Application for Rebate of Property Taxes for Vacancies in Commercial and Industrial Buildings

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INSTRUCTIONS The deadline for submitting is February 28 of the year following the taxation year to which the application relates Deliver this completed application to your local municipal office ELIGIBILITY (Please check to confirm eligibility) Category 1 Buildings that are Entirely Vacant The whole commercial or industrial building will be eligible for a rebate if: Application for Rebate of Property Taxes for Vacancies in Commercial and Industrial Buildings Taxation Year Application # The entire building was unused for at least 90 consecutive days Category 2 Buildings that are Partially Vacant A suite or unit within a commercial building will be eligible for a rebate if, for at least 90 consecutive days, it was: unused; and clearly delineated or physically separated from the used portions of the building; and Either; capable of being leased for immediate occupation, or undergoing or in need of repairs or renovations that prevented it from being available for lease for immediate occupation, or unfit for occupation A portion of an industrial building will be eligible for a rebate if, at least 90 consecutive days, it was: unused; and clearly delineated or physically separated from the used portions of the building PROPERTY INFORMATION Address (Number and Street) Any person who knowingly makes a false or deceptive statement in this application is guilty of an office and, upon conviction, is liable for a fine To be eligible for a rebate, a building or portion of a building must satisfy the conditions described in Category 1 or Category 2 below Exclusions A building or portion of a building will not be eligible for a rebate if: NOTE: It is used for commercial or industrial activity on a seasonal basis; During the period of vacancy it was subject to a lease, the term of which had commenced; or During the period of vacancy it was included in a sub-class for vacant land For complete information about eligibility requirements, refer to section 442.5 of the Municipal Act and Ontario Regulations 325/01. For general information about the rebate program, you may refer to the Ministry of Finance bulletin entitled Property Tax Rebates for Vacant Commercial and Industrial Buildings. This bulletin is available on the internet at www.gov.on.ca/fin Roll Number (See your notice of property assessment or your property tax bill or contact your local municipality). City/Town/Municipality Province Postal Code 1 9 4 9 0 0 0 Owner s Name Representative/Agent s Name (if applicable) Mailing Address (Number and Street) Mailing Address (Number and Street) City/Town/Municipality City/Town/Municipality Phone Number Fax Number Phone Number Fax Number Description of Vacant Area Size of Vacant Period of Vacancy MPAC USE MUNICIPAL USE Commercial Industrial (Include unit/suite number, floor number, building number. Attach sketch if necessary.) Area in Sq. Ft. (Must be at least 90 consecutive days) FROM TO day month year day month year Assessment Amount of Tax Rebate List continued on Page 2 I certify that the information contained in all pages of this form and attachments is true and correct. Name of Applicant (Print) Date MPAC USE Name of Assessor (Print) Date MUNCIPAL USE Name of Municipal Representative (Print) Date This information on this form is collected under the authority of Section 442.5 of the Municipal Act and Ontario Regulations 325/01 and it will be used only for the purposes of determining eligibility for a property tax rebate and the amount of the rebate in respect of vacant commercial and industrial buildings. Questions about the collection of personal information should be directed to your local municipal office.

Application for Rebate of Property Taxes Page 2 For Vacancies in Commercial and Industrial Buildings Roll Number (See your notice of property assessment or your property tax bill or contact your local municipality). 1 9 4 9 0 0 0 Description of Vacant Area Size of Vacant Period of Vacancy MPAC USE MUNICIPAL USE Commercial Industrial (Include unit/suite number, floor number, building number. Attach sketch if necessary.) Area in Sq. Ft. (Must be at least 90 consecutive days) FROM TO day month year day month year Assessment Amount of Tax Rebate

Township of King 2075 King Rd, King City ON L7B 1A1 Telephone 905-833-5321 Fax 905-833-2300 Commercial and Industrial Vacancy Questionnaire Owner s Name/Authorized Agent: Municipal Address: Dates of Vacancy: Square Footage of Vacant Area: Phone # (Daytime): Please complete questions as fully as possible, to avoid further investigations. 1. Please state the reason for the vacancy? (e.g. Lease termination, cessation of operations, etc ) 2. What is the nature of the occupying business? Is it seasonal? 3. If only a portion of the property is vacant, please state how it is separate from the area still in use? 4. Is the vacant area normally leased to tenants? 5. Is the vacant area currently leased? 6. Is the vacant area used by the owner for storage or any other purpose?

7. Is the vacant space currently available for lease? 8. If so, how is the availability being advertised? 9. If the vacancy is due to renovations/retooling, please briefly describe the nature of the job and the timely expectancy. 10. Please enclose a copy of the past or current tenants lease agreement, which pertains to the vacancy. (Or any other supporting evidence). If you are unable to attach any supporting documents, please state why? Additional Comments

11. Please create below a brief sketch of the property building showing where the vacancy is or was located. Penalties Failure to comply with the municipalities request for information and to obtain access to the premises may result in a fine of $100.00 per day. I agree that the contents of this questionnaire are true and correct, and all the contents are read and understood. Date: