Applicant Information

Is this a new application or a change of information?:NewChange

Roll Number:

Legal Owner(s):

Physical Address:

Billing Address:

Primary Contact:

Phone:

Email:

With this registration, I/we hereby agree to accept all contractual terms and conditions related to the use of the Municipality of St.-Charles Electronic Tax Information System, as specified, and attest that all information provided is true and accurate. I/we also acknowledge that the signatory has the authority to bind the corporation or entity named or represented by the legal billing name above.

Date:

Signature: