Self-declaration and sale survey forms

As the evaluator for your municipality, our mandate is to update the property assessment roll. To do so, we ask that you fill out this document.

Information on the applicant

Owner’s name

First name

Last name

Address

Number, street, apartment or P.O. box

City

Postal code

Province

File number

As entered on the notice of assessment (roll) or Tax bill. Format: xxxx-xx-xxxx-x-xxx-xxxx

Daytime telephone number

Extension

Cell phone

Email

Please fill out the self-declaration form on changes that have been made to your property in the last 10 years.

1. Have you made changes to the exterior and/or increased or reduced the living space of the residence?

Ex.: roof, exterior cladding, doors, windows, foundation, other

Yes

No

Cost of the work

Date finished

Briefly describe the changes

Ex.: type of materials and % replaced

2. Have you added or removed any attached structures and/or outbuildings?

Ex.: garage, shed, shelter, hangar, gallery, in-ground or above-ground pool, other

Yes

No

Cost of the work

Date finished

Briefly describe the changes

3. Have you renovated your kitchen?

Yes

No

Have you changed the size of your kitchen?

Smaller

Same size

Larger

Cost of the work

Date finished

Briefly describe the changes

Ex.: type of materials of cupboard doors: wood, melamine, thermoplastic, other

4. Have you renovated your bathroom and/or water room?

Yes

No

What

Bathroom

Water room

Total number including the basement

Cost of the work

Date finished

Briefly describe the changes

Ex.: type of fixtures: sink, toilet, bidet, bathtub, shower, etc.

5. Have you done other types of renovation?

Ex.: flooring, heating, air conditioning, other

Yes

No

What

Basement

Other

Basement: % renovated

Other: specify

Other: % renovated

Cost of the work

Date finished

Briefly describe the changes

Ex.: components, types of materials and % replaced

6. Short-term, work in progress or work to be revised

In the event that there are major defects to be corrected (water infiltration, foundation or structural problem, etc.) or that there is work that is currently in progress or not completed, please let us know an expected end date for the work, approximate cost as well as a brief description of the work to be done.

Underway

To be revised

Not applicable

Cost of the work

Date finished

Brief description

Please send us photos of your residence

Exterior views: front and back of the house, shed, garage and pool / Interior views: kitchen, bathrooms, and basement if finished

Attestation statement

I declare that the information provided in this document is in compliance with the status of my property. In addition, I understand that the evaluator or his/her representative may, if needed, conduct an inspection of my property, in compliance with Article 18 of the Act Respecting Municipal Taxation.

Section 18:
Information: Every owner or occupant of a property or his mandatary must produce or make available to the assessor or his representative, any information respecting the property that he requires for the performance of his duties, according as he requests him to produce if by means of a questionnaire or otherwise, or to make it available [....].

Consent

I have read and agree to the privacy policy

Those information remains confidential and will only be used for municipal property assessment purposes.

Self-declaration and sale survey forms

Online self-declaration and sale survey forms

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Self-declaration form

The MRC Brome-Missisquoi assessment team

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