Form 11PT15-30753 "Request for Change of Assessed Owner's Name or Address" - Prince Edward Island, Canada

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Request for Change of Assessed Owner’s
Name or Address
(Pursuant to Section 18 of the Prince Edward Island Real Property Assessment Act R.S.P.E.I. 1988 and
Section 12 of the Prince Edward Island Real Property Tax R.S.P.E.I. 1988)
Mail to:
Department of Finance
Freedom of Information and Protection of Privacy
Taxation and Property Records
Personal information on this form is collected under the authority of Section 31(c) of the Freedom
PO Box 1150, Charlottetown, PE C1A 7M8
of Information and Protection of Privacy Act and will be used for the purposes of tax
Tel: (902) 368 4070 Fax: (902) 368 6164
administration and enforcement. Questions on the collection and use of this information can be
directed to the Manager, Tax Administration and Compliance Services, PO Box 2000,
Deliver to:
Charlottetown, PE C1A 7N8 (902) 368-5137.
95 Rochford Street
st
Shaw Building, 1
Floor, South
Charlottetown, PE C1A 3T6
or: any Access PEI Centre
Website:
www.princeedwardisland.ca
Email: taxandland@gov.pe.ca
Complete this form when the name or address of a property owner is being corrected.
1. Indicate whether owner’s name or address is being added, changed or deleted.
Add
Change
Delete
Reason:
Effective Date (mm/dd/yyyy):
/
/
2. List the properties that will be affected by this request (attach additional list if required).
Property Number
Location
Property Number
Location
1.
3.
2.
4.
3. Present Name and Address of Property Owner
Name:
Mailing Address:
City, Town, Village:
Province:
Postal Code:
4. New Name and Address of Property Owner
Name:
Mailing Address:
City, Town, Village:
Province:
Postal Code:
5. Requested by
Name:
Mailing Address:
City, Town, Village:
Province:
Postal Code:
Telephone:
E-mail:
6. Authorization
I authorize the changes to the assessed owner’s name or address as outlined in this request.
Date
Property Owner’s Signature
For Office Use Only
Date entered:
Entered by:
Français au verso
June 2019
11PT15-30753
Request for Change of Assessed Owner’s
Name or Address
(Pursuant to Section 18 of the Prince Edward Island Real Property Assessment Act R.S.P.E.I. 1988 and
Section 12 of the Prince Edward Island Real Property Tax R.S.P.E.I. 1988)
Mail to:
Department of Finance
Freedom of Information and Protection of Privacy
Taxation and Property Records
Personal information on this form is collected under the authority of Section 31(c) of the Freedom
PO Box 1150, Charlottetown, PE C1A 7M8
of Information and Protection of Privacy Act and will be used for the purposes of tax
Tel: (902) 368 4070 Fax: (902) 368 6164
administration and enforcement. Questions on the collection and use of this information can be
directed to the Manager, Tax Administration and Compliance Services, PO Box 2000,
Deliver to:
Charlottetown, PE C1A 7N8 (902) 368-5137.
95 Rochford Street
st
Shaw Building, 1
Floor, South
Charlottetown, PE C1A 3T6
or: any Access PEI Centre
Website:
www.princeedwardisland.ca
Email: taxandland@gov.pe.ca
Complete this form when the name or address of a property owner is being corrected.
1. Indicate whether owner’s name or address is being added, changed or deleted.
Add
Change
Delete
Reason:
Effective Date (mm/dd/yyyy):
/
/
2. List the properties that will be affected by this request (attach additional list if required).
Property Number
Location
Property Number
Location
1.
3.
2.
4.
3. Present Name and Address of Property Owner
Name:
Mailing Address:
City, Town, Village:
Province:
Postal Code:
4. New Name and Address of Property Owner
Name:
Mailing Address:
City, Town, Village:
Province:
Postal Code:
5. Requested by
Name:
Mailing Address:
City, Town, Village:
Province:
Postal Code:
Telephone:
E-mail:
6. Authorization
I authorize the changes to the assessed owner’s name or address as outlined in this request.
Date
Property Owner’s Signature
For Office Use Only
Date entered:
Entered by:
Français au verso
June 2019
11PT15-30753