Form Tc 150 - Supplemental Application

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THE TAX COM MIS SION OF THE CITY OF NEW YORK

TC 150

¨ COPY

One Cen tre Street, Room 929, New York, NY 10007

Ver 1/98

SUP PLE MEN TAL AP PLI CA TION

IN STRUC TIONS: Use this form to sub mit a sup ple men tal ap pli ca tion, from March 2 to March 24, in clu sive, for one of the pur poses listed. File one pho to copy

with the origi nal.

This sub mis sion is for at tach ment to an ap pli ca tion iden ti fied as fol lows:

BOR OUGH (Bronx, Brook lyn, Man hat tan, Queens or Staten Is land)

BLOCK

LOT

AS SESS MENT YEAR

AP PLI CANT NAME

REP RE SEN TA TIVE

GROUP#, IF ANY

PUR POSE OF THIS SUB MIS SION - Check the ap pli ca ble box

o Rental prop erty hav ing an ac tual as sess ment of $750,000 or more. The origi nal ap pli ca tion did not in clude a com plete state ment of in come and ex penses. At tach

an in come and ex pense sched ule on form TC 201 and, if the ac tual as sess ment is $1,000,000 or more, an ac count ant’s cer ti fi ca tion on form TC 309.

o Other income- producing prop erty. The origi nal ap pli ca tion did not in clude a com plete in come state ment on the ap pro pri ate Tax Com mis sion form for a ho tel,

store, thea ter, park ing ga rage or lot, co op era tive or con dominium. At tach form TC 208, TC 214 or TC 203.

o Ad den dum on form TC 200. The ad den dum is re quired but was not at tached to the origi nal ap pli ca tion.

o Rental prop erty hav ing an ac tual as sess ment of less than $750,000. The origi nal ap pli ca tion did not in clude a com plete state ment of in come and ex penses, the ap -

pli cant uses a cal en dar year for fed eral tax pur poses and ac quired the prop erty from an un re lated per son more than six months but less than twenty- four months be fore the

be gin ning of this cal en dar year. Com plete sched ule TC 201 for the cal en dar year or shorter pe riod of own er ship end ing De cem ber 31 and file it with this form. Also at -

tach the Tax Com mis sion’s Sale Sched ule, TC 230 and a copy of the clos ing statement.

AT TACH MENTS - List all sched ules and docu ments at tached

At tach ment

Num ber of pages

__________________________________________________________________________________

_________________

__________________________________________________________________________________

_________________

__________________________________________________________________________________

_________________

To tal pages at tached

_________________

OATH

The oath must be signed by the ap pli cant, an of fi cer of a cor po rate ap pli cant, or an agent who has per sonal knowl edge of the facts and the ap pli cant’s power of at tor ney.

The ap pli cant must be the owner or other per son ag grieved by the as sess ment. The sub mis sion of ma te ri ally false or mis lead ing in for ma tion is a crime.

Print name of per son sign ing ________________________________________________________________

If sign ing as cor po rate of fi cer, spec ify name of cor po ra tion and of fi cer’s ti tle:

Name of cor po ra tion ________________________________________________________________________________Ti tle______________________________

Signer or cor po ra tion is: ¨ The ap pli cant

¨ Gen eral part ner of part ner ship ap pli cant.

¨ Mem ber or man ager of lim ited li abil ity com pany (LLC) ap pli cant.

¨ An at tor ney, em ployee, man ager or other agent. A no ta rized power of at tor ney and form TC 244 must be at tached.

Place and date where oath ad min is tered: County _____________________________ State __________ Date ______________

Per son author ized to ad min is ter oath:

No tary Pub lic

City As ses sor

I, the per son whose sig na ture ap pears be low, swear or af firm un der pen alty of per jury that the state ments con tained in this ap pli ca -