Required fields are marked with asterisks (*)

Landlord/Property Owner Declaration for Property Tax Rebate for Registered Charities in Leased or Rented Premises pursuant to York Region By-law No. A-0250-(b)-2001-066

*** Please Note:  Please ensure your submission is completed before your tenant may submit their application for Property Tax Rebate for Registered Charities. 

This form must be fully completed for your application to be considered.  

The deadline for submitting this application is February 28 of the calendar year following the year which you are requesting a charitable rebate.  

Landlord / Property Owner Information

Type of Ownership (Individual Person(s) or Company) ?

Tenant Information

Property Tax Information

Landlord/Property Owner Signature

I certify that the information contained on this form are true and correct.


Personal information will be used by the Town for the purposes of determining eligibility for the Property Tax Rebate for Registered Charities. Questions about this collection and use of your personal information may be directed to the Manager, Revenue and Taxation at 905-640-1900 or

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