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Application for Volunteer Firefighters/Ambulance Workers Exemption Mar-lO-03 03:41P Out Co Real PropertyTax 914 486 2093 P.02 * NYS BOARD OF REAL PROPERTY SERVICES RP-I6k IIMe""sl (1103) APPLICATION FOR VOLUNTEER FIREFlCHTERS I AMBULANCE WORKERS EXEMPTION (For Use In Dutchess County Only) APPLICATION MUST BE FILED WITH YOUR ASSESSOR OR OTHER DESIGNATED LOCAL OFFICIAL ON OR BEFORE TAXABLE STATUS DATE Do D21 file application with State Board ofRcal Propcny Services 1. Name and telephone number of owner (5) 2. Mailing address of owner (s) Day No. L) Evoning No. L) 3. Loc:auoa ofproperry (Street address) (Town) (Village if any) Dutohess Count}' Property identification (see tax bill or assessment roll) Tax map number or sectionlblockllot: 4. Name of incorporated volunteer fire company, fire department or incorporated volunteer ambulance service; S. Relationship to incorporated volunteer fire company, fire departmC1'1t or incorporated volunteer ambulance service indicated in question 4: o certified by company, department or service as enrolled member for at least five years; or o certified by colrtpany, department or sCIVice as having accrued at least 20 years of active servicc (see: instnlctions) 6. Does the applicant reside in the city, town. or vi1laae I:iCl"Vcd by the incof1)Orated vO]untCl..T fire eompany~ fire department or incorporated volunteer ambulance sc..nice indicated in question 4? 0 yes 0 no 7. Is the property the primary residence of the applicant? Dyes Ono 8. Does the applicant or do the applicant and hislher spouse own the property'! r J yes U no (attach proof of ownership.) 9. Is any pOrtion of the property used for other than residential purposes (farming, commercial, vacant land, professional oftice, ctc.)? [] yes [1 no If yes, explain such use and describe the portion that is so used. 10. Did the apJ'llic::ant prev10U.~Jy reccive a vilhsgc: tall: cx~:mption for service as a volunteer firefighter pursuant to section 466 (If the Rcal Property Tax Law? 0 yes 0 no lfyes, indicate name ofvillagc and last year in which cXemption was granted. Mar-10-03 03:42P Out Co Real PropertyTax 914 486 2093 P.03 RP-466-c [Dutchess) (1/03) I certify that all statements made on this application are true and correct. Signature of applicant (and spouse, jf 8pouse also owns p1'Operty) 2 I INSTRUCTIONS FOR APPLlCA nON FOR VOLUNTEER FlRlFlGHTERS I AMBULANCE WORKERS EXEMPTION tN DUTCHESS COUNTY dale ) Authorization for exemption: Section 466.c of the Real Property Tax Law authorizes th~ governing body of a county, city. town, or village in a county having a population of between 280,000 and 280,200 according to the latest federal decennial census (only Dutchess County currently satisfies this standard) to partially exempt the residence of a volunteer firefighter or volunteer ambulance worker. This exemption does not apply to school taxes. Complltation and duration of exemption: The exemption is available only to members of incorporated volunteer fire companies, fire departments or incorporated volunteer ambulance services who have been certified as being enrolled members for at least five years. The municipality determines the procedure for certification. In addition, at further local option of the county, city, town, or village, the exemption may be granted for the life of an cnroIled member who has accrued more than twenty years of active sezvice. The exemption may be granted only to applicants who reside in the city. town or village served by the fire company, tire department Or ambulance service. The exemption is available only to the primary residence of the applicant and only to property (or the portion thereat) exclusively used for residential purposes. The exemption equals 10 percent of the assessed value of the property to a maximum of $3,000 multiplied by the latest state equalization rate for the assessing unit in which the property is located. However, for village tax purposes, where the property previously received the $500 exemption authorized by section 466 of the Real Property Tax Law, the minimum exemption is $500. Place and time of fillng applleation; The application must be filed annually in the assessor's office (or other official as designated by the municip-.lity) on or before taxable status date. Taxable status date in most towns, including those within Dutchess County, is March 1. Taxable status dates in cities is governed by city chaner. Proof of certification of enrolled membership in the fire company or department or ambulance service shall be as required by the county. city, town, or village authorizing the exemption. Proof of ownership of the property needs to be filed with the owner's initial application. The assessor may request proof of prim8I)' residence (e.g. voter's registration, ta){; return). FOR ASSESSOR'S USE 1. Date application filed; 3. Action on application: 0 Approved or 4. Amount of exemption: County: Town: ViIIage: 2. Taxable status date: o Disapproved Assessor's signature Date