Required fields are marked with asterisks (*)

Letter of Authorization

Please complete this form if you are a property owner who wants to release your property tax information to a third party.

Property owner(s) name

Civic address

Tax roll number

Utility account number

Phone number

Privacy statement

Information contained on this form is collected under the authority of the Municipal Act. Information collected will be used and managed by the Township of Severn in accordance with the Municipal Freedom of Information and Protection of Privacy Act for general municipal operations. If you require additional information, please view our Freedom of Information and Routine Disclosure Policy.

Please indicate that you've read and understand the above privacy statement

Yes

Property information you'd like to release to the third party (please select all that apply)

Utility account

Tax statement

Property tax account