Required fields are marked with asterisks (*)

Letter of Authorization Form

Form Instructions:

1. This form is to be used when a Property Owner wishes to provide authorization for their property tax information to be released to a third party.

2. This form must be completed and authorized by the current property owner and a copy of photo ID must accompany this application.

3. To avoid delays in processing, please ensure all requested information is provided.

4. If a third party requires a statement, a fee may apply.

Corporate Services Department: Tax Division, Address: 150 Mary Street, Milton, ON, L9T 6Z5

Call: 905-864-4142
Email: Tax Division

Personal information in this form is collected under the authority of the Municipal Act, 2001 and will be used to process your request. If you have any questions, please contact the Tax Division 905-864-4142.

Property Owner Information

Roll Number (XXX XXX XXXXX 0000)

Email:

Name of Current Owners:

Property Address:

Home Phone:

Cell Phone:

Fax:

Property Tax Information to be Released (check all that apply):

All Information

Tax account details

Tax/vacancy rebate applications

Assessment appeals

Tax statement

Other

Payment plans

Authorized recipient information

Recipient Name:

Relationship to Owner (please select):

Relative

Solicitor

Other

Authorization information

Authorization Expiry Date:

Authorization form completed by (first and last name):

By signing the digital signature below, I verify that I am the registered owner on title of the above noted property and provide authorization to release information to the recipient.

Please sign:

Clear

Today's Date:

Please attach a scanned copy of your photo ID:

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Letter of Authorization Form

Property Owner Information

Authorized recipient information

Authorization information