County Of Kings - Personal Tax Exemption Form - 2016/2017
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1THE MUNICIPALITY OF THE COUNTY OF KINGS
PERSONAL TAX EXEMPTION 2016/2017
The Council of the Municipality of the County of Kings directs, by policy, that an exemption be granted for the
taxation year 2016/2017 pursuant to Section 69 of the Municipal Government Act, in an amount not exceeding
$236.00; upon property owned and occupied by a person who is a resident of the Municipality of Kings, and;
Whose total gross income from all sources for the year 2015, excluding any allowance paid pursuant to the War
Veterans Allowance Act (Canada) or pension paid pursuant to the Pension Act (Canada), but including the income
of all members of the same family residing in the same household, is less than $34,000 gross income, and;
Where property is jointly owned, only one tax exemption shall be allowed and the sharing in such exemption shall
be on the basis of ownership in such joint property.
SECTION 1:
PROPERTY OWNER INFORMATON
OWNER’S NAME:
_________________________________________________________________
CO-OWNER’S NAME / SPOUSE:
_________________________________________________________________
ASSESSMENT ACCT. #
____________________________________
PROPERTY ADDRESS:
_________________________________________________________________
CURRENT MAILING ADDRESS:
_________________________________________________________________
_________________________________________________________________
PHONE NUMBER:
____________________________________
Do you own more than one property in the County of Kings?
Yes
No
Do you have a life lease on this property?
Yes
No
SECTION 2: TOTAL GROSS INCOME FOR 2015 (do not include the GST rebate or Child Tax Benefit)
(a) Old Age Pension (OAS) & Supplement
____________ + ______________
=
___________________
(b) Canada Pension (CPP)
___________________
(c) Disability Pension (Name of pension _____________)
___________________
(d) Employment Income
___________________
(e)
Employment Insurance Benefits (EI)
___________________
(f)
Provincial / Municipal Assistance
___________________
(g) Income from others in the home (include income of all members of the same family
residing in the same household)
___________________
(h) Other Income (bank interest, rental income, business income, etc.)
___________________
TOTAL 2015 INCOME (must be under $34,000)
___________________
I hereby attest that the above information is true and correct. It is not necessary to submit proof of income; however,
we reserve the right to request verification.
DATE ___________________________ SIGNATURE ____________________________________________________
APPLICATION DEADLINE IS DECEMBER 31, 2016. For further information, contact 690-6144.
MAIL TO: PERSONAL TAX EXEMPTION 2015, PO BOX 100, KENTVILLE, NS B4N 3W3.
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