Pre-authorized debit (PAD) enrollment – Municipal taxes and Water and sewer

This authorization remains in effect until the City of Clarence-Rockland has received written notice from me/us of its cancellation or modification. This notice must be received at least fifteen (15) business days before the next scheduled debit at the address provided below.

I/we may obtain a sample cancellation form, or more information about my/our right to cancel a PAD agreement, by contacting my/our financial institution or by visiting www.cdnpay.ca.

I understand that any additional tax bills received upon enrollment in a plan must be paid separately by the due dates indicated on the invoice.

This is for :
This is a :
Property address :

Account holder(s) and contact information

Address (street, city, province) :
Withdrawal authorization :

Payment Options

Budget Plan (Monthly Payments)

Payments are calculated as follows:

  • The plan runs from February to January.
  • Eleven equal monthly payments are withdrawn automatically.
  • The twelfth payment, in January, is an annual adjustment based on actual usage.

Regular Plan (4 Annual Payments)
  • Payments are made four times a year: January, April, July, and October.
  • Withdrawals occur on the due date shown on your invoice.

Important Notes
  • Only taxpayers with no arrears are eligible for either plan.
  • The municipality may cancel this authorization at any time.
  • After one insufficient funds (NSF) withdrawal, your pre-authorized payment plan will be cancelled.
Pre-authorized plan option:

Refund

I have certain recourse rights if a debit does not comply with this agreement. For example, I have the right to receive a refund for any PAD that was not authorized or did not comply with this PAD Agreement. For more information about your recourse rights, please contact your financial institution or visit www.cdnpay.ca.

Consent

As the account holder, I confirm that the information provided in this authorization is accurate and complete. I confirm that all individuals whose signatures are required for the bank account indicated above have signed this authorization. By signing below, I acknowledge that I have read the Pre-Authorized Payment Agreement for individuals and agree to abide by it. I understand that a processing period may apply before the first debit.

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