Bruce County Charity Rebate Application
(Eligible Charities Rebate Application Form)

In July of 2004 the County of Bruce passed By-law No (4088) to establish a tax rebate
program for the purposes of providing relief from taxes on eligible property occupied by
eligible charities.

In accordance with County of Bruce By-Law No. 4088, which is a By-Law to provide
rebates to eligible charities, on an annual basis, an eligible charity which has a
registration number issued by the Canada Customs and Revenue Agency under Section
248(1) of the Income Tax Act, must submit an application to the lower-tier municipality
in which the eligible charity resides, after January 1 of the taxation year and no later than
the last day of February of the year following the taxation year. The eligible charity's
property(ies) must reside within the commercial and industrial property class.

Payments to eligible charities will be made in accordance with the County of Bruce ByLaw
No. 3902.

Charities that move to another lower tier municipality (either within or outside the
County of Bruce) within a taxation year are required to repay a prorated amount of the
rebate to the lower tier municipality that issued the rebate. Charities that move within a
lower tier municipality within a taxation year maybe required to repay portions of the
rebate.

The undersigned agrees that they have read and understand the contents of this
application and By-Law No. 4088 and agree to abide by the requirements of the By-Law.
Proof of Canada Customs and Revenue Agency registration number under section 248(1)
of the Income Tax Act is required.