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Tax Rebate Request Form for Charities

Fill out this form to request a tax rebate for your registered chartitable organization.

Organization and Property Information

Contact Name

Organization

Charitable Registration #

Location

How long at current location?

Contact Number

Contact Email

Previous Address (if occupancy is less than one year)

Mailing Address (if different than location listed above)

Name of Landlord (if applicable)

Landlord Contact Number

Type of Lease

Net Lease

Gross Lease

Required Documentation

Net Lease - please include evidence of:

Proof of status as an eligible organization

Square footage of space occupied in current year and previous year

Property taxes included in lease payments in previous year

Property taxes included in lease payments in current year

Gross Lease - please include evidence of:

Proof of status as an eligible organization

Square footage of space occupied in current year and previous year

Notice from landlord of additional payment required

Upload your Documents

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Declaration

I solemnly declare that all the answers provided in this application as well as the information contained in the documents and material submitted with it are to the best of my knowledge and belief, true and complete.

Signature

Clear

Printed Name, Position/Title

Signature Date