Letter Of Authorization Form - City Of Brampton Corporate Services Department

ADVERTISEMENT

LETTER OF AUTHORIZATION FORM
(RELEASE OF PROPERTY TAX INFORMATION TO OWNER’S REPRESENTATIVE)
R
N
.: __________________________________ D
: _________________________
OLL
O
ATE
P
A
: ________________________________________________________
ROPERTY
DDRESS
_________________________________________________________________________
C
O
(
): ________________________________________________________
URRENT
WNER
S
D
O HEREBY AUTHORIZE THE RELEASE OF PROPERTY TAX INFORMATION
T
: ______________________________________________________________________
O
N
: If the property is registered to a Numbered Company or Company name, a copy
OTE
of your Articles of Incorporation wherein the following is outlined, MUST accompany
this document in order to process the request.
 The Numbered Company – i.e. 123456 Ontario Limited
 The Principals – i.e. President, Treasurer, etc.
 The Date of Incorporation, etc
Period of Authorization:
Effective Date: (mm/dd/yyyy):
___________________________
Expiry Date: (mm/dd/yyyy):
___________________________
I
MPORTANT: Representative will be required to give PIN number for telephone enquiries
Do you also authorize this representative to enter into payment plans?
YES
NO
S
O
(
): ____________________________________________________
IGNATURE OF
WNER
S
P
N
O
(
):____________________________________________________
RINT
AME OF
WNER
S
T
S
A
: ________________________________________
(
)
ITLE OF
IGNING
UTHORITY
IF APPLICABLE
(i.e. Power of Attorney, president, owner)
Print Name: ______________________ Phone #: ________________ Fax #: ___________
(Signing Authority Name)
Please complete and mail this form to:
City of Brampton
Corporate Services Department
nd
2 Wellington Street West, 2
Floor
Brampton, ON
L6Y 4R2
Or Fax to: 905 874-5123
(OFFICE USE ONLY)
I
:
NFORMATION ENTERED INTO TAX SYSTEM BY
NAME: ____________________________________________
D
: ______________________________________
ATE
Personal information on this form is collected under the authority of the Municipal Act 2001, SO 2001, c. 25 and will be used to process
your request. Please direct any questions about the collection of this personal information to the Supervisor, Tax Customer Service,
2 Wellington St. W, Brampton, ON, L6Y 4R2., 905-874-2200.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go