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2019

Water Relief Program for Low Income Seniors and Persons with a Disability

Utilities Department
City of Kawartha Lakes
P.O. Box 696, 26 Francis Street
Lindsay, Ontario K9V 4W9
Tel: (705) 324-9411 Ext. 1284, 1-888-822-2225
Fax: (705) 328-2620
Email: utilitybilling@kawarthalakes.ca
www.kawarthalakes.ca

 

Water Relief Program for Low Income Seniors and Persons with a Disability

Please read the “Important Information” and “Documents Needed for Application” sections on the back of this form before completing the front of this application.

Application Information

Please complete the Spousal and Additional Owner Information below if you have a spouse, and/or if the property is also owned by another person.  If there is more than one additional owner, please attach a list with the first name, last name, date of birth and signature of all additional owners and their spouses not listed on this form.

Spousal and Additional Owner Information

Income Information

The Total Household Income is the total amount shown on line 260 of the Canada Revenue Agency Notice of Assessment or Notice of Reassessment for each owner and each spouse of an owner.

Statement to be signed by the Applicant

I acknowledge this property is my principal residence and I have not applied for relief under the Water Rebate Program on any other property that I own this year.  I have owned and occupied this property for a least one year before September 30, of this year.

I agree to notify the City of Kawartha Lakes of any changes that would affect my eligibility for the program that I am applying for, including changes to household income.

Clear
Clear
Clear

Important Information

Important Information

  • Application Deadline is September 30, 2019
  • You must apply each year to be considered for this program
  • If there is more than one owner, only one owner, or their spouse must meet the eligibility criteria in order to qualify for these programs. If there is more than one owner and they are not spouses, all owners must meet the eligibility criteria in order to qualify for the program.
  • The applicant must have owned and occupied the property for at least one year immediately preceding the date of the application (e.g. application date is August 1, 2019 – the property should be owned and occupied by the applicant(s) since at least July 31, 2018)
  • If the applicant sells the house during the year and a final reading was forwarded to the City prior the change of ownership, a rebate will be credited to the final bill (pro-rated) of the applicant.
  • Utility bills must be paid in full on or before the due date (or must be enrolled in the monthly preauthorized payment plan)
  • Property taxes must be paid in full as billed for the prior year. We recommend paying your current year’s taxes by the due date to avoid late payment charges.
  • You must consume less than 175 m3 annually if you are a low income senior, or if you are a low income disabled person, and you have more than 2 permanent residents who are dependants (as defined in the by-law), you must consume less than 300 m3.
  • This is a program where the credit will be applied to a future bill – it is not refunded

Mail your completed application and supporting documents to:

City of Kawartha Lakes

Revenue & Taxation Division

Attn: Lori Monaghan

P.O. Box 696

26 Francis St.

Lindsay, ON  K9V 4W9

Or

Take your completed application and supporting documents to a Municipal Service Centre on or before the Application Deadline of September 30, 2019.

 

Documents Needed for Application

** Please note – if you applied for and received the 2019 Property Tax Rebate, you do not need to provide the supporting documents – you just need to complete and submit the application form. **

Seniors

If you are applying for the Water Rebate Program, the following documents must be included with your application as income verification for each owner and each spouse of an owner:

 

Age 55 - 64

  • A copy of your 2018 Canada Revenue Agency income tax Notice(s) of Assessment or Notice(s) of Reassessment. Line 260 should indicate income was less than $28,636.

 

Age 65 and older

  • A copy of your Guaranteed Income Supplement (GIS)

 

Persons with a Disability

If you are applying for Water Rebate Program, the following documents must be included with your application as income verification for each owner and each spouse of an owner:

  • A copy of benefits paid under the:
  • Ontario Disability Support Program Act, 1997; or
  • a disability amount paid under the Family Benefits Act (Ontario); or
  • a Canada Pension Plan Disabilities Pension.

Personal information contained on this form is collected pursuant to the Municipal Act, 2001 and will be used for the purpose of responding to your request. Questions about the collection of this information should be directed to the City Clerk or Deputy-Clerk at 705-324-9411 extension 1295 or 1322.



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