I/we wish to notify the City of Chestermere to change the previously identified bank account, to the
new attached identified bank account information as provided by the attached voided cheque or
bank deposit form. Each transaction will occur on the 15th day of the month or the next business
day if the 15th falls on a weekend. This authorization will remain in effect until notification of
termination is given in writing to the City of Chestermere.
(One of the authorized signatures will need to be the person on the banking information provided.)
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.
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 City Hall, 105 Marina Road, Chestermere, AB T1X 1V7 or call (403) 207-7050. Form Updated: April 2018
This field is not part of the form submission.
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