Required fields are marked with asterisks (*)

Welcome

Please note that confirmation in writing must be received from all parties listed on title. Confirmation may be sent via email at admin@mindenhills.ca, mailed to 7 Milne St, PO Box 359, Minden On, K0M 2K0. You may also drop off written confirmation at our Administration building at the same address.

If there are multiple owners of the property, please ensure that each owner sends their written consent to the requested changes submitted through this form.

Where it is deemed unclear that all parties agree to any changes, the Township reserves the right to seek further information before any changes take place.

Name (list all names on title):

Roll Number:

Water & Sewer Account (if applicable):

Phone Number:

Email Address:

Address/Legal Description of Property:

Previous Mailing Address:

New Mailing Address:

Effective Date of Change: