NRP - Tax Rebate Application by giv23807

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									Neighborhood Revitalization Plan                                               Part I                                                                1

Coffeyville Kansas


                                                                  APPLICATION
                                                          FOR TAX REBATE UNDER THE
                                                               CITY OF COFFEYVILLE
                                              NEIGHBORHOOD REVITALIZATION PLAN


                                                                             PART 1


s
Owner Name                                                                                   Daytime    Phone No
                                Please Type   or Print




s
Owner Mailing Address




Address ofProperty                                                                                               School Distr No


Parcel Identification Number
                                                         From Tax Statement or call County Appraiser Office
                                                                                           s



Legal DOSCrlptlOri      Of Property Attach additional         sheets if necessary




Improvement         Costs S                                                         Building   Permit Number
                                                                                                                    Attach Copy of Building Permit


                                                                                        Estimated    Completion    Date
Estimated     or Actual Starting       Date



Proposed Improvement Description New                                Construction               Rehabilitation     Alteration    or   Addition




Existing Property         Use


               Vacant               Residential               Commercial                     Retail           Industrial


Proposed Property          Use


               Vacant               Residential                    Commercial                Retail             Industrial



    Description
Neighborhood Revitalization Plan                                            Part 1                                                    2
Coffeyville Kansas



                                                                   AFFIDAVIT


                    I have read and do           hereby      agree to follow all    application procedures and criteria I
                    further understand that this             application will  be void one year from date of application if
                    improvements or construction have not                   been started I also understand that any taxing
                    entity may terminate this agreement with                30 days notice at any time




                                    Signature of Applicant   or
                                                               Owner                                            Date




                                                 For     County Appraiser
                                                                s                            Use     Only

                    Based upon the information provided in this                      application   the stated   improvements   will
                    meet the terms of eligibility for a tax rebate



                                    Yes        No                   Possibly


                    The   appraised     value on this    property      on                            is
                                                                                     Date




                    By                                                                               Date
                                     Montgomery County Appraiser Office
                                                       s




                                                     For            s
                                                               City Inspector               Use   Only

Plan Area
                         NRP 1 Downtown


                         NRP 2 Area 1
                         NRP 2 Area 2
                         NRP 2 Area 3



Property     on   National    or   State Historic     Register              Yes             0   No
Neighborhood    Revitalization Plan                                                      Part 2

Coffeyville   Kansas


                                                                            APPLICATION
                                                                   FOR TAX REBATE UNDER THE
                                                                        CITY OF COFFEYVILLE
                                                      NEIGHBORHOOD REVITALIZATION PLAN

                                                                                       PART 2

                 SUBMIT BEFORE DECEMBER 1sT OF THE YEAR THE PROJECT IS COMPLETE                                                                         to

                                                                  Montgomery County Appraiser Office
                                                                                    s
s
Owner Name                                                                                                 Daytime   Phone No
                                    Please Type      or   Print


Owner Mailing Address
s




Address ofRevitalized             Property

Parcel Identification Number
                                                                  From Tax Statement   or call   County Appraiser Office
                                                                                                        s

Start Date                                                                              Completion Date

Improvement            Costs                                                                          Building   Permit Number


Date   Building        Permit Issued                                                                 By
                                                                                                                           Signature of Building Inspector



          Signature    of   Applicant   or   Owner                                                                  Date




                                                                        FOR OFFICE USE ONLY
REVIEW


County Appraiser
Starting Value                                                      Ending   Value                                                   Increase


                Proceed       Required           increase     met              Do not       proceed Required         increase not     met


                                         Signature of County Appraiser                                                                  Date



County        Clerk
          Tax Status                    Proceed      Taxes Current                0      Do not      proceed Taxes Delinquent


                                         Signature     of County    Clerk                                                             Date



City Inspector
        Project         Status                 Complete              Incomplete

                                             Signature of City Inspector                                                              Date



City Director of Planning
                 Engineering                                                   Proceed               Do not proceed
Explanation


                                        Signature of Director of Planning
                                                                 Engineering                                                           Date

								
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