Name or address change

Make sure you tell us when you have changed your name or mailing address!

Owner Information

Full Name *

Comany Name

Phone *

Cell

E-mail

Previous Mailing Address

Mailing Address

City

Province

Postal Code

Country

New Mailing Address

Mailing Address

City

Province

Postal Code

Country

Apply New Mailing Address to (complete all that apply)

Accounts Receivable - Customer code

Accounts Payable - Name / Customer

Business License - Account No. / Company Name

(business location change - fill out Business License Application)

Property Tax - Civic Address / Roll Number

Utility - Civic Address / Account Number

Do these changes apply to all owners who have the same mailing address as you? *

Yes

Effective date *

Immediately

Specify date below

Specify effective date

Month

Day

Year

Agreement

Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy Act (FOIPPA) and will be used only for the purposes of responding to your request.

Using this form means that you are the owner, authorized officer or agent of the person for whom this form was submitted. I have read and agree to the above conditions.

Agreement checkbox *

I certify that the information provided in this change of address notification is true, accurate, and complete.

Name or address change

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