Government of Ontario: Ministry of Northern Development Mines and Forestry

Mineral Development & Lands Branch

Application for Exemption from Mining Land Tax
Mining Act, Subsection 189 (1.1)

Personal information collected on this form is obtained under the authority of subsection 189 (1.1) and 178.2(1) of the Mining Act. This information will be used for the purposes of processing the application and to communicate with the Registered Owner(s) and/or the named Contact Person in that regard.  Questions about this collection should be directed to the Provincial Tax Coordinator, Ministry of Northern Development, Mines and Forestry, 933 Ramsey Lake Road, Sudbury ON P3E6B5.  Telephone 1 888 415-9845.

For more information on Mining Land Tax exemption, please visit the Ministry’s website: (Mines & Minerals Division – Mineral Development & Lands Branch – Mining Lands Section – Policies). Or, call the Dispositions Office 705 670-5847 / toll free at
1 888 415-9845 ext. 5847.

Section 1 ─ Legal Description of Property

Township Lot No. Concession No. Mining Claim No./Location PIN and/or Roll No.
(if available)
Sub-account No.

Application must include proof of ownership [a copy of parcel register / Parcel Identification Number (PIN)] obtained from the appropriate Land Registry Office, showing the current registered owners of the land.

Section 2 ─ Contact Person Information

Last Name










Are you aware of any mine hazards or other rehabilitation concerns relating to the land?           

If yes please describe:

Section 3 ─ Registered Owners (all must be listed and must sign)

I/We, the registered owner(s) of the property(s) in question, here by my/our signature certify that:











If the owner is a Corporation, print the signing officer’s name and position.

Last Name

Position





It is an offence under the Mining Act to knowingly make a false statement on this form.

Office use only