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City of Kawartha Lakes
Human Services
68 Lindsay Street North
Lindsay, ON K9V 4S7
705-324-9870
cklhumanservices@kawarthalakes.ca

Kawartha-Haliburton Renovates Annual Update

Homeowner Name

Homeowner Address

Please select one of the following options:

I no longer live at the above address

The above address continues to be my sole and principal residence

Verification Documents:

Utility Bill

Driver's License

Property Tax Bill

Please upload one of the accepted verification documents, confirming your name and address:

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Phone Number:

Email Address

I/We have truthfully completed this form and understand that misleading information could cause my/our KHR Program loan to become due and payable and in default as per the terms in our agreement

Yes

Personal information contained on this form is collected pursuant to The Municipal Act, 2001, and will be used for the purpose of responding to your request. Questions about the collection of this information should be directed to the City Clerk or Deputy-Clerk at 705-324-9411 extension 1295 or 1322.

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City of Kawartha LakesHuman Services68 Lindsay Street NorthLindsay, ON K9V 4S7705-324-9870cklhumanservices@kawarthalakes.ca

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City of Kawartha Lakes
Human Services
68 Lindsay Street North
Lindsay, ON K9V 4S7
705-324-9870
cklhumanservices@kawarthalakes.ca