Form Rp-485-H - Application For Residential Investment Real Property Tax Exemption; Certain Cities

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RP-485-h (8/03)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR RESIDENTIAL INVESTMENT REAL
PROPERTY TAX EXEMPTION; CERTAIN CITIES
Application for exemption must be filed with City of Jamestown Assessor by March 1
Do not file form with Office of Real Property Tax 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:
, City of Jamestown
Street address
Property identification (see tax bill or assessment roll)
Tax map number or section/block/lot
4. Description of residential property for which exemption is sought:
a.
one-family residence
two-family residence
three-family residence
b. General description of property (if necessary, attach plans or specifications):
c. Total cost:
d. Date construction, alteration, installation or improvement was started:
e. Date completed (attach copy of certificate of occupancy or other documentation of completion):
5. Is this property the primary residence of its owner?
Yes
No
Certification
I, ____________________________________, hereby certify that the information on this application and
any accompanying pages constitutes a true statement of facts.
____________________________________
______________________
Signature
Date

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