Tax Installment Prepayment Plan (TIPP) - Change or Cancel TIPP Request Form - Municipality of the District of Lunenburg

Property Tax Assessment Account Number(*)

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Property Owner(s)(*)

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Mailing Address(*)

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Phone Number(*)

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Email Address(*)

Please let us know your email address.

I want to:(*)

Increase or Decrease my TIPP payment

Switch my monthly payment to the full amount on the due date of the interim and final tax bill (May 31 and October 31)

Switch my full amount on the due date payment (May 31 and October 31) to 12 equal monthly payments

Change my banking information (please attach a void cheque or automatic payment form from your bank)

Cancel my TIPP payments

Refund of overpayment

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Payment increase or decrease to $

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Optional Information - please upload(*)

Please upload VOID cheque or automatic payment form

Date for change to be effective(*)

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Signature of applicant(*)

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Date(*)

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Signature

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Date

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Security check(*)

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