Northern Potter School District Occupational - Tax Form S

To Whom it May Concern:

I have enrolled as a full-time student at ___________________________________________,

                                                  (College or Career Training Institute)

__________________________________________ beginning ________________________.

        (City of Location of College)                                             (Date)

I ask that my school occupational and per capita tax be abated to $0 for the _____________ tax year.                                                                         

This form must be returned or mailed to your respective Tax Collector by December 15 of the current tax year. Your Tax Collector address and contact information is located on your tax bill.

Each February for the current tax year the Northern Potter School Board of Directors will be presented with a List of Abatement requests to be approved.

________________________                                ___________________________

Applicant's Signature                                                Tax Collector's Signature at                                                                                 Approval Date

_______________________                                        ___________________________

Applicant's Twp or Borough                                        Date of Approval