Vacant Unit Rebate - Town Of Cochrane (Ontario) (Page 2 of 2) in pdf

Vacant Unit Rebate - Town Of Cochrane (Ontario) Page 2

Application for

Taxation Department

Vacant Unit Rebate

Corporate Services

Roll Number:

Please use Schedule A if you require more space. Schedule A is available at Town Hall and

Vacancy Information

on the Town of Cochrane website (

) or by calling 705-272-4361 Ext. 226.

Vacancy Period

FOR MPAC

Vacant

Location

Vacant Area

Unit/Suite

USE ONLY

(floor or other applicable

Date From

Date To

(square feet)

location indicator)

Number

ASSESSMENT

Sq. Ft.

I certify that the information in this form and any attachments, including

Schedule A

if applicable, is true and correct.

Applicant's Name

Applicant's Signature

Date

(PLEASE PRINT)

have authorized

Name of Property Owner

Name of Agent

to make this application on my behalf and authorize the Town of Cochrane to deal with the agent as if he/she were the property

owner.

Property Owner Signature

Date

The personal information on this form is collected under the authority of the Municipal Act, 2001, s.364 OReg325/01. The information will be used to determine eligibility for a property

tax rebate for property owners of vacant commercial and industrial units. Questions about this collection can be directed to the Property Taxes Department located at 171 4th Street,

Cochrane, Ontario, P0L 1C0 or by telephone 705-272-4361 Ext. 226.

Pursuant to Subsection 364 of the Municipal Act 2001 , any person who knowingly makes a false or deceptive statement in an or in anyother document submitted to a Municipality under section

364 of the Municipal Act 2001 is guilty of an offense and liable, on conviction to a fine, of not more than an amount that is twice the amount of the rebate obtained or sought to be obtained by the

false or deceptive statement except that the fine shall not be less than $500.00 (Section 364 (19))

MPAC USE ONLY

Assessor's Comments:

Assessor's Name

Assessor's Signature

Date

MUNICIPAL OFFICE USE ONLY

Amount of Rebate: $

Employee Initials:

Date Processed:

Date received from MPAC:

Page 2 of 3