List of federal properties to provide in the Ontario Region when applying for payments in lieu of real property taxes (printer-friendly form)

From: Public Services and Procurement Canada

Print and complete the following form to apply for payments in lieu of real property taxes on federal properties. Submit the form by email or mail. Make sure you include with your application all relevant information, such as by-laws and the list of properties.

Notes
  • This page is wider than normal
  • This form prints on legal size paper (8.5 inches x 14 inches)
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Government of Canada/Gouvernement du Canada
Public Services and Procurement Canada
Services publics et Approvisionnement Canada
Application for payments in lieu of real property taxes under
the Payments in Lieu of Taxes Act
List of federal properties
Assessment roll number



Common name, street address or legal description of property


Assessed value



Tax class



Applicable tax rates
Municipal


County / Region

School
Special rates (specify)


Total of rates



Capping clawback



PILT requested

















































































































If preferred, you may use a spreadsheet to list the properties if all required columns are included.


Total►

















Total►


For office use only
Commercial



Farm lands



Tax year


20_______
Residential/Farm



Other



Endorsed by



Multi-residential



Other



Date




Government of Canada
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