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                         TAX COMMISSION OF THE CITY OF NEW YORK 
                                                                                                                 
                         1 Centre Street, Room 2400, New York, NY 10007                               TC109INS 
                                                                                                      2024/25 
                         2024/25 INSTRUCTIONS FOR FORM TC109                                                     
                                                                                                                 
                     APPLICATION FOR CORRECTION OF ASSESSED VALUE OF 
                     TAX CLASS TWO OR FOUR CONDOMINIUM PROPERTY 
                                                             
Read TC600 How to Appeal a Tentative Assessment              2024.  The deadline is set by law and cannot be waived 
before  you  begin  to  complete  this  form.  If  you  are  or extended for any reason.   
                                                              
representing yourself and are filing for a single unit (or 
                                                             Filing by mail.  Mail the completed Form TC109 to the 
two or more units that  have been physically combined), 
                                                             Tax Commission, 1 Centre Street, Room 2400, New York, 
read  TC109INS  Supplemental  before completing this 
                                                             NY 10007. DO NOT MAIL THE TC109 TO ANY OTHER 
form. 
                                                             ADDRESS.  Applications  received  after the March  2 
Who should use this form?  Condominium owners, or a  deadline will  not  be accepted even if they were  mailed 
condominium board of managers  acting as the agent of  before that  date.   Include a  self-addressed, stamped 
the condominium owners, should use this form to claim a      Tax Commission receipt Form TC10. 
                                                              
reduction of  the  2024/25  tentative  assessed value  of 
                                                             Filing in Person: Bring the completed Form TC109 to the 
condominium property in tax  class two or four (including 
                                                             Tax Commission’s Manhattan office at 1 Centre St. or to a 
two-unit condominiums  and  condominiums  owned by 
                                                             Finance Department Business Center in any borough by 
cooperative apartment corporations).  A single form may 
                                                             the deadline. Get a date-stamped receipt (Form TC10).  
include  one unit, multiple units or all  units of  a         
condominium, provided all units are on one tax map block.   A date-stamped Form  TC10  is the only  acceptable 
 
                                                             proof of timely filing.   Proof of mailing, or a return 
What authorizes a condominium board of managers to 
                                                             receipt from  the  post office or an  express delivery 
be an agent?  The authority of the condominium board of 
                                                             company, is not acceptable proof of timely filing with 
managers to file Form TC109 as the agent of a unit owner 
                                                             the Tax Commission.   
may be contained in (a) the condominium’s by-laws, (b) a      
power-of-attorney, or (c) an individual authorization valid  File an original. Keep a photocopy for your records and to 
under applicable  law.   The Tax  Commission will  review  use at  your hearing.   See  TC600 for information about 
only one Form TC109 for any given unit.  If the unit owner  filing additional copies. 
                                                              
and the board each files separately for the same unit, they 
each will be notified that one of the applications must be   Applications  require an original  signature  and, 
withdrawn.                                                   therefore, may not be filed by fax or e-mail. 
                                                             Additional forms may be required to be submitted with 
Do not use this form to claim (a) an exemption or a  the  application in  particular cases.   These are  the 
change in tax class (use Form TC106), or (b) for a tax       additional forms most commonly required: 
                                                              
class one condo property (use Form TC108).   
                                                             TC200 Addendum to Application.  Form TC200 is required: 
                                                              
FEE FOR CERTAIN PROPERTIES.                                  • If the Applicant is not i) the owner of the entire property, and 
A $175 fee is required for all applications where the         not ii) a tenant of the entire property who pays all taxes and 
assessed value on  the notice of property  value for          expenses of the property and who has the right to protest the 
2024/25 is $2 million or more.  If multiple condominium       assessment; 
units file on a single application, the fee will apply if the  aggregate  assessed  value  is $2  million or             If the Form TC109 is to be signed by a fiduciary; 
                                                              
more.  No fee is due if the Applicant or representative      • If the Applicant answers “YES” to either question in part 8 of 
waives review of the application before it is scheduled       Form TC109 regarding sale, demolition or construction at the 
for  review.  If  the  fee is unpaid,  review of your         property.  If a sale or contract of sale is between unrelated 
application may be denied and any offer of correction         parties, file Form TC230 instead of Form TC200.  
                                                              
revoked. The fee will be included on the Real Property        
Tax bill.   DO NOT PAY  THE FEE  WITH THIS                   NOTE: TC200 is no longer required to be filed for applicants 
APPLICATION.                                                 making valuation  claims for  one  or  more  individual 
 
                                                             residential or commercial units without regard to the value 
When and where to file.  The Tax Commission must 
                                                             of the entire condominium. Complete Part  7 of  TC109 
receive your  application by  5:00 P.M.  on March 01, 



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instead.                                                       unit (or two  or more  units that  have  been physically 
 
                                                               combined), you only need to complete Parts 1 through 8.  
TC201. Income  schedule  –  rent-producing  properties. 
                                                               When completing Part 6, complete only lines a through d 
Applicants filing for only one or two rented residentialunits 
                                                               for “units covered by  application” and use the amounts 
may instead list the gross rental income or submit copies 
                                                               from the worksheet on Form TC109INS Supplemental. 
of the leases.                                                  
 
                                                               Part 1: Identify the property.  List all lots on one tax map 
TC203.  Income schedule – cooperative or condominium. 
                                                               block covered by the application in the boxes and on the 
But if the condominium began operation after July 1, 
                                                               lines provided.  Use a separate form for lots on a different 
2023, or if it is exclusively residential with six or fewer 
                                                               tax map block.  Unless (a) only a single lot is covered, or 
units, Form  TC203  is  not required.    Applicants  for 
                                                               (b) all  lots are covered, list the covered lots on the range 
condominium units owned  by  a  cooperative apartment 
                                                               lines provided.   A range is a  sequence of consecutively 
corporation must also file Form TC203.  
                                                               numbered lots, with no omissions  other than those that 
TC208. Income schedule – hotel or motel. If the units are  actually are omitted on the assessment roll itself.  If one of 
partially rented Form TC201 also must be filed.                the lots in a  range is not included in the application, skip 
 
                                                               over it by ending the range at the preceding lot and start 
TC214. Income schedule –  department stores, theaters          another range at  the next covered lot.   If more space is 
and  parking sites.  If the  units are  partially  rented Form needed, attach additional sheets that use a similar format. 
TC201 also must be filed.                                       
 
                                                               Part  5: Hearing request. You  can ask to  have an in-
TC230. Sale statement – sale, transfer or sale contract.       person hearing at  the Tax  Commission’s main  office in 
 
TC244. All Applicants whose Form TC109 is signed by an         Manhattan at 1 Centre Street, or you can ask to have the 
agent must also file an Agent’s Statement of Authority and     application reviewed based only on the papers submitted 
Knowledge Form TC244.                                          with Form TC109. Check the box to the left of your choice. 
                                                               Check only one box.  
TC309. Accountant’s certification                               
                                                               Part  7:  Condo  Unit  Description. Part  7  must  be 
The table below summarizes filing requirements for             completed when making a claim regarding one residential 
various types of claims relating to condo valuation.           or commercial unit (or two units operated as a single unit), 
 
 Applicant                 Claim      Required Forms           if the claim  is  independent of  the  valuation  of the 
 Condo Board          All claims      TC109, TC203             condominium as a whole.   
                                                                
 Coop-owned                                                    Part 8: Construction or major alteration.  Construction 
 condo unit (cond-    All claims      TC109, TC203             or major alteration includes any work that (a) increases the 
 op)                                                           enclosed floor area  or  cubic  content of  a  building, (b) 
 Class 2 or 4              Claim                               renovates a substantially vacant building (c) converts the 
 owner-occupied       relating to       TC109                  use of one or more floors, such as from office to residential 
 condo unit           unit only                                use,  (d)  completes  renovation,  or  tenant  installations 
 Class 2 or 4              Claim                               affecting at least 25% of a building’s area, (e)  installs or 
 owner-occupied       relating to       TC109                  replaces HVAC, elevators, electric wiring or plumbing, (f) 
 condo unit           entire condo                             replaces at least one of the exterior faces of the building, 
 Class 2, one or                                               or (g) costs or is expected to cost an amount that equals 
                           Claim 
 more income-                         TC109, TC201 or          or exceeds the tentative total actual  assessment  under 
                      relating to 
 producing condo                      copies of leases         review. 
                      units only                                
 units 
                                                               Demolition.  Demolition is  any  work  involving the 
 Class 2, one or 
                           Claim                               dismantling,  razing or  removal  of all  of a  building or 
 more income-                         TC109, TC201 or 
                      relating to                              structure,  or  the  dismantling,  razing  or  removal  of 
 producing condo                      copies of leases 
                      entire condo                             structural members, floors, interior bearing walls, and/or 
 units 
                                                               exterior walls or portions thereof. 
 Class 4, one or                                                
                                      TC109, TC201, 
 more income- 
                      All claims      TC208 or TC214, 
 producing condo 
                                      as applicable 
 units 
 Class 1 condo 
                      All claims        TC108 
 unit(s) 
Specific line-by-line instructions.  
If you are representing yourself and are filing for a single 

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                            TAX COMMISSION OF THE CITY OF NEW YORK 
                            1 Centre Street, Room 2400, New York, NY 10007                          TC109INS 
                                                                                                    SUPPLEMENTAL 
                                                            
                                                                                                    2024/25 
                                                                                                     
                            APPLICATION ON FORM                  TC109 FOR 2024/25 
             SUPPLEMENTAL INSTRUCTIONS FOR CLASS 2 OR 4 CONDOMINIUM  
                            UNIT OWNERS REPRESENTING THEMSELVES 
FEE FOR CERTAIN PROPERTIES                                       income  the  property generates  or  could  reasonably 
A $175 fee is required for all applications where the            generate on the open market.  Therefore, we do not rely 
assessed value on the notice of property value for               on sales prices for condominium units to establish their 
2024/25  is $2 million  or  more.  If  multiple                  value for assessment purposes.  
condominium units file on a single application, the               
fee will apply if the aggregate assessed value is $2             To calculate  the  value for assessment purposes, an 
million or  more.  No fee is due if  the applicant or            estimate  of  the  net  income  of the  whole  building is 
representative  waives  review  of  the  application             divided by the appropriate rate of return demanded by 
before  it  is  scheduled  for  review.  If  any  fee  is        the market, according to the formula of “Yearly income 
unpaid, review of your  application may  be denied               minus operating expenses divided by Rate of Return = 
and any offer of correction revoked. The fee will be             Value”.   When  the Tax Commission  reviews  your 
included on the Real Property Tax bill.  DO NOT PAY              application, we determine whether the entire building’s 
THE FEE WITH THIS APPLICATION.                                   value  is  less  than  the  value  indicated  by  the  total 
                                                                 assessed value of the building.  A review of your unit’s 
Understanding  your  assessment.    The  Finance                 assessed  value  may  also  consider  specific factors 
Department  is  in  the  best  position  to  explain  your       affecting your unit’s value, such as differences in size, 
assessment and to consider the circumstances both of             location or amenities.  
your property and  those  of your neighbors  for the              
following  year.  Information  about  assessments  is            Evidence of total rental income and expenses for 
available  on the Finance  Department website  at                comparable  rental buildings  is necessary to 
https://www1.nyc.gov/site/finance/taxes/property.page.           establish value.  You must submit proof of the market 
                                                                 rental value of your unit as of January 5, 2024 using 
The  criteria for  granting  a  reduction  in  the               income and  expenses of comparable  rental buildings. 
assessment.  The law  governing the  assessment  of              Those rental buildings should be comparable to yours in 
condominiums requires that  they  be  valued  as  if the         age, number and mix  of apartments, number of floors, 
whole building were operated as rental property.  This is        and location.   
not  a  simple task.   It is preferable for the board  of         
managers  to apply  to  correct the assessment of the            Unit specific claims.  If you claim that the assessment 
entire condominium, but you may apply for your own unit          of your unit is substantially out of line with most other 
by the filing deadline regardless of whether the board           units in your  building  because of  the percentage of 
has applied.   If both you and the board apply, you and          common  interest  assigned to your unit by the 
your board will  receive a  notice that  one of  the             condominium declaration  or  the  Finance  Department 
applications  must  be  withdrawn.  Otherwise  neither           allocation  of value,  provide a  copy  of the  relevant 
application will  be  reviewed.   Check with  your board         portions of the condominium declaration, including any 
before the filing deadline.                                      amendments,  describing the  property, including  your 
                                                                 unit.   In addition to evidence of rental  value of your 
You have the burden of showing that the assessed value           building and/or unit, the declaration may  support your 
of your unit is too high.  You cannot prove that you are         claim. However, the Tax Commission cannot direct the 
entitled to a reduction in the assessed value of your unit       Finance Department  to change its allocation  formula.  
by showing  that assessments of  other  units in your            We only can review and adjust the assessment for the 
building are  lower  or  that  your neighbors’  units  are       year covered by your application.  
assessed at a lower percentage of the Finance Dept.’s             
estimated market  value than  yours  is.  We cannot              Unit owners  who rent  their  unit  must  provide 
change the Finance Dept.’s estimated market value; we            documentary proof of rent income, such as  the signed 
review only the assessed value.                                  lease and a copy of a rent check.  Owners who rent three 
                                                                 or more units may file Form TC201 instead of providing 
Income method of valuation. To prove your claim, it is           leases. 
important to understand the income method of valuation            
as it  applies to your  property.  Under the law,                Potential sources of  information.   The Tax 
condominium units in class two and four must be valued           Commission cannot advise you as to where to get rental 
using the income method as if they were rental property.         information or  advice or  representation.  You may 
The income method of valuation is based on the rental            choose to consult a local real estate broker, appraiser, 

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property tax advisor or attorney for information. You may       Evaluate your claim.  Look at your Notice of Property 
look  at  commercial  real  estate  websites  such  as          Value  from the Finance Department and  use the 
streeteasy.com, trulia.com or zillow.com for comparable         worksheet below to see if you should file an application 
rents. There are also  commercial services that  obtain         with the Tax Commission. 
income and expense data from the Finance Department.    
                                                           
         WORKSHEET FOR CONDOMINIUM UNIT VALUATION FOR ASSESSMENT PURPOSES  
                                                            
Look at your Notice of Value from the Finance Department.  Find the “tentative assessment” and “estimated market 
value” and write them on Lines 1 and 2 below. 
1.  Tentative 2024/25 Assessment:                                                ____________________ 
2.  Estimated market value:                                                      _____________________ 
 
You must prove that your unit’s value for assessment purposes is less  than line 2 
to get a reduction in the assessment.  Complete Lines 3 through 8 to calculate the 
approximate value of your unit for assessment purposes.  
 
3.  The amount of rent you earn or would earn from a tenant 
on the open market each month:                                                   ____________________ 
 
4.  Monthly common charges  
(do not include interest, depreciation or real estate taxes):                      ____________________ 
5.  Net monthly income (Line 3 minus Line 4):                                    ____________________ 
6.  Net annual income - Multiply Line 5 by 12 (months in a year):                ____________________ 
7.  Divide Line 6 by .14297* = the approximate market value of your unit 
for assessment purposes                                                          ____________________ 
          
8.  Compare the amount on Line 2 with the amount on Line 7 
If Line 7 is more than Line 2, an application would not be productive. 
If Line 7 is less than Line 2 go to the next step. 
 
9. Multiply Line 7 by 45% (.45)**:                                               ____________________ 
The amount on line 9 is what you claim the assessed value of your property should be.  Enter this amount on line c of 
part 6 of TC109 under “units covered by application”. 
  
 * This amount reflects a reasonable rate of return plus a factor for real estate taxes on class 2 properties. 
  
 ** The assessment ratio for class 2 and 4 properties is 45%, meaning that the assessed value is 45% of Finance’s estimated 
    market value.   

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                             TAX COMMISSION OF THE CITY OF NEW YORK        High Value 
                             1 Centre Street, Room 2400, New                           York, NY 10007     Copy 
                                                                                                                                                 TC109 
                                 APPLICATION FOR CORRECTION OF ASSESSED VALUE                                                                    2024/25 
                                 OF TAX CLASS TWO OR FOUR CONDOMINIUM PROPERTY 
READ TC600 AND THE SEPARATE INSTRUCTIONS (TC109INS) BEFORE YOU BEGIN.  COMPLETE ALL PARTS OF THE FORM. 
Answer ALL questions marked. 
IF FILED AFTER MARCH 1, APPLICANT CLAIMS ELIGIBILITY  FOR REVIEW  BECAUSE FILING IS WITHIN 20 CALENDAR DAYS OF:   APPORTIONMENT NOTICE.    NOTICE 
OF INCREASE BY THE DEPARTMENT OF FINANCE.  YOU MUST ATTACH A COPY OF THE NOTICE. 

1. PROPERTY IDENTIFICATION - Describe covered lots accurately.  Lots cannot be added later.                                                                                              2024/25              YEAR    9 
BOROUGH (Bronx, Brooklyn, Manhattan, Queens or Staten Island) BLOCK                    LOW LOT COVERED           HIGH LOT COVERED            ASSESSMENT YEAR 
                                                                                                                                                 2024/25
FULL ADDRESS OF PROPERTY (WITH ZIP CODE) 
NAME OF CONDOMINIUM                                                                                                                          CONDOMINIUM NO. 

This application covers:     1.   A single lot only.         2. The entire condominium.                    3. All of the lots within a single range of lots.                         _____________         BOROUGH 
4.   All of the lots within two or more ranges of lots; list ranges in numerical order across the page.  5.   Additionalranges listed on pages ____  
      From lot          To lot                           From lot              To lot                       From lot            To lot                         From lot          To lot 
1____________-__________                  2_____________-__________                   3____________-__________              4____________-__________ 
5____________-__________                  6_____________-__________                   7____________-__________              8____________-__________ 
9____________-__________                10_____________-__________                  11____________-__________            12____________-__________ 
2. APPLICANT - Complete Section A for application filed by board of managers or Section B for all other
applicants.  An agent cannot be the applicant in Section B.                                                                                                                             _________             BLOCK 
A.   Board of managers designated as agent for owners of covered lots for purposes of contesting the assessment.
             Type of designation:            A by-law                       Individual authorizations.
  If designated by individual authorizations, does the board hold a valid, signed authorization for each owner of covered lots? _______ (Y/N) 
  Have any unit owners requested that the board not file for their units? ________(Y/N).  If yes, how many? _______
                                                                                                                                                                                        _______               LOT 
B.  Name of Applicant: ___________________________________________________________________________________________________
Relation to Units: Check only one:   Owner of one or more units.    Cooperative      apartment corp. (file TC203).    Other:_____________________
 Describe location of unit(s) in building (floor(s)) ___________________________________
 List any owner occupied units: ________________________________________
 Describe use(s) of units (e.g. residential, office, retail): ________________________________________________________________________
 Approximate floor area of commercial space__________________ sq.ft., of which ground fl. __________sq.ft, basement ____________sq.ft.
 If any of the units are rented or offered for rent, file TC201, 203, 208 or 214 as appropriate, or, if filing only for one or two residential units, list                             _________             GROUP # 
gross rent received in 2023 $_____________ and attach copies of leases or other documentation. See TC109INS Supplemental.
FOR SECTION B APPLICANTS:  IF YOU ARE MAKING A CLAIM SPECIFIC TO ONE OR TWO RESIDENTIAL UNITS AND UNRELATED TO
THE VALUE OF THE CONDO AS A WHOLE, YOU MUST COMPLETE PART 7.  SEE INSTRUCTIONS.
C. If filed after March 1, applicant claims eligibility for review because filing is within 20 calendar days of:
 Apportionment notice.     Notice of increase by the Department of Finance.  You           must attach a copy of the notice.                                                                        TC109

3. REPRESENTATION - Complete this section even if you will represent yourself.
PHONE NO.  (___________)    ______________-----______________               FAX NO.     (____________)    ______________-----_______________ 
NAME OF INDIVIDUAL OR FIRM TO BE CONTACTED                                                                                                   GROUP #, IF ANY 
MAILING ADDRESS                                                                                     EMAIL ADDRESS 

The person listed is:    Applicant       Attorney           Employee  or officer of owner entity named  in 2B      Otherrepresentative 
4. ATTACHMENTS - List all schedules and documents attached.  Number the pages.
If the applicant  is the board of managers of the condominium  or a cooperative apartment  corporation, submit 
Form TC203.  See instructions for Form TC109 as to necessary income schedules and attachments.   
                                                                                                                                                                                                                      
5. HEARING REQUEST -  Check only one box.
 Review on papers submitted without a personal hearing   Video conference using Microsoft Teams
 Personal hearing in Manhattan             Telephone hearing.
                                                                                                                                             DATE RECEIVED 
   Signer’s initials  _______ You must initial this page if you do not use a two-sided application form. 



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 6. CLAIMS OF UNEQUAL OR EXCESSIVE ASSESSMENT 
Applicant objects to the assessment on the grounds that it is (a) unequal or (b) excessive because the assessment exceeds the full value of the property or 
statutory  limits on increases, as follows:                                   Condominium as a whole                     Units covered by application 
a. Tentative actual assessment                                                a. $____________________                   a. $____________________ 
b. Applicant's estimate of market value                                       b. $____________________                   b. $____________________ 
c. Requested assessment = line b x 45% assessment ratio                       c. $____________________                   c. $____________________ 
d. Number of tax lots                                                         d.  ____________________                   d.  ____________________ 
The applicant reserves the right to allege an assessment ratio lower than 45% and seek a lower assessment in a proceeding for judicial review. 
Do not use this form to claim unlawful assessment, misclassification, or full or partial exemption; use Form TC106 with TC200. 
 7. RESIDENTIAL CONDO UNIT DESCRIPTION as of January 5, 2024.  Complete this Part AND Part 8 if you are making a 
 claim specific to one or two residential unit(s) apart from the value of the whole condo. Attach or submit at the hearing 
 evidence of the value of the unit(s)using the income method of valuation explained in TC600 and TC109INS Supp.  It is 
 not necessary to complete Part 9 if you are making a claim specific to one or two residential units. 
PERCENT OF COMMON INTEREST  YEAR AND NATURE OF LAST PHYSICAL CHANGE OR MAJOR ALTERATION 
                                     
RESIDENTIAL SQUARE FOOTAGE  PATIO/TERRACE/BALCONY/ OTHER SPECIAL FEATURES             NUMBER OF BEDROOMS IF APPLICABLE  NO. OF PARKING SPACES ASSIGNED TO YOUR UNIT 
                                                                                                                             Indoor: _______                Outdoor: ________ 
 8. PROPERTY DESCRIPTION - Describe the units covered by this application only.  
 NUMBER OF BUILDINGS                 NUMBER OF STORIES  ABOVE GRADE    YEAR OF CONSTRUCTION 
                                                                        
 USES (residential, office, retail, hotel, loft, factory, warehouse, storage, garage, theater, etc.):                                        Lot  Numbers                    .
 FLOORS 3 ___ -         _________________________________________________________________________________________        _________________________________________ 
  
 SECOND FLOOR           _________________________________________________________________________________________        _________________________________________ 
  
 FIRST FLOOR             
 BASEMENTS              _________________________________________________________________________________________        _________________________________________ 
 OUTDOOR SPACE           (e.g. cell tower/telecom equipment, signage, generators) ____________________________________   _________________________________________ 
 After January 5, 2022, has there been any construction, demolition or major alteration work or have plans for demolition been filed with the Buildings Dept.?  
  Yes      No.   If  YES  , submit Form TC200. 
 9. APPROXIMATE GROSS FLOOR AREA AS OF JANUARY 5, 2024.  Describe the entire condominium. 
           Floor              All uses (above grade)                 Retail                    Garage                                             Offices 
 FLOOR 3 - _____                                   sq.ft.                     sq.ft.                              sq.ft.                                                      sq.ft. 
 SECOND FLOOR                                      sq.ft.                     sq.ft.                              sq.ft.                                                      sq.ft. 
 FIRST FLOOR                                       sq.ft.                     sq.ft.                              sq.ft.                                                      sq.ft. 
 BASEMENTS                                                                    sq.ft.                              sq.ft.                                                      sq.ft. 
 TOTAL AREA                                        sq.ft.                     sq.ft.                              sq.ft.                                                      sq.ft. 
 Is any part of the condominium used for vehicle parking? (Y/N)  _____   If yes, number of: indoor spaces ________; outdoor spaces ________. 
 Is any part of the condominium used for other nonresidential purposes? (Y/N) ______    If yes, number of retail units ______ number of office units _______. 
 SIGNATURE AND OATH  
 This application must be signed by an individual having personal knowledge of the facts who is the Applicant, a fiduciary, an agent, or an officer of a corporation, a 
 general partner of a partnership or a member or manager of a limited liability company (LLC), which legal entity either is the Applicant or a general partner or 
 member or manager of the Applicant. See instructions.       NOTE: Forms      TC200, TC244 and/or a Power of Attorney may be required. If required and not attached 
 to this application, it will be dismissed.          
 Signer is  (check one of boxes        i-vii below):  If box (v) or (vi) is checked, Mark application “Special Counsel Review” on the top of page 1. 
 i   . The Applicant named in Part 2.  (check this box only if the Applicant is an individual)     
 ii.   Officer of corporate Applicant, or Board of Managers, named in Part 2. Signer’s Title __________________________________________   
 iii.  General partner of partnership Applicant named in Part 2.      
 iv.  Member or manager of, or individual officer of, LLC Applicant named in Part 2. Signer’s Title ________________________________  
 v.    An attorney, employee, property manager or other agent for Applicant named in Part 2            TC244 and a notarized power of attorney must be attached.              
 vi.   Fiduciary. Specify fiduciary’s relationship to Applicant __________________________            Form TC200 may be required. See TC200INS (instructions). 
      If signing as fiduciary for a corporation, partnership or LLC, enter name of entity: _______________________________________________                                    
 vii.  An officer, general partner, or member or manager of an entity that is the general partner, member or manager of the Applicant.  
     Enter name of entity, relationship to Applicant and signer’s title:   Name of entity ___________________________________________________________         
     Relationship to Applicant _________________________________________________  Signer’s Title __________________________________________   
 OATH I have read this entire application before signing below, including all relevant instructions, whether on this form or on another.  I am personally 
 responsible for the accuracy of the information provided on this application and on any attachments, and I certify that all such information is true and 
 correct to the best of my knowledge and belief.  I also understand that such information is subject to verification, is being relied upon by the City of 
 New York and that the making of any willfully false statement of material fact on             this application or any attachments will subject me to the provisions 
 of the penal law relevant to the making and filing of false statements. 
 PRINT  CLEARLY NAME OF PERSON SIGNING                      _______________________________________________________                                          
 Signed: ___________________________________________________________Date _____________________                                                               
 The signer must appear and acknowledge the signature before a notary.                                                                                       
  
 Sworn  to before me (signature of notary): _________________________________________________________                           
                                                                                                                                                  NOTARY STAMP 
 County __________________________ State ___________________________  Date _________________ 
                                                                                                                                                             
  Page 2                                                                                                                                                            TC109 






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