FOR OFFICE USE ONLY

                                                               EXCEPTION TO DETERMINATION OF
                                                               ADMINISTRATIVE LAW JUDGE

NEW YORK CITY TAX APPEALS TRIBUNAL
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In the Matter of the Petition of                        :
                                                        :
                                                        :
                                                        :
                                                        :
                                                        :      TAT NUMBER: __________________________
__________________________________:
(NAME OF PETITIONER)
                                                               DATE OF TAT DETERMINATION: _____________________________
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Party taking exception _____________________________________________________________________________

Party's address __________________________________________________________________________________

_______________________________________________________    Telephone No.  (______) __________________

                                                                   Email Address: ________________________

Party's Representative, if any ________________________________________________________________________
                                 (ATTACH DULY EXECUTED POWER OF ATTORNEY)

Representative's address __________________________________________________________________________

_______________________________________________________    Telephone No.  (______) __________________

                                                                   Email Address: ________________________

Pursuant to Section 168 of the New York City Charter, as amended, exception is hereby taken to the above-
referenced Determination.  The Commissioners of the Tribunal are requested to review for error the following
finding(s) of fact and/or conclusion(s) of law contained in the Determination, on the following grounds (refer to
pages of the transcript of hearing and exhibits, wherever relevant; attach separate sheet, if necessary):

The Commissioners of the Tribunal are requested to make the following finding(s) of fact and/or conclu-
sion(s) of law (attach separate sheet, if necessary):

Check the appropriate box(es):

■■ A supporting brief is attached hereto.
■■ A supporting brief will be submitted within 45 days of the filing of this Exception.
■■ No brief will be submitted in support of this Exception.
■■ An opportunity for oral argument is requested.

WHEREFORE, the party taking exception respectfully requests that the above-referenced Determination be
reversed or modified on the foregoing grounds.  The statements herein are made with the knowledge that a will-
fully false representation is a misdemeanor punishable under section 210.45 of the Penal Law of the State of
New York.

_______________________________________________            ____________________________
Signature of Party/Representative* ▲                       Date ▲

*If this Exception is signed by a Representative of the party taking exception, attach a duly executed power of attorney.

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