NYC DEPAR TMENT OF FINANCE DATE STAMP J51 APPLICATION FINANCE NEW ● YORK THE CITY OF NEW YORK DEPARTMENT OF FINANCE nyc.gov/finance TAX EXEMPTION AND ABATEMENT FOR RESIDENTIAL REHABILITATION OR CONVERSION TO MULTIPLE DWELLINGS Mail to: NYC Department of Finance, J51 - Commercial Exemption Unit, P.O. Box 3120 Church Street Station, New York, NY 10008-3120. INSTRUCTIONS: Applications must be submitted with a Certificate of Eligibility and Reasonable Cost issued by the NYC Department of Housing Preservation and Development. A separate application must be filed for each certificate. Applications must be submitted at least 60 days prior to the start of the quarter in order to receive benefits for that quarter. For example, to receive benefits starting July 1, we must receive your application by April 30. SECTION I - A P P L I C A N T / P R O P E RT Y I N F O R M AT I O N Applicant Name: __________________________________________________________________________________________________ Daytime Telephone No.: ___________________________________ E-mail Address: ______________________________________________ Applicant Address: __________________________________________________ City, State and Zip Code: ________________________________ (number and street) Property Address: ______________________________________________ Borough:______________ Block:__________ Lot: ________ (number and street) SECTION I I - B U I L D I N G / S T R U C T U R E I N F O R M AT I O N 1. Submit data relative to alteration or conversion in the table below: USE SQUARE FOOT AREA TOTAL NUMBER OF APARTMENTS TOTAL NUMBER OF ROOMS RESIDENTIAL COMMERCIAL OTHER (Specify)* *Specify other use __________________________________________________________________________________________ 2. Was the cubical content of this building increased? YES ❑ NO ❑ If “YES,” indicate former cubical content: _______________________, and present cubical content: ______________________. 3. Has an application been made for any other New York City exemption or abatement program, either personal or commercial? YES ❑ NO ❑ If “YES,” what program(s)? _________________________________________________________________________________ SECTION I I I - C E RT I F I C AT I O N I, ______________________________________________________________, certify that the statements contained in this Print Owner/Applicant or Representative Name application, including any attachments to the application, are true to my knowledge. Signature of Applicant or Representative: ___________________________________ Date:_____________________ Properties with outstanding property taxes, water and sewer charges or other municipal charges in arrears are ineligible to receive J51 benefits. All submitted applications for the J51 exemption and abatement are subject to review in accordance with the laws and policies of New York State and the policies and procedures of the NYC Department of Finance. If any information you have provided on this application changes, you must notify Finance immediately. We recommend that you keep a copy of this application for your records. J51Appl - 04/27/05 American LegalNet, Inc. www.USCourtForms.com