CNC-2 (rev. 12-02)

ASSESSORS: COMPLETE CNC-2 IF AMOUNT IS ENTERED ON LINES 2 OR 3a OF FORM CNC-1.

"N" FOR CONSTRUCTION COMPLETED PRIOR TO OCTOBER 1 AND NOT REFLECTED ON ADDED ASSESSMENT LIST

GRAND TOTAL (Should agree with line 2 or 3a on form CNC-1)

ASSESSMENT OR INCREASEDESCRIPTION OF IMPROVEMENT

Sheet _________ of __________

(Chapter 68, P.L. 1976, as amended)SUPPLEMENT TO FORM CNC-1

ITEMIZED BREAKDOWN LISTING

"I" FOR INCREMENTAL INCREASES TO PARTIAL ASSESSMENT

PLEASE USE THE FOLLOWING CODES FOR ENTRIES:

"P" FOR NEW PARTIAL ASSESSMENTS

*If additional lines are needed, please attach another sheet to this form.

DATE ASSESSOR

CODE BLOCK LOT QUALIFIER