Form Rp-421-Ff - Application For Real Property Tax Exemption For Residential Capital Improvements In City Of Auburn (Cayuga County) Page 2

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RP-421-ff (12/12) (back)
Certification
I, ____________________________________, hereby certify that the information on this application and any
accompanying pages constitutes a true statement of facts.
_____________________________________________
______________________
Signature
Date
For Assessor’s Use
1. Date application filed: ____________
2. Applicable taxable status date: ________________
3. Action on application:
Approved
Disapproved
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
City (only)
__________________
$ __________________
______________________________________________
_________________________
Assessor’s signature
Date
Clear Form

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