Required fields are marked with asterisks (*)

Property Tax

Credit Balance Transfer/Refund Request

Applicant Name:

Mailing Address:

City/Town:

Province/State:

Postal/Zip Code:

Country:

Phone Number:

Email:

Please transfer/refund the credit from Tax Roll Number:

SELECT ONLY ONE OPTION BELOW:

TRANSFER the credit to Tax Roll #

TRANSFER the credit to Water Account #

REFUND the credit balance by cheque

Please note that refunds may take one to two weeks to process depending on the timing of the submission.

Signature:

Clear

Date:

Your name, mailing address, phone number and email address is being collected under the authority of section 25 of the Local Authority Freedom of Information and Protection of Privacy Act. This information will only be used for the purpose of administering the transfer/refund request. If you have any questions about this collection, please contact the Office of the City Clerk at 780-875-6184 or email cityclerk@lloydminster.ca

Forms

Property Tax

Credit Balance Transfer/Refund Request