RP-6607 (2/2000)
OFFICE OF REAL PROPERTY SERVICES
16 Sheridan Avenue, Albany, NY 12210-2714
Part 4 of Assessor's Report
for the 20______ Assessment Roll Year
Report of Local Options Adopted for Various Exemptions
for County, City/Town/Village, and School District Purposes
COUNTY OF
____________
CITY
TOWN
OF
____________
VILLAGE
SWIS CODE
____________
I.
NAMES AND ADDRESSES
1. Person to contact if there are questions about this report (between 8:00 a.m. and 4:15 p.m.):
TIME:_________________
OFFICIAL
BUSINESS
(____)
_______________
NAME
________________________
MAILING ADDRESS
________________________
PHONE #
TITLE
________________________
________________________
HOME PHONE #
(____)
_______________
EMAIL
FAX PHONE #
(____)
_______________
___________________________
ADDRESS
2. Village Assessor, Sole Assessor or Chairman, Board of Assessors (if different from above):
OFFICIAL
BUSINESS
(____)
_______________
NAME
________________________
MAILING ADDRESS
________________________
PHONE #
TITLE
________________________
________________________
HOME PHONE #
(____)
_______________
3.
_______________________________________________________
___________________________
Authorized Signature, Title
Date
II.
REPORT OF LOCAL OPTIONS ADOPTED FOR SPECIFIC TYPES OF EXEMPTIONS