Change of Mailing Address

Notification Submitted By:    Owner     Other (letter of authorization attached)

Effective Date *

Tax Roll # *

Property Address *

Unit

Address *

Unit

Name: *

E-mail Address *

As of the effective date above, for the purpose of mailing correspondence relating to municipal property taxes and water for the above property address, I/we direct the Township of the North Shore to send any correspondence to the following address:

Address *

Unit

Please be advised that the Township of the North Shore requires all "registered owners" to sign the mailing address change form.

Owner's Name (please print) *

Owner's Signature *

Owner's Name (please print)

Owner's Signature

Owner's Name (please print)

Owner's Signature

Owner's Name (please print)

Owner's Signature

Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act. This information is collected to complete the Mailing Address Change form. Any questions related to the collection of this information should be directed to the Township of the North Shore.

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