Common Contracts
1 similar Debit Agreement contracts
INCORPORATED JANUARY 1, 1991Debit Agreement • February 4th, 2010
Applicant Information Section 1 Owner Name: Customer Code: Address: Primary Telephone: 3RVWDO &RGH: E-Mail Address: 6HFRQGDU\ 3kRQH Payment Details Section 2 Balance Owing: Month to Begin: ixed Amt: Office Use Monthly Payment Amount: Office Us e 15th 30th Withdrawal Date: &/Or Pre-authorized Debit Type: Property Tax Business Ta x Banking Details Please attach a void cheque (unsigned) Section 3 Name of Bank: Bank #: Branch #: Bank Account #: Application DeclarationI/We authorize the Town of Grand Falls - Win manner specified.I/We Understand that it is the property owner information or ownership.I/We understand that the Pre-authorized paym notified in writing for cancellation. I/We also the pre-authorized debit can not be stopped u I/We understand that if property taxes increas that a fixed amount is required I/We have read the above information and und Section 4 dsor & the Financial institution designated above to debit my/our account i
