Required fields are marked with asterisks (*)

Letter of Authorization

Property Roll Number

Property Address:

This shall authorize (indicate first and last name of individual or company name)

to act on behalf of (property owners name)

Please indicate details of authorization

Building Permit

Entrance Permit

Property Information

Tax Information

Other

Please specify "other" authorization details

The authorized person has permission by the owner to act on their behalf for the matter relating to the property listed above.

Signature of property owner(s)

Clear

Please indicate date of authorization

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