Commercial And Industrial/manufacturing Expansion Programs - Application And Instructions - New York City Department Of Finance Page 10

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NEW YORK CITY DEPARTMENT OF FINANCE
CRP/CEP EXEMPTIONS UNIT
PROOF OF EXPENDITURES
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Mail to: NYC Department of Finance, CRP/CEP Exemptions Unit, 59 Maiden Lane, 22nd Floor, New York, NY 10038
APPLICANT INFORMATION
1. Application
Number:_____________________________________
2. Borough:________ Block: ________ Lot: _________
.
3. Tenant’s
4. Tenant’s
Name: ______________________________________
Telephone Number: ___________________________
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5. Lease Type (check one):
New
Expansion
Renewal
6. Property
7. Floor/Room
8. Zip
Address: _____________________________________
Number: ______________
Code: _____________
NUMBER AND STREET
9. Lease
10. Rent
Commencement Date:________/________/________
Commencement Date:________/________/________
EXPENDITURE INFORMATION
For new and expansion leases, the minimum expenditure requirement in the eligible premises must be met between lease
execution and two months after rent commencement.
For renewal leases, the minimum expenditure requirement in the eligible premises must be met between lease execution
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and fourteen months after rent commencement.
For CRP, the common area expenditures are only acceptable if work began and expenditures are made from 4/1/1995
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through 9/27/2018. For CEP, the common area expenditures are only acceptable if work began and expenditures are made
from 7/1/2000 through 6/30/2018. For Industrial/Manufacturing tenants, the common area expenditures are only acceptable
if work began and expenditures are made from 7/1/2005 through 6/30/2018. However, in this case expenditures in im-
provements to the common area made prior to three years before the lease commencement date are not eligible.
A copy of the invoices of your expenditures and cancelled checks must be mailed along with this form.
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Complete the worksheet below. Use additional paper if necessary.
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The Department of Finance maintains the authority to request additional information before and after receipt of certification.
$
CHECK
DATE
PAYER
PAYABLE
INVOICE
TYPE OF WORK
PERIOD OF WORK
NUMBER
OF CHECK
TO
NUMBER
COMPLETED
COMPLETION
AMOUNT
FROM
TO
-
FROM
TO
-
FROM
TO
-
FROM
TO
}
-
CERTIFICATION/AFFIDAVIT
STATE OF NEW YORK
SS
COUNTY OF________________
______________________________________, being duly sworn, says that under penalty of perjury, the he/she is the applicant or
the____________________________________, an officer of the applicant, that the information contained on this document, includ-
ing any attachments to this document, are true to his or her knowledge.
Subscribed and sworn to before me this _______ day
_________________________________
of_____________________________ 20__________
SIGNATURE OF APPLICANT OR OFFICER
___________________________________________
( )
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- >
TENANT
OWNER
NOTARY PUBLIC
STAMP OR SEAL
Visit Finance at nyc.gov/finance
PRO-9701 Rev. 2.26.2016

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