List of federal properties to provide when applying for payments in lieu of service charges (printer-friendly form)

From: Public Services and Procurement Canada

Print and complete the following form to provide a list of federal properties. Include this form with your application for payments in lieu of service charges, 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)
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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 service charges under
section 3(1)(b) of the Payments in Lieu of Taxes Act
List of federal properties
Roll number

Common name, street address or legal description of property
Type of service charge Footnote *

Period covered

Rate

Rate base (fixed rate by dwelling, etc.)
PILT requested














































































































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Government of Canada
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