Municipal Government Board
10155 – 102 Street
Edmonton AB T5J 4L4
Tel 780.427.4864 - Fax 780.427.0986
Withdrawal Form
Linear Property Assessment Complaints
Name of Complainant (Assessee):
Assessee MA ID:
Authorized Representative (if any):
Assessment Year:
or Tax Year:
Please list the complaints you wish to withdraw OR attach a spreadsheet with the same information.
Municipality ID
(TJ MA ID)
Property ID
(LPAU ID)
______________________________________
Signature of Complainant OR Person authorized
to act on behalf of Complainant
Municipality ID
(TJ MA ID)
Property ID
(LPAU ID)
_______________________________________
Date
# of Attachments: ____
Note: a complaint filed with the Municipal Government Board (MGB) remains outstanding until a
recommendation or withdrawal for this complaint has been received by the MGB. Should you receive an
amended notice that involves a filed complaint, the MGB will NOT know whether you agree with the amendment
or not. If you are satisfied with the amendment, please withdraw your complaint with the MGB.
This information is being collected for the purposes of setting up each complaint for a hearing in accordance with Section 491(2) of the
Municipal Government Act and will be managed in compliance with the Freedom of Information and Protection of Privacy Act. Questions
about the collection of this information can be directed to Alberta Municipal Affairs, Municipal Government Board, 15th Floor, Commerce
Place, Edmonton, Alberta T5J 4L4, (780)427-4864 (Outside of Edmonton call 310-0000 to be connected toll free).