The personal information on this form is collected under the authority of the Municipal Government Act and is protected under the provisions of the Freedom of Information & Protection of Privacy (FOIP) Act.
The information collected will be used to administer the Revenue & Assessment Services Pre-Authorized Withdrawal Tax Instalment Plan (TIP). If you have any questions about the collection, use and protection
of this information, please contact Revenue & Assessment Services - Taxation, 4914 - 48 Ave, Fourth Floor, City Hall, 403-342-8126.