Required fields are marked with asterisks (*)

I/we authorize the City of Elliot Lake to update my/our mailing address for the purpose of receiving property tax bills and notifications

Roll Number

Property Owner Name(s)

Property Address

Mailing Address

City/Town

Province

Postal Code

Effective Date of Change

Telephone Number

E-mail Address

Consent to share address change with MPAC

I/we authorize the City of Elliot Lake to disclose/share my/our personal information to MPAC. I/we understand that I/we can refuse to authorize consent via this form.

If you refuse to authorize consent, you have to contact MPAC directly to update your records.

By checking here and signing, you agree that all owners of this property have authorized both the address change and the consent to share information with MPAC

I/we authorize

Please sign

Clear