Required fields are marked with asterisks (*)

Tax Installment Payment Plan (TIPP) Pre-Approval Application

Saddle Hills County

Applicant Information

Date (yyyy-mm-dd):

Applicant Name

Phone Number

Mailing Address

Postal Code

Email Address

Property Information

Are you applying to register for the TIPP, or are you applying to cancel your TIPP payments? (Note: If you are registering one property and cancelling others, fill out separate forms for registrations and cancellations.)

Registering

Cancelling

Tax Roll Number

Address/Legal Description

Tax Roll Number

Address/Legal Description

Tax Roll Number

Address/Legal Description

Include the Tax Roll Numbers and corresponding addresses of any other properties you own

Notice of Collection

Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of assessing eligibility for Saddle Hills County's Tax Installment Payment Plan (TIPP) Program. Direct any questions about this collection to: FOIP Coordinator, Saddle Hills County, RR 1, Spirit River, Alberta, Canada, T0H 3G0, 1-888-864-3760.

Please send me a pdf copy of this form

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