List of federal properties (Quebec municipalities) to provide with 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 provide a list of federal properties (Municipalities) in the Quebec Region (except Gatineau). Include this form with your application for payments in lieu of real property taxes, and submit them by email or mail.

Notes
  • This page is wider than normal
  • This form prints on legal size paper (8.5 inches x 14 inches)
  • Your printer settings may need to be adjusted when printing this form


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
(Municipality)
Burrough/Sector


Assessment roll number

Common name/Custodian, street address or legal description of property

Municipal assessment
Land

Building

Total

Assessment M-13, 1(1)

Tax rates applied
General

Special

Other

Local improvements
PILT requested









































































































































Total►



















For office use only
Property value

20_______
Land
Building
Total

                                                                           

Endorsed by


Date



Government of Canada
Report a problem or mistake on this page about this Web site
Date modified: