Permissive Tax Exemption Application

District of Highlands — Permissive Tax Exemption Application

Please complete all sections and upload the required supporting documents.

1. Applicant & Organization Information

Legal name of organization (as registered)

Operating name (if different)

BC Society / Charity Registration # (if applicable)

Mailing address

Primary contact

Name

Title

Phone

Website (if applicable)

2. Property Details

Civic address

Parcel Identifier (PID) and legal description

Ownership or tenancy

Ownership (owner name)

Tenancy (lessee name)

Owner name

Lessee name

Upload most recent BC Assessment notice

One file only.
20 MB limit.
Allowed types: pdf, jpg, jpeg, png.

Upload tenancy agreement (if tenant)

If tenant: upload the tenancy agreement showing lease term & expiry. Confirmation of responsibility for property taxes is required.
One file only.
20 MB limit.
Allowed types: pdf, jpg, jpeg, png.

3. Eligibility Declarations

Please confirm

Our services and activities are inclusive and available to all Highlands residents.

The property is used primarily for activities that benefit Highlands residents.

We comply with applicable municipal bylaws and regulations (e.g., business licensing, zoning).

4. Use of Property & Community Benefit

Describe programs/services delivered at this property

Include target populations, hours of public access, and how activities benefit Highlands residents.

Eligible portion(s) used for services (if applicable)

Upload site plan or floor plan (if applicable)

One file only.
20 MB limit.
Allowed types: pdf, jpg, jpeg, png.

5. Partnerships & Strategic Priorities

Formal partnerships with the District of Highlands (if any)

Environmental stewardship and/or heritage preservation

6. Financial Information

Upload audited financial statements (most recent fiscal year)

One file only.
25 MB limit.
Allowed types: pdf.

Upload annual operating budget (current year)

One file only.
25 MB limit.
Allowed types: pdf.

Have you sought funding from other sources? Please describe.

What are your major funding sources?

Examples: grants, donations, earned revenue.

If a significant grant or revenue increase is anticipated, please describe

Include amount, source, and timing.

7. Extent & Duration of Exemption Requested

Check all that apply

Exemption on land

Exemption on improvements

Full exemption of eligible portion

Partial exemption of eligible portion (specify % or area)

If partial exemption, specify % or area

Please provide rationale

8. Declarations & Signatures

I/we certify that the information provided is true and complete to the best of my/our knowledge and that the organization will immediately notify the District of Highlands of any changes in eligibility, property use, legal description, or substantial increases in revenue that may affect the exemption.

Signature

Sign above

Authorized signatory (name & title)

Date

Privacy Notice

The personal information provided in this form is collected under section 26(c) of the Freedom of Information and Protection of Privacy Act (FOIPPA) to respond to your inquiry and/or investigate your complaint. Questions about this collection of your personal information may be referred to the Corporate Officer, District of Highlands, 1980 Millstream Road, Victoria BC V9B 6H1, Tel: 250-474-1773.