List of federal properties to provide in the Western 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
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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 federal properties
Municipality


Assessment roll number


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

Property class


Assessed value
Land

Building

Total

Portioned

Applicable tax rates
Municipal

Public school

Separate school

Others

PILT requested





























































































































Total















Total



For office use only
Property value

20_______



Endorsed by


Date



Government of Canada
Date modified: