Required fields are marked with asterisks (*)

Change Mailing Address Form

By filling out this form you give the Municipality of Centre Hastings permission to share your address/contact information with the Municipal Property Assessment Corporation (MPAC).

I understand that by submitting this form, I am confirming that I am the owner or authorized agent of the owner(s) and have the authority to do so, and that the Municipality of Centre Hastings will change my mailing address accordingly.

Name

Effective Date of Address Change

Property Address

Plan or Concession

Lot

Assessment Roll Number

Do you have a Utility (Municipal Water/Sewer) account that needs to be updated as well?

Yes

Utility Account Number

New Mailing Address Information

Street Name and Number

Apartment Number

PO Box

City

Postal Code

Phone Number

Do you require a re-print of your current tax bill?

Yes

Do you require a statement of your utility account to be mailed?

Yes

Signature

Clear

Personal information on this form is collected under the authority of the Municipal Act 2001 and will be used to process tax and/or utility billings. The personal information submitted will be used to provide you with information or updates on services or activities that the Municipality of Centre Hastings delivers under the Municipal Act or other legislation. Questions about the collection of this information should be directed to the Municipal Clerk.