Common Contracts

2 similar Pre-Authorized Payment Plan Agreement contracts

PRE-AUTHORIZED PAYMENT PLAN (PAP) AGREEMENT
Pre-Authorized Payment Plan Agreement • March 1st, 2016

I/We hereby authorize the Town of Wasaga Beach and the designated financial institution to begin deductions following the Plan selected below. In addition, I/we acknowledge that there will be a $35.00 service charge for a pre-authorized payment that is refused by my financial institution, and should there be any change to my address or banking information, it is my responsibility to provide written notice to the Treasury Department.

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PRE-AUTHORIZED PAYMENT PLAN (PAP) AGREEMENT
Pre-Authorized Payment Plan Agreement • March 1st, 2016

I/We hereby authorize the Town of Wasaga Beach and the designated financial institution to begin deductions following the Plan selected below. In addition, I/we acknowledge that there will be a $35.00 service charge for a pre-authorized payment that is refused by my financial institution, and should there be any change to my address or banking information, it is my responsibility to provide written notice to the Treasury Department.

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