N.Y. Comp. Codes R. & Regs. tit. 2, § 80.1
(a) Such statement of estimated local assistance may be detailed as to the nature and amount of each type of local assistance, or it may be in the following form:
"The total amount of local assistance estimated to be received from the state of New York by the ______ of ______ during the fiscal year ending ______, 19__, is $ __"
The statement of the amount of local assistance to be received from the State, required by such section to appear on certain tax statements and receipts, shall be set forth in the following manner: