Form Rp-466-B - Application For Volunteer Firefighters / Ambulance Workers Exemption In Certain Additional Counties

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RP-466-b [Chautauqua, Oswego] (1/07)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX 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 Office of Real Property Tax Services
1.
Name and telephone no. of owner(s)
2. Mailing address of owner(s)
_______________________________________
_______________________________________
Day No. (
) _________________________
Evening No. (
) ______________________
E-mail (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):
a.
certified by company, department or service as enrolled member for at least five years;
b.
certified by company, department or service as having accrued at least 20 years of active service;
c.
un-remarried spouse of deceased enrolled member who received exemption under 5(a) or 5(b) and
who was killed in the same line of duty; or
d.
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
no
7.
Is the property the primary residence of the applicant?
yes
no
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
no
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
no
If yes, indicate name of village and last year in which exemption was granted.

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