Required fields are marked with asterisks (*)

Property Tax Adjustment Form - Section 357-358

Municipality

Roll Number

Property Address

Applicant Name

Owner Name

Contact Number

Mailing Address

Reason for Application (check only one box)

Ceases to be liable for tax at rate it was taxed - 357(1)(a)

Sickness or extreme poverty - 357(1)(d.1)

Became Exempt - 357(1)(d)(I)

Mobile Unit Removed - 357(1)(e)

Razed by fire, demolition or otherwise - 357(1)(d)(i)

Gross or manifest clerical/factual error 357(1)(f)

Damaged and substantially unusable - 357(1)(d)(ii)

Repairs/Reno's preventing normal use (min 3 months) - 357(1)(g)

Details of Reason

Effective from: (MM/DD/YY to MM/DD/YY)

Applicant Signature

Clear

Date

Assessment Report: Municipality

Has this been revised since roll return? (if yes, enter the revisions below)

Yes

RTC/RTQ

2005 Base-year CVA

2008 Base-year CVA

Current Phased Assessment

RTC/RTQ

2005 Base-year CVA

2008 Base-year CVA

Current Phased Assessment

RTC/RTQ

2005 Base-year CVA

2008 Base-year CVA

Current Phased Assessment

Assessor

Assessment Report

No Change in Assessment

School Board

English

French

Other

S357 Required for Next Year

Yes

Revised RTC/RTQ

Revised 2005 Base-year CVA

Revised 2008 Current Phased Assessment

Change to Current Phased Assessment

Revised RTC/RTQ

Revised 2005 Base-year CVA

Revised 2008 Current Phased Assessment

Change to Current Phased Assessment

Revised RTC/RTQ

Revised 2005 Base-year CVA

Revised 2008 Current Phased Assessment

Change to Current Phased Assessment

Reason Original Assessment was Revised

Reason for Change (Assessor Comments)

Assessor Name

Assessor Signature

Clear

Date

treasures report on liability

Recommended

No Adjustment

Adjustment

Cancellation

Refund

Total Amount

Treasury Position

Signature

Date

Council or Assessment Review Board Decision

Approved

Amended & Approved

Not Approved

Applicant Did Not Appear

Application Abandoned

Hearing Date

Reason

Appeared for Applicant

Appeared for Municipality

Signature of Council/ARB Member

Name/Title

This website uses cookies to enhance usability and provide you with a more personal experience. By using this website, you agree to our use of cookies as explained in our Privacy Policy.

Forms

Property Tax Adjustment Form - Section 357-358