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2. The purpose of this form is for an assessed person or their authorized agent to request, under section 300 of the Municipal Government Act (MGA), summary assessment information about other properties (maximum of 5) that may not be available on The Town of Cochrane Assessment website at cochrane.ca/assessment.
4. Section A: Property assessment account for which information is requested.
6. Are you:*

   1. The property owner

   1. Agent (if agent, please complete Section B)
8. Full name(s) of Assessed Person(s) on the Property Assessment Notice*
10. Contact person
11. Contact phone*
13. Address of assessed property*
15. Town *
16. Postal code*
18. Property Assessment Roll Number*
22. Section B: Agent information (if applicable)
24. Agent name
26. Contact person (if different from above)
27. Contact phone
29. Letter of Authorization submitted?*

    1. Yes
    2. No
30. If yes, date submitted
    If yes, date submitted
34. Section C: Preferred method of receipt
36. How would like to receive your report?*

    1. Email
    2. Fax
    3. Pick up (in person at the Cochrane RancheHouse)
    4. Mail
37. Contact details for your preferred method of receipt:*
41. Section D: Information requested
43. Have you looked for the requested information on the Town of Cochrane website?*

    1. Yes

    1. No
45. Have you made a request in 2023 under section 300 of the Municipal Government Act (MGA), for additional information for the roll number identified in Section A?*

    1. Yes

    1. No
47. If yes, were you directed to sumbit this form?

    1. Yes

    1. No
49. If no, please describe the information you are requesting:
51. Please list the roll number(s) you would like information for (max 5):*
52. Are all the accounts a similar type of property with comparable characteristics to the property in Section A?*

    1. Yes

    1. No
56. Section D: Acknowledgement and certification

    By entering my name below, I acknowledge and certify that:

    i. All the information on this form is true.

    ii. I understand I am requesting the property information for the 2023 assessment roll only.

58. Full name*
60. Date*
    Date
62. FOIP Notification:

    The personal information on this form is being collected under the authority of section 33 (c) of the Freedom of Information and Protection of Privacy (FOIP) Act. Your personal information may be used by the Town of Cochrane for the purpose the information was collected or compiled or for a use consistent with that purpose. Your personal and financial information will be managed in accordance with FOIP. If you have any questions about the collection, use, or disclosure of your personal information, please see this link:   https://www.cochrane.ca/175/Freedom-of-Information

Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field