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Renewal Form Not-For-Profit - Partial 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 - Partial Exemption, New York Local County, New York
NYC DEPARTMENT OF FINANCE - EXEMPTIONS UNIT - NFP (PARTIAL)
RENEWAL FORM
N OT- F O R - P RO F I T G PA RT I A L E X E M P T I O N
Mail to: NYC Dept. of Finance, Exemptions Unit - NFP (Partial), 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 PARTIAL not-for-profit exemption.
If you should have any questions regarding this renewal form, please call 212-504-4080 or email us at commercialexemptions@finance.nyc.gov. If calling from outside of the five NYC boroughs, please call 212-NEW-YORK
(212-639-9675).
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. .........................................................................................................................................
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-Partial Rev. 8/31/09
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Renewal Form - Not For Profit - Partial Exemption
Page 2
SECTION THREE
Provide a brief description of the current use of the property. (If you need additional space, please provide the information on a separate page). For each building of the property, describe the use of the property floor-by-floor, including the
following items for each floor and any additional information you wish to add:.
G
G
G
G
G
G
Occupant or tenantʼs name
Occupantʼs relationship to organization that owns the property
Room or floor number of each occupant
Square footage or percent of floor area of each occupant
Annual rental income received from each tenant
Description of how property is used
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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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