Form Nfp - Application For Exemption From Real Estate Taxation For Property Owned By Non-Profit Organizations Page 5

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NFP
Exemption from Real Estate Taxation for Property Owned by Non-Profit Organizations
3. ORGANIZATION PURPOSE
18. CHECK THE PURPOSE(S) OF THE ORGANIZATION FROM THE LISTING BELOW:
Benevolent
Bible
Cemetery
Charitable
Educational
Historical
Hospital
Infirmary
Library
Literary
Public playground
Missionary
Parsonage or Manse
Patriotic
Tract (religious)
Religious
Scientific
Supervised youth sportsmanship of men, women or children
Enforcement of law relating to children or animals
Moral or mental improvement
19. STATE BRIEFLY THE SPECIFIC ACTIVITIES RELATED TO EACH PURPOSE CHECKED ABOVE.
4. FEDERAL INCOME TAX STATUS OF ORGANIZATION
20.
Yes
No
Is the owner exempt from federal income tax?
If yes, attach a copy of exemption determination or ruling letter. If applicable, complete
sections 5 and 6 and attach a copy of each return filed for the organization for the last
fiscal year.
21. IF EXEMPT, INDICATE SECTION,
22. IF EXEMPTION WAS RECOGNIZED
SUBSECTION AND PARAGRAPH OF
BY AN ADVANCE RULING, INDICATE
THE INTERNAL REVENUE CODE (IRC).
EXPIRATION DATE OF RULING.
23. IF EXEMPTION WAS RECOGNIZED BY A GROUP EXEMPTION LETTER, PROVIDE NAME AND ADDRESS OF ORGANIZATION RECEIVING GROUP
EXEMPTION.
24.
Yes
No
If the owner is not currently exempt from federal income tax, has it applied for exemption?
If the application has been made but not approved, indicate section, subsection and
paragraph of the IRC below. Attach a copy of the application, request or statement
and attachments.
25.
Yes
No
For the last fiscal year, did the organization file IRS Form 990-T
(Exempt Organization Business Income Tax Return)?
If yes, attach copy of Form 990-T.
5
8 /2016

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