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Landlord/Property Owner Declaration for Property Tax Rebate for Registered Charities in Eligible Premises

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.

Name of Landlord/Owner:

Mailing Address:

Phone number:

Tax account roll number: 1954 000

Property address occupied by Registered Charity:

Total Rentable Space of Property (sq. ft):

Charity's Rentable Space (sq. ft):

Total Annual Property Taxes Payable on Assessed Property:

Length of Occupancy (from D/M/Y until D/M/Y) :

Registered Charity's Proportional Share of Rentable Space (%):

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

Name of Landlord/Owner:

Signature:

Date:

Required information the must be included with the application:

A statement/invoice from the landlord of the amount of property taxes required to be paid by the charitable organization

Please upload the required documents.

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Tax Rabate Program Pursuant to Regional Municipality of York By-Law No. A-0250-(b)-2001-066 and s.361 of the Municipal Act, 2001.

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Landlord/Property Owner Declaration for Property Tax Rebate for Registered Charities in Eligible Premises

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