Form Rp-305-Pr - Agricultural Payment Report Page 2
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2RP-305-pr (01/98)
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III. Parcel Identification Data From Assessment Roll For Year Entered In Item 5: (continued)
15. School District Code. (six digits)
16. Number of acres, to the nearest tenth of an acre, converted to nonagricultural use.
(Should not exceed acreage entered in item 3, Section I) ___________________ acres
17. Assessed value of converted portion of parcel. $__________________________
(See instructions on appointment of value)
18. Exempt assessed value of converted portion of parcel. $__________________________
(See instructions on appointment of value)
IV. Payment Calculations
Taxing
Tax Rate
x Exempt $
= Tax
x Payment
x Interest
= Payment
Savings
(factor 5x)
Rate Factor
Jurisdiction
COUNTY
5
0
TOWN
5
0
SCHOOL
5
0
5
0
TOTAL
0
V. Property Transfer Information (If Known)
List below each property transfer that included the parcel identification in Section I, which occurred between the
time the parcel last received an agricultural exemption and the time it was converted to nonagricultural use. List
the most recent transfer first and for each transfer included the sale price, sale date, acreage sold/converted, and tax
number.
Sale Price
Sale Date
Acres Sold/Converted
Tax Map Number
1
2
3
4
VI. Related Conversions (If Known)
List below all other parcels converted to nonagricultural use which were originally portions of the parcel receiving
an agricultural assessment, as indicated in Section III. For each of these parcels include the amount of acreage
converted (to the nearest tenth), the date of conversion, and the tax map number.
Acres Converted
Date Converted
Tax Map Number
1
2
3
VII. I hereby certify that the information contained in this report constitutes a true statement of fact.
____________________________________________________
_____________________
Signature of Assessor or Chairperson of Board of Assessors
Date
Send this report within 45 days of final roll filing to: NYS Department of Taxation & Finance, Office of Real
Property Tax Services, Agricultural Unit, WA Harriman State Campus, Albany, New York 12227.
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