Fillable APPLICANT ELIGIBILITY CRITERIA APPLICATION FOR PROPERTY TAX REBATE (Halton Region)

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APPLICANT ELIGIBILITY CRITERIA APPLICATION FOR PROPERTY TAX REBATE (Halton Region)

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APPLICATION FOR PROPERTY TAX REBATE
FOR REGISTERED CHARITIES OCCUPYING COMMERCIAL OR INDUSTRIAL PROPERTY
This application is due the last day of February of the year following the taxation year to which the application relates.
This application consists of 2 parts, the applicant’s declaration and the landlord’s declaration, both of which must be fully completed
prior to submission.
APPLICANT ELIGIBILITY CRITERIA
Please answer the following questions. If the response is “No” to either question, the applicant is not eligible for the property tax rebate.
Yes No
1. Is the Charity registered under Section 248(1) of the Income Tax Act?
2. Does the applicant own the property?
OR
Is the applicant a tenant, and the lease agreement attached?
APPLICANT DECLARATION
Name of Registered Charity _____________________________________________________________
Revenue Canada Charitable
Registration Number
Property Address
_____________________________________________________________
_____________________________________________________________
Does the Charity lease or own the property? ______________ ______________
**If ‘lease’ is checked above, please provide a copy of the lease agreement**
Name of Contact at Charity _____________________________________________________________
Mailing Address
_____________________________________________________________
(if different from above)
_____________________________________________________________
Telephone No. ( ) Fax: (____)____________
Email:
I certify that the above information is true, correct and complete. I authorize the release by third parties of all information the Regional
Treasurer or Local Treasurer may require to verify the accuracy of any information submitted with this application. I also acknowledge
that I must inform the Local Municipality of any changes in the above which affects my eligibility for a rebate.
Signature of Signing Officer __________________________________________________
Name and Title of Signing Officer __________________________________________________
Date __________________________________________________
This property tax rebate program is pursuant to and governed by Halton Region B y-law Nos. 120-98, 75-01 and 48-03.
Yes
No
This document contains both information and form fields. To read information, use the Down Arow from a form field.
Lease
Own
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LANDLORD / PROPERTY OWNER DECLARATION
Name of Landlord / Owner _______________________________________________________________
(please print)
Mailing Address
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Telephone No. ( )
Email:
Assessment Roll No. 24 __ __ - __ __ __ - __ __ __ - __ __ __ - __ __
Property Occupied by Registered Charity
_______________________________________________
(Full Address)
_______________________________________________
Property Class for Property occupied by Charity (____) Commercial (____) Industrial
Tax Year of Rebate ____________
Occupancy Date of Charity Occupied Full Year: Y N
at Present Address (yyyy/mm/dd) ________________ If “No”, Date Vacated Address (yyyy/mm/dd) __________________
Total Annual Property Taxes Payable on Assessed Property $____________
This amount should agree to Municipal tax notices
Total Annual Property Taxes paid by Charity for Tax Year $____________
Registered Charity’s Proportional Share of Rentable Space of Property ____________ %
Total Space of Building ___________ Sq Ft Total Space Occupied by ___________ Sq Ft
Charitable Organization
I certify that the above information is true, correct and complete.
Signature of Landlord / Owner ____________________________________ Date _________________
Name of Landlord / Owner ____________________________________________________________
Personal information is collected on this form per Halton Region By-law Nos. 120-98, 75-01 and 48-03 and will be used to determine
eligibility for property tax rebates for registered charities.
If you have questions, contact Halton Region by emailing accesshalton@halton.ca or calling 311
Submit the request to your Local Municipality:
City of Burlington Town of Halton Hills Town of Milton Town of Oakville
426 Brant Street 1 Halton Hills Drive 150 Mary Street 1225 Trafalgar Road
PO Box 5080 Halton Hills, ON Milton, ON Oakville, ON
Burlington ON L7G 5G2 L9T 6Z5 L6H 0H3
L7R 4G4
(905) 335-7750
Fax: (905) 335-7877
propertytax@burlington.ca
(905) 873-2600
TaxDepartment@haltonhills.ca
(905) 864-4142
taxes@milton.ca
(905) 845-6601
finance@oakville.ca
This property tax rebate program is pursuant to and governed by Halton Region By -law Nos. 120-98, 75-01 and 48 -03.
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APPLICANT ELIGIBILITY CRITERIA APPLICATION FOR PROPERTY TAX REBATE (Halton Region)

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Completed 26 July 2021

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