Required fields are marked with asterisks (*)

Tax Certificate

Please read the information below before proceeding.

Tax Certificates can only be requested by a Law Firm or the Mortgage Lender.

Fee: $100.00 each (tax certificate, emailed 3-5 business days)

Fee: $200.00 each (rush tax certificate, emailed 1-3 business days)

Payment: Online payment is now available. Once you have submitted your form, you can process your payment immediately.

Questions: If you have any questions or require assistance, please call one of our Customer Service Representatives at 519-326-5761 ext 1213.

Law Firm or Mortgage Lender Information

Company Name

Lawyer Name

Street Address

Unit Number

City

Postal Code

Primary Phone

Extension

Contact Person's Name

Email Address (To receive tax certificate and receipt)

Date

Privacy Statement: Personal information on this form is collected under the authority of the Municipal Act 2001 P.S.O. c45 and for the issuance of tax certificates in the Municipality of Leamington. This information will only be used for this purpose and will not be shared with other departments. Questions about the collection of this information can be directed to the Manager of Legislative Services/Clerk, Municipality of Leamington, 111 Erie Street North, ON N8H 2Z9. 519-326-5761.

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