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Property Taxes

Pre-Authorized Payment Authorization - Change In Mailing Address

This form is to be used when you have a change to your mailing address on your pre-authorized payment authorization.

Personal Information:

Name(s):

Phone Number:

Tax Roll Number:

Current Mailing Address:

New Mailing Address:

Effective Date of Cancellation/Change:

Signature(s):

Clear

Date:

Under the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), a Municipality must have the consent of the property owner to provide a mailing address change to the Municipal Property Assessment Corporation (MPAC). Please sign below if you wish to have the Town of Goderich provide MPAC with the new mailing address. Property owners can also update their preferred mailing address at mpac.ca.

Signature(s) providing consent to supply change to MPAC:

Clear

Date: