Form Rp-470 - Application For Real Property Tax Exemption For Green Buildings
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2RP-470
Department of Taxation and Finance
Office of Real Property Tax Services
Application for Real Property Tax
(5/17)
Exemption for Green Buildings
(Real Property Tax Law, Section 470)
For help in completing this form, see the instructions on page 2.
Name(s) of owner(s)
Mailing address of owner(s)
Location of property
(number and street or PO box)
(street address)
City, village, or post office
State
ZIP code
City, town, or village
State
ZIP code
Daytime contact number
Evening contact number
School district
E-mail address
Tax map number of section/block/lot: Property identification (see tax bill or assessment roll)
1 Description of property for which exemption is sought:
New construction
Rehabilitation
Expansion
2 Certified level or its non-LEED equivalent for which exemption is sought (attach copy of LEED or equivalent certification):
Certified/Silver
Gold
Platinum
3 Project implementation
a. Total cost of LEED or equivalent certified project: $
(do not include costs attributable to ordinary maintenance and repairs)
b. Date project was started:
c. Date completed (attach copy of Certificate of Occupancy):
Certification
I(we),
, hereby certify that the information on this application and any
accompanying pages constitutes a true statement of fact.
Signature
Date
Signature
Date
This Area for Assessor’s Use Only
1 Date application filed:
2 Applicable taxable status date:
3 Action on application:
Approved
Denied
4 Assessed valuation of parcel in first year of exemption: $
5 Increase in total assessed valuation in first year of exemption: $
6 Amount of exemption in first year:
Percent
Amount
Town
$
County
$
Village
$
School district
$
Assessor’s name
Assessor’s signature
Date
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