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Application for TIPP program form

  1. APPLICATION FOR TIPP PROGRAM FORM

    The tax year is January 1st to December 31st. Enrollment in the TIPP program can occur in any month of the year.

  2. (xx) xxx-xxxx

  3. (xxx) xxx-xxxx

  4. Each transaction will occur on the 15th day of the month or the next business day if the 15th falls on a weekend.

  5. I/we authorize the City of Chestermere to begin an automated monthly withdrawal for payment of property taxes from the bank account identified on the attached voided cheque / bank deposit form. This authorization will remain in effect until notification of termination is given in writing to the City of Chestermere.

  6. (At least one of the authorized signatures will need to be the person on the banking information.)

  7. Please print this form and drop off a void cheque to our City Hall Location

    If you cannot submit the form and cheque in person, please submit the them via our drop box in an envelope addressed to the tax department.

  8. This personal information is being collected for the purpose of applying for, registering, administering, tracking and closing of Tax accounts for the City of Chestermere. The personal information is collected under the authority of Section 33(1) c of the Freedom of Information and Protection of Privacy Act, and will be used only for the purpose identified. If you have any questions or concerns about the collection or use of information you may contact the FOIP Coordinator at 105 Marina Road, Chestermere, AB T1X 1V7 or call (403) 207-7050.

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  10. This field is not part of the form submission.