RP-305-p Rev.(10/97)
New York State Board of Real Property Services
AGRICULTURAL ASSESSMENT
Payment Calculation Worksheet
Assessor's Use Only
Worksheet for payments imposed on current roll for parcel converted from
agricultural to nonagricultural use
COUNTY OF
CITY / TOWN / VILLAGE OF
SWIS CODE
I. CURRENT ROLL DATA:
1. Name of owner
1.
2. Parcel identification
a. Tax map number
2a.
Suffix
Section
Sub-Section
Block
Lot
Sublot
b. Other Parcel
2b.
Identification
II. DATA PERTAINING TO AGRICULTURAL ASSESSMENT:
3. Year of last assessment roll on which parcel received an agricultural assessment
3.
4. Is the parcel within or outside an agricultural district?
(CHECK ONE)
(agricultural district)
(outside agricultural district)
5. Number of years during the past five years (parcel within a district) or past
eight years (parcel outside a district) for which parcel received an agricultural assessment
5.
III. DATA FROM ASSESSMENT ROLL FOR YEAR ENTERED ON LINE 3:
6. Parcel identification
6a.
a. Tax map number
Suffix
Section
Sub-Section
Block
Lot
Sublot
b. Other parcel
6b.
identification
c. Total acres
6c.
7.
7. School district code
Number of acres, to the nearest tenth of an acre, subsequently
8.
8.
converted to nonagricultural use
9.
9. Total assessed value or apportioned assessed value
10. Exempt assessed value or apportioned exempt assessed value
10.
IV. PAYMENT CALCULAT ION
- Use worksheet on Page 2 first.
Tax Rate x Exemption = Tax Savings x Payment x Interest Rate = Payment
Taxing
Jurisdiction
Factor 5x
Factor
5
COUNTY
5
TOWN
SCHOOL
5
5
TOTAL