Rural Municipality of Lac Du Bonnet

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Change of Address

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<form-template>
	<fields>
		<field class="header" type="header" label="Use the following form to submit your change of address directly to our office" subtype="h3"></field>
		<field class="form-control text-input" type="text" name="text-1590593333360" label="Roll Number " subtype="text" description="Your roll number is found on the top right hand corner of your Property Tax Bill or is listed as the account number on your receipts"></field>
		<field class="form-control text-input" type="text" name="text-1590593543431" label="Civic Address" subtype="text" description="Please provide your civic address" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1590593453244" label="First and Last Name " subtype="text" description="Please include the name(s) of all individuals included on the property title" required="true" placeholder="Please include the name(s) of all individuals included on the property title"></field>
		<field class="form-control text-input" type="text" name="text-1590593569616" label="Phone Number " subtype="text" description="Please provide your phone number " required="true"></field>
		<field class="form-control text-input" type="text" name="text-1594907793649" label="New Mailing Address " subtype="text" description="Please provide your new mailing address"></field>
		<field class="form-control text-input" type="text" name="text-1590593599136" label="If you would like to recieve your receipts via email rather than mail please provide your email address below" subtype="text" description="Please provide your email address"></field>
		<field class="form-control calendar" type="date" name="date-1590593857428" label="Effective Date " description="Please provide the date your would like these changes to take effect. " required="true"></field>
	</fields>
</form-template>

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RM of Lac Du Bonnet

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Change of Address