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Change of Address Request Form

Please complete the following to the best of your abilities.

Date of Request

Tax Roll #

Property Address

Legal Name(s) of Owners of Property.

Mailing Address

Postal Code

Contact Number

Email Address:

Authorization

I authorize the City of Temiskaming Shores to provide the Municipal Property Tax Corporation (MPAC) with the updated mailing address.

Property Owner Signature Required:

Clear

Personal information on this form is collected under the authority of the Municipal Act and will be used to maintain a record of mailing addresses. Questions about this collection should be directed to City hall, 325 Farr Drive, Haileybury, ON P0J 1K0. Telephone: (705) 672-3363.