6311 Old Church Rd
Caledon, ON L7C 1J6 / Low Income Seniors and Disabled
Tax Assistance Program Application
The Town of Caledon is providing a tax assistance program for qualified low-income seniors and low-income persons with disabilities in accordance with Town of Caledon By-law No. 2010-028 as amended by By-law No. 2011-023 which allows for a tax reduction of $450 against the residential real property taxes imposed by the Town provided that the by-law’s eligibility criteria are met.
All applications must be made by April 30th of the current taxation year.
Applicant Information
Name of Owner
«Firstname» «Lastname» / Name of Spouse
«Spouse»
Current Address
«Address1» «Address2» / Town/City/Prov
«CityProv»
Postal Code
«PostalCode» / E-mail Address
«Email» / Phone Number
«Phone_No»
Owner’s Date of Birth:
«Yr_Birth» / Spouse’s Date of Birth:
«Spouse_Yr»
Owner’s Social Insurance Number:
«OAS» / Spouse’s Social Insurance Number:
«Spouse_OAS»
Tax Roll Number:
«Roll» / Comments:
Statement to be Signed by Applicant (Please Check Appropriate Boxes)
I occupy the residential property as my personal/principal residence for which the tax assistance is applied for, and have been assessed as owner of such residential real property in the Town of Caledon for a period of not less than five years.
I authorize Service Canada to release to the Town of Caledon such information as will verify my receipt of the Guaranteed Income Supplement provided under the Old Age Security Act (Canada); and/or I authorize the release of such information as will verify my receipt of the Income Supplement (IS) benefit under the Ontario Disability Support Program Act (ODSPA) to the Town of Caledon.
Low Income Seniors Eligibility Requirements
I and/or my spouse is 65 years of age or older by April 30th of the current taxation year and;
In receipt of the Guaranteed Income Supplement provided under Part II of the Old Age Security Act(Canada); and
Have been continuously assessed as the owner and reside on residential real property within the Town of Caledon for a period of not less than five years immediately preceding April 30 of the taxation year
Low Income Disabled Eligibility Requirements
I (or my spouse) is a disabled person and in receipt of benefits provided under the Ontario Disability Support Program Act (ODSPA). Please provide a copy of the most recent benefits statement for O.D.S.P.
Have been continuously assessed as the owner and reside on residential real property within the Town of Caledon for a period of not less than five years immediately preceding April 30 of the taxation year
I have attached my most recent O.D.S.P. benefit statement to this application
I certify that the information on this form and all the attachments are true and correct.
Owner’s Signature / Spouse’s Signature
Date of Application / Date of Application
The personal information contained on this form is collected under the authority of Section 365 of the Municipal Act, SO 2001, and will be used only for the purpose of administrating the low-income seniors and low-income disabled persons tax rebate program. Questions about this collection should be forwarded to the Town of Caledon Freedom of Information Coordinator at 6311 Old Church Rd, Caledon, ON L7C 1J6, 905-584-2272.
For Office Use Only – Service Canada«Firstname» «Lastname»
SIN# «OAS» / «Spouse»
SIN# «Spouse_OAS»
G.I.S. / Yes / No / G.I.S. / Yes / No
Comments:
Signature of Person Verifying / Phone # / Date
For Office Use Only – Tax Dept.
O.D.S.P. Verified: / Yes / Roll No. «Roll»
APPLICATION APPROVED: / Yes / No / Posted By: / Date: