List of federal properties (Quebec school boards) 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 (School boards) 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
(School board)
Municipality

Assessment roll number
Common name/Custodian, street address or legal description of property
Municipal assessment
Land
Building
Total
Assessment M-13, 1(1)
Equalization factor
Proportion factor
School assessment
Tax rate

PILT requested








































































































































Total►



















For office use only
Property value

20_______
Land
Building
Total

                                                                              

Endorsed by


Date



Government of Canada
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