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Application for Property Tax Deferral For Low-income Seniors or
Low-income Disabled Persons

(Note: For age group 55-64, only tax increases resulting from reassessment in excess of $100 are eligle for deferral)

Personal information on this form will be used for the purpose of processing the form submitted, in accordance with the Municipal Act, 2001. Questions about this collection should be directed to the Clerk, Town of East Gwillimbury, 19000 Leslie Street, Sharon, ON L0G 1V0; Telephone (905) 478-4282; Fax (905) 478-2808.

Tax account roll number: 1954 000

Year of Purchase:

Name of Property Owner:

Name of Spouse (if applicable):

Property Address:

For seniors in age group 55-64 only

Upload a copy of a government issued document, that includes your date of birth.

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Allowed extensions pdf, jpg, jpeg, png

Single person - upload a income tax assessment notice showing an income of $23,000 or less

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Family of two or more people - upload a income tax assessment notice showing income of $40,000 or less

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I qualify as a "Low-Income Senior" and I have attached the following documentation (please select all that apply):

Proof of Age

For a single person, income tax assessment notice showing income of $23,000 or less

For a family of two or more persons, income tax assessment notice showing income of $40,000 or less

For seniors in age group 65 and older

I qualify as a "senior" and I have attached the following documentation:

Proof of Age

If you qualify as a "Low-Income disabled person" please upload a copy of your Ontario Disability Support Program (ODSP), Social Assistance Reform Act disability amounts, Guaranteed Annual Income Supplement for the Disabled (GAIN), or a copy of your most recent income tax assessment notice and documentation verifying receipt of one of the above in the box below.

Upload documentation showing that you qualify as a "Low-Income disabled person"

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I certify that the above information is true, correct and complete.

Signature:

Date:

Phone number: