Addition To Exemption Application Form

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Addition to Exemption
K.S.A. 79-201b Fourth
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Applicant Name: ________________________
Docket No.:_____________________________
Addition to Exemption Application
K.S.A. 79-201b Fourth
(Housing for Low Income Persons)
(Instructions: Please complete only one of the two sections below based upon the subsection of the
statute under which exemption is requested, either K.S.A. 79-201b Fourth (a) or K.S.A. 79-201b
Fourth (b).)
K.S.A. 79-201b Fourth (a) (Housing for Low Income Elderly or Handicapped Persons)
Name of organization.
List the specific Federal programs under which financing was received for the subject property.
If the organization operates cooperative housing pursuant to Sections 236 or 221(d)(3), or both, of
the National Housing Act, provide documentary evidence.
Enclose the following documentation:
A copy of the Articles of Incorporation and Bylaws of the organization.
A copy of the Certificate of Good Standing issued by the Kansas Secretary of State
demonstrating that the organization is currently active and in good standing.
Revised 07/08


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