F
E
CRA R
P
T
E
ORM TO
NACT
EAL
ROPERTY
AX
XEMPTION
Date: ________________________________________________________________________
1. Name of Real Property Owner: ______________________________________________
2. Name of Business: ________________________________________________________
3. Federal Tax ID No: _______________________________________________________
4. Address of Abated Real Property: ___________________________________________
5. Mailing Address (if different from abated property): ___________________________
__________________________________________________________________________
6. Exemption Type: New Structure ______
Renovation/Addition _____
7. Construction Cost (please attach verification): _________________________________
8. Date of Project Commencement: ____________________________________________
9. Date of Project Completion: ________________________________________________
10. Date of Occupancy: ________________________________________________________
11. Tax District Number: ______________________________________________________
12. Parcel ID Number: ________________________________________________________
Property Owner: _____________________________________________________________________
Title: _______________________________________________________________________________
Signature: ___________________________________________________________________________
City Authorization
1.
Length of Real Property Tax Abatement: _____________________________________
2. Percentage of Real Property Tax Abatement: __________________________________
3. Date Tax Abatement Commences: __________________________________________
I certify that the project described herein meets the necessary requirements of
the Community Reinvestment Area Program of the City of New Albany.
Signature of the Housing Officer:
____________________________________________________________ Date: ____________________
City Manager