Application For Volunteer Firefighters / Ambulance Workers Exemption In Certain Additional Counties (For Use In Chautauqua Or Oswego County Only) Form

Application For Volunteer Firefighters / Ambulance Workers Exemption In Certain Additional Counties (For Use In Chautauqua Or Oswego County Only) Form - 2007

RP-466-b [Chautauqua, Oswego] (1/07)

NYS BOARD OF REAL PROPERTY SERVICES

APPLICATION FOR VOLUNTEER FIREFIGHTERS /

AMBULANCE WORKERS EXEMPTION IN CERTAIN ADDITIONAL COUNTIES

(For use in Chautauqua or Oswego County Only)

APPLICATION MUST BE FILED WITH YOUR ASSESSOR OR OTHER DESIGNATED

LOCAL OFFICIAL ON OR BEFORE TAXABLE STATUS DATE

Do not file application with State Board of Real Property Services

l. Name and telephone no. of owner(s)

2. Mailing address of owner(s)

Day No. (

)

Evening No. (

)

E-mail address (optional)

3. Location of property:

Chautauqua County

Oswego County

Street address

City/Town

Village (if any)

Property identification (see tax bill or assessment roll)

Tax map number or section/block/lot: ____________________________________________________________

4. Name of incorporated volunteer fire company, fire department or incorporated volunteer ambulance service:

_________________________________________________________________________________________

5. Relationship to incorporated volunteer fire company, fire department or incorporated volunteer ambulance

service indicated in question 4 (see instructions):

certified by company, department or service as enrolled member for at least five years;

certified by company, department or service as having accrued at least 20 years of active service;

un-remarried spouse of deceased enrolled member who received exemption under 5(a) or 5(b) and

who was killed in the line of duty; or

un-remarried spouse of deceased member who received exemption under 5(b).

6. Does the applicant reside in the city, town, or village served by the incorporated volunteer fire company, fire

department or incorporated volunteer ambulance service indicated in question 4?

yes

7. Is the property the primary residence of the applicant?

yes

8. Does the applicant or do the applicant and his/her spouse own the property?

yes

no (attach proof of

ownership.)

9. Is any portion of the property used for other than residential purposes (farming, commercial, vacant land,

professional office, etc.)?

yes

If yes, explain such use and describe the portion that is so used.

10. Did the applicant previously receive a village tax exemption for service as a volunteer firefighter pursuant to

section 466 of the Real Property Tax Law?

yes

If yes, indicate name of village and last year in which exemption was granted.

Application For Volunteer Firefighters / Ambulance Workers Exemption In Certain Additional Counties (For Use In Chautauqua Or Oswego County Only) Form - 2007

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