Tax Exemption Of Agricultural And Horticultural Buildings And Structures Page 2

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RP-483 (1/17) (back)

5. Identification of lands actively devoted to agricultural or horticultural use:

a. Total acreage:

b. Is this land part of the same parcel on which the newly constructed or reconstructed building

or structure is located? ......................................................................................................................................... Yes

If the answer is No, identify the parcel(s) containing such land:

Tax map number or section/block/lot:

c. Briefly describe the agricultural or horticultural use of such land:

Certification

I (we) hereby certify that the information on this application constitutes a true statement of fact to the best of my (our) knowledge.

Signature

Date

Signature

Date

This Area for Assessor’s Use Only

Date application filed:

Application approved