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Pre-Authorized Payment Plan Cancellation

To cancel your pre-authorized payment plan for property taxes and/or water billing, please submit this form a minimum of 10 business days prior to the next scheduled payment withdrawal.

Cancellation requests will be processed based on the effective date provided.

If you cancel your pre-authorized payment plan, all unpaid property tax and/or water bill account balances become due immediately and are subject to penalty charges in accordance with the Municipal Act, 2001.

If you are selling your property, it is your responsibility to cancel your pre-authorized payment plan(s) by completing this request form. Failure to cancel a pre-authorized payment plan prior to your closing date may result in already scheduled payments to be withdrawn from your bank account. If this occurs, you will be required to reconcile any payment(s) with your lawyer's office.

Are you the registered owner of this property?

Yes

Property Address:

Street Number

Street Name

Unit Number

Property Owner(s):

Property Owner #1 Last Name

Property Owner #1 First Name

Property Owner #2 Last Name

Property Owner #2 First Name

Contact Phone Number

Email Address

Which Pre-Authorized Payment Plan are you cancelling?

Property Tax Account only

Water Billing Account only

Both Property Tax and Water Billing Accounts

What is the effective date for the Pre-Authorized payment cancellation?

Are you cancelling your Pre-Authorized Payment Plan due to sale of property?

Yes

Declaration:

Certify Information and ownership

I certify the information provided on this request form is accurate and I am a registered owner of this property.

Acknowledge Request

I acknowledge that I hereby request the Town of New Tecumseth to cancel my pre-authorized payment plan on the effective date. I am aware that any unpaid balances are due and payable in full immediately and are subject to penalties in accordance with the Municipal Act, 2001.

Please sign to acknowledge your statements are true and accurate

Name of Signature

Personal information contained in this request form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c M.56, and the Municipal Act 2001. This information will be used for the purposes of responding to your request. Questions about the collect should be directed to the Clerk/Director of Administration Services, Town of New Tecumseth, 24 Tupper Street West, Alliston, Ontario, L9R 1H2, Telephone: 705-435-3900, Email: clerk@newtecumseth.ca