Canada Environmental Tax Credit Form

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ENVIRONMENTAL TAX CREDIT
APPLICATION FORM
1. IDENTIFICATION - REGISTERED PROPERTY OWNER - Please print
Last Name:
Business Name:
First Name:
ACCESS NUMBER:
Middle Name:
Civic Address:
Mailing Address:
Province:
Postal Code:
Telephone:
Fax:
Please list partner(s) names:
2. IDENTIFICATION OF ALL LAND PARCELS - for Buffer Zone and High Slope Land Credit
(Identify all parcels - eligible land area will be calculated by the PEI Department of
Agriculture)
3. ENVIRONMENTALLY FRIENDLY FARM BUILDINGS
Parcel #
Building Type &
Building Size &
Year
Office Use Only
Description
Dimensions
Built
Approved
Denied

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