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State of New York
For
Office Use Only
Tax Appeals Tribunal
In the Matter of the Petition
of
Notice of Exception to
Administrative Law Judge’s
Determination
DTA Number (2)
Telephone No.(
)
Party
Address
Party’s representative, if any
Telephone No.( )
Address
The party named above hereby takes exception to the administrative law judge’s determination, pursuant to
Section 2006.7 of the Tax Law.
The determination of the administrative law judge was rendered on: (3)
The party taking exception disagrees with the following findings of fact and conclusions of law of the
administrative law judge: (4)
page
(See instructions on
4)