List of diplomatic or consular properties to provide in the Pacific 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 diplomatic or consular 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
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  • 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 diplomatic or consular properties
Assessment roll number



Dimension of land (area or frontage)

Common name, street address or legal description of property


Assessed value
Land


Building


Total


Property/tax class 1, 6, NR, RES

Applicable tax rates
Municipal


School


Total others


Frontage or area rate


Special rates (specify)


PILT requested





















































































































































Total

















Total



For office use only
Year
                          20_______


Endorsed by

Date


Government of Canada
Date modified: