Required fields are marked with asterisks (*)

Tax Statement Request Form

A Tax Statement will show the current year’s taxes billed to date, the total annual taxes for the previous two years, the total annual taxes for three years plus and the total amount outstanding for the property tax account. Staff will do their best to reply to your request within 2 business days.

Property roll number

Which tax year are you requesting a statement for

Name:

Property Street Address:

Town

Province

Postal Code

Mailing Address (If different than property address)

Phone Number

E-mail Address

Signature of Account Holder

Clear

Date

Signature of Joint Account Holder

Clear

Date

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O c.M.56 as amended and will be used to document delegates names, addresses, for a tax statement. Inquiries may be directed to the Town Clerk by telephone at 613-623-4231 ext. 1817 or by email at mspratt©arnprior.ca.