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Pre-Authorized Debit

Pre-Authorized Debit

Property Information
Applicant Information
Name
Name
Address
Financial Information
Payment Information

I/we authorize the Township of Addington Highlands to draw a debit in paper, electronic or other form, including any top-ups or adjustments, on the 15th of each month to my/our account and hereby authorize my/our financial institution to debit my/our account indicated above for all tax bills. This authorization is to remain in effect until such time as i/we revoke my/our authorization in writing, subject to providing ten (10) business days prior to the next scheduled withdrawl.

For joint financial accounts, all depositors must sign if more than one signature is required on the cheque.

By placing a signature on this agreement, I/we acknowledge that I/we have read, understood and agreed to all the tems and conditions of this authorization.

Please upload a VOID Cheque or a pre-authorized debit form from your financial institution or email to admin@addingtonhighlands.ca.

Max. file size: 64 MB.
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Applicant
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Co-Applicant
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Terms and Conditions

The pre-authorized debit (PAD) plan enables you to pay your tax bills directly from your bank account, without having to write a cheque, pay for postage, or worry about missed due dates. The Township does not charge for this service, however, normal bank service charges do apply. Your account must be up to date to qualify for PAD Plan. All taxes due, prior to the desired start date must be paid in full.

All withdrawls are made on the fifteenth business day of each month. January to June payments are based on half of the previous years tax levy. The amount of these withdrawls appears on your Interim Tax Notice (mailed in March). The final monthly payments, July to December, are adjusted to reflect the actual taxes for the year. The amount of these withdrawls appears on your Final Tax Notice (mailed in July).

If you withdraw from the PAD plan or your PAD plan is cancelled, all unpaid taxes become due and payable, and are subject to the standard penalties.

An administrative fee of $10 will be applied to your account for payments not cleared by your financial institution. If the payment is not replaced in the specified time, you will be notified that your account has been removed from the pre-authorized debit plan.

Consent

Tax notices issued for supplementary and omitted assessments (for improvements or new construction) or outstanding charges added to the tax roll will not be withdrawn automatically without prior consultation with the applicant.

This agreement is non-transferable and you must submit a new application for any ownership changes. You may revoke the authorization granted in accordance with this agreement at any time. Notification of any changes to your bank account, other information or cancellation of this agreement must be made in writing a minimum of 10 days prior to the next scheduled withdrawl. To obtain a sample cancellation form, or for more information on your right to cancel a PAD agreement, you may contact your financial institution or visit www.payments.ca.

Consent

You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this pre-authorized agreement. To obtain more information on your recourse rights, contact your Financial Institution or visit www. payments.ca.

Personal information on this form is collected under the authority of the Municipal Act 2001, S.O. 2001, C.25, and will be used to process your pre-authorized debit plan application. Questions about the collection of this personal information should be directed to the Treasurer at the Township of Addington Highlands, 72 Edward Street, PO Box 89, Flinton ON K0H 1P0 or 613-336-2286.