Required fields are marked with asterisks (*)

Change of Mailing Address

Did you know you can change your own mailing address through your Virtual Town Hall account? Sign up or sign in at selwyntownship.ca/VTH

If you would like us to make the change for you, please use this form to submit your request. The mailing address you provide will be used for all of your accounts.

By completing this form you authorize the sharing of your mailing address with the Municipal Property Assessment Corporation (MPAC). Please visit www.mpac.ca or contact them at 1-866-296-6722 for more information.

Change of address effective date:

Customer ID:

Full name:

Phone number:

What type of account do you have? (select all that apply)

Property tax

Invoice (rental, tipping, etc.)

Lakefield Water and Sewer account

Would you like to enroll your account in electronic billing?

Yes

I am already enrolled

New mailing address - number and street:

New mailing address - city:

New mailing address - province:

New mailing address - postal code:

Signature:

Clear

Personal information on this form is collected under the authority of the Municipal Act 2001, and will be used to process billings, building/planning applications, GIS updates and assessment processes. The personal information submitted will be used to provide you with information or updates on services or activities that the Township of Selwyn delivers under the Municipal Act or other legislation. Questions about the collection of this personal information should be directed to the Clerk.