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Renewal Form Not-For-Profit - Full Exemption Form. This is a New York form and can be use in New York Local County.
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Tags: Renewal Form Not-For-Profit - Full Exemption, New York Local County, New York
NYC DEPARTMENT OF FINANCE - EXEMPTIONS UNIT - NFP (FULL)
RENEWAL FORM
N O T- F O R - P R O F I T G F U L L E X E M P T I O N
Mail to: NYC Dept. of Finance, Exemptions Unit - NFP (Full), P.O. Box 3120 - Church Street Station, New York, NY 10008-3120
Organization Name:
Applicantʼs Name:
Mailing Address:
Borough:
Block:
Lot(s):
Use this form to renew your FULL not-for-profit exemption.
If you should have any questions regarding this renewal form, please call 311 or email us at commercialexemptions@finance.nyc.gov. If calling from outside of the five NYC boroughs, please call 212-NEW-YORK (212-6399675).
SECTION ONE
In the space below, provide the name and telephone number of a person to contact for additional information or to provide access to the property for a physical inspection.
________________________________
CONTACT NAME
_____________________________
RELATIONSHIP TO APPLICANT
____________________________
DAYTIME TELEPHONE NUMBER
SECTION TWO
The following questions pertain to changes which were not disclosed in a prior renewal form. Please answer the following
questions by checking either YES or NO. FOR EACH QUESTION ANSWERED “YES”, ATTACH A SEPARATE SHEET
AND PROVIDE A DETAILED EXPLANATION OF EACH CHANGE.
2a. A change has been made to the Articles of Incorporation or By-Laws of the organization. .........
2b. A change has occurred in the organizationʼs status with regard to exemption from federal
income tax. (For example, exempt status has been recognized, denied or revoked.) ..................
2c. The use of the property has changed. ..........................................................................................
2d. All or part of the property has been sold or leased or is now being offered for sale or lease. ......
2e. A physical change has been made to the property in the form of new construction, alteration,
or demolition. ................................................................................................................................
K
YES
K
NO
K
YES
K
NO
K
YES
K
NO
K
K
YES
YES
K
K
NO
NO
NFP-Renewal-Full Rev. 8/31/09
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Renewal Form - Not For Profit - Full Exemption
Page 2
SECTION THREE
PART 1.
Check the one statement below that best describes the current occupant of the property.
K
K
K
The property is completely occupied by the organization that owns it.
The property is partly or completely occupied by an affiliated subsidiary of the organization that owns it.
The property is completely or partly leased to a not-for-profit organization that is not related to the
organization that owns it.
K
The property is not occupied. However, it is the intention of the owner organization to occupy the
K
Other (please describe):
property in the future.
_________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________
PART 2:
Check all of the categories listed below that describe the current use of the property.
K
Residential - Check one:
K
Religious Services
K
Administrative offices for the organization that owns the property or a tenant
K
K
K
K
K
Parsonage
K
Dormitory housing
K
Staff housing
Other. Specify: ___________________________________________________________________________
Educational
Medical/Therapeutic Services
Other (please specify):
___________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________
SECTION FOUR
SIGN AND DATE BELOW TO CERTIFY THE ACCURACY OF ALL INFORMATION YOU PROVIDED IN THIS FORM.
I certify that all information contained in this application is true and correct to the best of my knowledge and belief. I understand that willful making of any false statement of material fact herein will subject me to the provisions of law relevant
to the making and filing of false instruments and will render this application null and void.
SIGNATURE
TITLE
DATE
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