Addition To Exemption Application Form

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Addition to Exemption
K.S.A. 79-201b Fourth
Page 1 of 3
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)
1.
Name of organization.
_______________________________________________________________________________
2.
List the specific Federal programs under which financing was received for the subject property.
_______________________________________________________________________________
_______________________________________________________________________________
3.
If the organization operates cooperative housing pursuant to Sections 236 or 221(d)(3), or both, of
the National Housing Act, provide documentary evidence.
4.
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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