Power of attorney request

Please complete the form below if you are an individual or legal entity wishing to grant a power of attorney to a designated person to allow that person to access confidential information or documents held by the Comité de gestion de la taxe scolaire de l’île de Montréal (CGTSIM) concerning you, or to act on your behalf in dealings with the CGTSIM.

Fields marked with an asterisk (*) are required.

"*" indicates required fields

Property Information

CGTSIM account number

Ex.: 50-01234567

Property address*

Civic number, street name Apartment (if applicable) City Province Postal Code

Cadastre (lot number)

Ex.: 0000000

Information on the designated individual or legal entity

Full name (first and last name of the individual OR business name)*

Email address*

Ex.: name@email.ca

Phone number*

Ex: (000) 000-0000

Owner Autorization

Full name (first and last name of the individual OR business name)*

Name of the person in charge (for businesses)

Email address*

Ex.: name@email.ca

Phone number*

Ex: (000) 000-0000

Reason for the request

(attach document(s) to form, if applicable)

Please tick the box corresponding to your request*

Mandate in case of incapacity (attach supporting document)

Death (attach death certificate and copy of the will)

Other (management mandate, helping a relative, etc.)

Attach files

Drop files here or

Accepted file types: doc, docx, pdf, rtf, txt, jpg, jpeg, png, Max. file size: 10 MB.

Consent*

I hereby authorize the designated person named in the “Information on the designated individual or legal entity” section to represent the person named in the “Owner Authorization” section with the CGTSIM.

Message

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School tax

The CGTSIM

Power of attorney request

Property Information

Information on the designated individual or legal entity

Owner Autorization

Reason for the request