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Letter of Authorization for Property Tax - (Release of property tax information to an owners representative)

Please complete this form if you are the registered owner(s) of a property in the City of Owen Sound and you would like to release your property tax information to a third party.

Tax Roll and/or Property Address:

Current Owner(s):

Owner(s) email address:

Owner(s) phone number:

I/We authorize the release of property tax information to:

NOTE: If the property is registered to a numbered company or company name, a copy of your Articles of Incorporation MUST accompany this document in order to process the request

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Authoritaztion Start Date:

Authorization End Date:

Do you also authorize the above noted person to enter into payment plans on your behalf?

Yes

Signature of Owner(s) or Person with Signing Authority:

Clear

Date Signed:

The personal information contained on this form is collected under the authority of the Municipal Act, 2001. The information will be used for the purpose of maintaining the integrity and accuracy of the City’s tax records. Questions about this collection can be made to Briana Bloomfield, City Clerk, at bbloomfield@owensound.ca, 519-376-1440 ext. 1247 or 808 2nd Avenue East, Owen Sound, ON N4K 2H4.