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Application
For Adjustment
of Taxes for the
Town of South Bruce Peninsula
What year are you seeking an adjustment for?
Under what section of the Municipal Act are you seeking an adjustment?
Under Section 358 of the Municipal Act, 2001, c.25
Under Section 357 of the Municipal Act, 2001, c.25
What is the assessed address?
What is the tax roll number? (41 02...)
Name of the Assessment Person
Telephone Number
Mailing address of assessed person
What is the reason for your application?
Repairs/renovations preventing normal use for a period of 3 months – s. 357(1)(g)
Gross or manifest clerical error – s. 357 (1)(f) or 358 (1)
Mobile unit removed – s. 357 (1)(e)
Sickness or extreme poverty – s. 357 (1)(d.1)
Vacant or excess land – s. 357 (1)(d)
Damaged by fire, demolition or otherwise – substantially unusable – s. 358(1)(d)(ii)
Razed by fire, demolition or otherwise – s. 357(1)(d)(i)
Became exempt – s. 357(1)(c)
Ceased to be liable at rate it was taxed – s. 357(1)(a)
Details of Reason
Period Tax Relief Claimed (please provide a from and to date)
Please sign your application
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