Tax Refund Request Form

Refund requests are reviewed and processed once the overpayment has been verified. Please allow 3–4 weeks for processing. Approved refunds will be issued by cheque and mailed to the mailing address provided on this form.

Supporting documentation, such as a Statement of Adjustments or proof of payment, must be provided where applicable.

Refunds will only be issued to the original payee.
Is the mailing address different from above?
Please briefly explain why you are requesting a refund (for example, duplicate payment, overpayment, etc.).
Please upload supporting documentation, such as a Statement of Adjustments or proof of payment.
One file only.
64 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
Authorization

I, being the owner of the property identified here, certify that all the information on this application is true. I realize that failure to comply with the regulations and conditions set out in the Town of Cochrane tax bylaws can and will result in enforcement action against me.

Access to Information and Privacy Protection

The personal information collected through this form will be used to process your application. The information relates directly to and is necessary for the operation of the program or activity applied for and will be input into an automated system to generate content or make decisions, recommendations, or predictions. This information is collected and used under the authority of Section 4(c) of the Protection of Privacy Act and managed in accordance with the Act. For questions about the collection of personal information, please contact ATI@cochrane.ca.

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