Revocation of power of attorney request

Please complete the form below if you are an individual or legal entity wishing to revoke a power of attorney granted to a previously designated person.

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

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

Revocation

Full name of the person whose authorization is being revoked (first and last name of the individual OR name of the business)*

Effective date of revocation*

Consent*

I hereby revoke the power of attorney granted to the above-mentioned person for the above-mentioned property.

Message

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School tax

The CGTSIM

Revocation of power of attorney request

Property Information

Owner Autorization

Revocation