XXXX XXX XXX XXXXX XXXX Need help? Other ways to file Call us toll-free at 1 866 296-MPAC (6722) 1 877 889-MPAC (6722) TTY If you have accessibility needs, please let our representatives know how we can best accommodate you. To file this form electronically visit mpac.ca. Roll Number XXXX XXX XXX XXXXX XXXXFO XX Municipality XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX PAC XXXPC XXX Location & Property Description XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX This information is collected by MPAC under the authority of sections 11, 15, 16 and 16.1 of the Assessment Act, and used for property XXXXXXXXXXXXXXXXXXXXXXXXXXXX valuation and assessment purposes. Section 13 identifies penalties for non-compliance. If you have questions, please contact MPAC. XXXXXXXXXXXXXXXXXXXXXXXXXXXX We respect your privacy Are Utilities /Amenities generally included in Residential Unit Rents? (Y / N) Heat Hydro Water Cable Internetready Laundry Ensuite Common Storage Unit Internal Access External Doorman /Concierge On-site Controlled Security Staff Pool /Sauna Fitness Rm. Air Cond. Elevators Y/N Residential Parking Spaces Your web access code xxxxxxxx Due Oct. 31, 2014 Rental Rate /Spot Surface /Uncovered $ Indoor /Covered $ page xx of xx Municipal Property Assessment Corporation Central Processing Facility (TIP) PO Box 9808 Toronto ON M1S 5T9 USE THIS FORM TO REPORT ON YOUR RENTAL UNITS AND INCOME XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX 2014 Apartment Rental Data Request XX Except as noted, all information provided should reflect current leases Suite Breakdown Suite Type XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Style (Apt. or Row) # of Units XXX XXX Furnished (Y / N) # of Baths Den (Y / N) Total (Sq. Ft.) # of Renovated Suites in last 12 months # of Units Available but Vacant June 1/14 Market Rent ($) Parking Included in Rent (Y / N) I certify that this and all attached information are correct _________________________________________ ________________________ _________________ _____________________ _____________ Name of contact & position in organization Signature Business telephone Email address Date yyyy/mm/dd ARDR-MPAC-2014
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