Letter of Authorization

1Applicant Information
2Summary
3Request Submitted

* Required

Letter of Authorization

Complete this form to authorize the release of your property tax information to your representative.

For assistance please contact Service Caledon at 905-584-2272 x. 7750.

ACCESSIBILITY
If you are unable to complete the form, or wish to complete the form on paper, download a printable (pdf) version .

Property Owner Information

Current Owner First Name *

Current Owner Last Name *

Property Address

Assessment Roll Number *

Street Number *

Street Name *

Street Type *

Street Direction

Town/City *

Province *

Postal Code *

Is the property registered to a Numbered Company or Company name? * Yes No

Authorization

I hereby authorize the release of my property tax information to:

First Name *

Last Name *

Effective Start Date *

Effective End Date

Do you also authorize the above noted person to enter into payment plans? Yes No

Authorization will remain in effect until the date of expiry or an alternate representative is appointed or the property is sold.