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Notice of Mailing Address Change

The personal information on this form is collected under the authority of the Municipal Act and will be used only to administer the tax roll.

Property Owner Last Name

Property Owner First Name

Property Roll Number:

Property Street Address:

As the registered owner of the above property, I am advising you the mailing address in connection with the above property has changed effective:

Previous Mailing Address

Street Number:

Street Name:

Apt/Unit:

City:

Postal Code:

Street Number:

Street Name:

Apt/Unit/Route:

City:

Postal Code:

Email Address:

Phone Number:

Signature

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