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Letter of Authorization Request

 

By completing this form, you are confirming that you have requested The Town of Whitchurch-Stouffville to release accounts receivable information to owner's representative for the period of time indicated.
Type of Customer: (Individual Person(s) or Company)
 

Customer Contact Information

Account Information

I/We hereby Authorize the release of Accounts Receivable Information to:

Acknowledgement:

1. I(We) are the Person with Signing Authority of the Customer ID (Photo ID must be uploaded to this request - see below)

2. I(We) authorize the Town of Whitchurch-Stouffville to release Accounts Receivable information to the authorized person for the period of authorization as noted above.

4. I(We) understand and acknowledge that I/we must provide written notification to the Revenue and Taxation Department if this authorization is to be cancelled.

 

I agree to the terms and conditions noted above:
 
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Clear

 

Personal information contained in this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c.25, as amended and will be used to process your request. Questions about this collection should be directed to the Manager Revenue and Taxation, Town of Whitchurch Stouffville, 111 Sandiford Drive, Stouffville ON L4A 0Z8 (905)640-1900 or revenue@townofws.ca 

 



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