DECLARATION RELATIVE TO THE SIGNATURE AND DEPOSIT OF THE ROLL
SIGNATURE AND DEPOSIT OF THE REAL ESTATE ASSESSMENT ROLL
PART I: DECLARATION BY THE ASSESSOR
I, the undersigned, __________(name and title of assessor or, where applicable, of his designated representative)__________ __________(name of the municipal body responsible for assessment)__________, do hereby sign the real estate assessment roll for __________(name of local municipality)__________ for __________(fiscal periods concerned)__________.
I declare that, to the best of my knowledge, this roll has been prepared in accordance with the Act respecting municipal taxation and with the Regulations made thereunder.
Signed at __________(place)__________, on __________(date)__________.
__________(Signature of assessor or, where applicable, of his designated representative)__________
PART 2: DECLARATION BY THE CLERK
I certify that the real estate assessment roll for __________(name of local municipality)__________, for __________(fiscal periods concerned)__________, was deposited in my office at __________(time)__________ on __________(date)__________.
__________(Signature of clerk of local municipality)__________