Payor’s Pad Agreement Sample Contracts

Payor's PAD Agreement
Payor's Pad Agreement • March 1st, 2012
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Standard Contracts

Payor's PAD Agreement
Payor's Pad Agreement • October 30th, 2021

Instructions — 1. The Payee must retain this agreement for at least 12 months after the last Pre-Authorized Debit (PAD) is issued.

PAYOR'S PAD AGREEMENT
Payor's Pad Agreement • October 26th, 2021

PHONE: school office (604)823-6814 EMAIL: office@jcss.ca BOOKKEEPER (604)823-6814bookkeeper@jcss.ca PAYOR INFORMATION (Mandatory):Account Holder Name(s) (the "Payor") Address City Province Postal Code Email Address Phone No.

PAYOR’S PAD AGREEMENT
Payor’s Pad Agreement • April 2nd, 2019

Branch Number Institution # Account Number Name of Financial Institution Branch Branch Address City/Province Postal Code

Instructions:
Payor’s Pad Agreement • September 25th, 2012
PAYEE INFORMATION
Payor's Pad Agreement • April 29th, 2014

PHONE: SCHOOL OFFICE (604)823-6814 BOOKKEEPER (604)823-6814 PAYEE ACCOUNT INFORMATION EMAIL: office@jcss.ca bookkeeper@jcss.ca 809-28940-104041513 PAYOR INFORMATION (Mandatory) Account Holder Name(s) (the "Payor") Address City Postal Code Province Phone No. Email Address

Payor’s PAD Agreement
Payor’s Pad Agreement • March 4th, 2021
INSTRUCTIONS
Payor’s Pad Agreement • September 26th, 2021

Account Holder Name(s) (the "Payor")** ☐ same as Payee Address (street, city, province, postal code)** Email Address Phone No. Payee Name (the "Payee")Beacon Unitarian Church Address (street, city, province, postal code)552A Clarke Rd Suite 414 Coquitlam, BC Canada V3J 0A3 Email Addresscwoodworth@telus.net Phone No.(604) 465-4992

Instructions
Payor’s Pad Agreement • July 21st, 2010
Payor's PAD Agreement
Payor's Pad Agreement • May 21st, 2019
PAYEE INFORMATION
Payor's Pad Agreement • May 23rd, 2019

PHONE: school office (604)823-6814 EMAIL: office@jcss.ca BOOKKEEPER (604)823-6814bookkeeper@jcss.ca PAYEE ACCOUNT INFORMATION809-28940-104041513 PAYOR INFORMATION (Mandatory) Account Holder Name(s) (the "Payor") Address City Postal Code Province Phone No. Email Address

PAYOR'S PAD AGREEMENT SCHOOL YEAR 2021-2022
Payor's Pad Agreement • August 11th, 2021

Please complete all sections in order to instruct your financial institution to make payments directly from your account. Please sign the Terms and Conditions on the reverse of this document.

Contract
Payor’s Pad Agreement • May 19th, 2011

District of Central Saanich - Payor’s PAD agreement (pre-authorized payment plans) PAYOR ADDRESS PAYEE ADDRESS NAME: ADDRESS: CITY: PROV: NAME: District of Central Saanich ADDRESS:1903 Mt Newton X Road CITY: Saanichton PROV: BCPOSTAL CODE: V8M 2A9 PHONE: (250) 544 4206 PAYOR BANKING INFORMATION,. Name and address of Financial institution POSTAL CODE: PHONE: Please attach a cheque marked ‘VOID’. E-MAIL: SELECT (or Cancel) PAYMENT PLAN(S) (Check one or both) Property taxes: (CPA transaction type: 385)Roll number: Eleven monthly payments starting July 15 each year.Monthly payment: = Maximum of 9% of prior year net taxes Auto Recalculate each year: Maximum Amount: Starting date Payor initials Cancellation date: Payor initials Utilities: (CPA transaction type: 436)Account number: The balance due on your bill is debited from your bank account on the due date. Starting date Payor initials Cancellation date: Payor initials PAYMENT PLAN AUTHORIZATION I / We acknowledge that this Authorizati

Personal Pre-Authorized Debit Plan
Payor's Pad Agreement • March 29th, 2010
PAYOR'S PAD AGREEMENTPersonal Pre-Authorized Debit Plan Application/Changes/Cancellation forTAX INSTALLMENT PAYMENTS PLAN SERVICE (TIPPS)
Payor's Pad Agreement • October 29th, 2019

ROLL NUMBER CIVIC ADDRESS BEACH/DIVISION APPLICANT(S) NAME HOME/CELL PHONE BUSINESS PHONE APPLICANT(S) NAME HOME/CELL PHONE BUSINESS PHONE MAILING ADDRESS

Weesoe Community
Payor’s Pad Agreement • May 11th, 2019
Authorization of the Payor to the Payee to Direct Debit an Account
Payor’s Pad Agreement • September 26th, 2020
SCHEDULE “B” PAYOR’S PAD AGREEMENT
Payor’s Pad Agreement • September 24th, 2019
FIRM MANAGEMENT CORPORATION PAYOR’S PAD AGREEMENT
Payor's Pad Agreement • May 2nd, 2022

TERMS AND CONDITIONS I/We hereby authorize Payee, in accordance with the terms of my/our account agreement with Processing Institution, to debit or cause to be debited the Account□ for the purposes indicated in the "Payment Type" section on page 1 of this Agreement. 2) Particulars of the Account that Payee is authorized to debit are indicated in the "Payment Details" section on page 1 of this Agreement. A specimen cheque, if available for the Account, has been marked "VOID" and attached to this Authorization. 3) I/We undertake to inform the Payee, in writing, of any change in the Account information provided in this Authorization prior to the next due date of the PAD. 4) This Authorization is continuing but may be cancelled at any time upon notice being provided by me/us, either in writing or orally, with proper authorization to verify my/our identity within the specified number of days before the next PAD is to be issued as noted on Page 1, Cancel Payment section. I/we acknowledge t

INSTRUCTIONS
Payor's Pad Agreement • December 3rd, 2009

PAYOR/PAYEE INFORMATION (Mandatory) Account Holder Name(s) (the "Payor") Address (street, city, province, postal code) Email Address Phone No. Payee Name (the "Payee") q same as Payor Address (street, city, province, postal code) Email Address Phone No.

New Hope Community Church Payor's PAD Agreement
Payor's Pad Agreement • July 12th, 2021

PAYEE INFORMATION - New Hope Community Church Address: (street, city, province, postal code) 4009 Colonel Talbot Road, London, ON N6P 1E8 Email Address: office@newhopelondon.com Phone Number: 519-652-1026

Contract
Payor's Pad Agreement • August 9th, 2022

Payor's PAD Agreement PLEASE COMPLETE SECTIONS HIGHLIGHTED IN YELLOW, attach a void cheque and sign at the bottom. We will complete the rest. This form, when completed, stays with UCG’s Treasurer.

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PAYOR'S PAD AGREEMENT
Payor's Pad Agreement • May 20th, 2010
Payor's PAD Agreement
Payor's Pad Agreement • April 5th, 2010

About this Agreement: This completed form allows for you to become a sustainer of No One Is Illegal - Vancouver's work by making monthly contributions. The Payee (No One Is Illegal - Vancouver) will retain this agreement for at least 12 months after it is terminated.

PAYOR’S PAD AGREEMENT
Payor’s Pad Agreement • June 15th, 2021

Branch Number Institution # Account Number Name of FinancialInstitution Branch Branch Address City/Province Postal Code

Payor’s PAD Agreement
Payor’s Pad Agreement • July 21st, 2010
PAYORS PAD AGREEMENT Payee: RM of Dundurn Box 159, Dundurn, SK S0K 1K0 306-492-2132
Payors Pad Agreement • February 16th, 2021

I/We acknowledge that this Authorization is provided for the benefit of the “Payee” and “Processing Institution” and is provided in consideration of Processing Institution agreeing to process debits (“PADS”) against the Account with Processing Institution in accordance with the rules of the Canadian Payments Association (the “CPA Rules”). I/We also agree to waive any and all requirements for pre-notification of debiting, including, without limitation, pre-notification of any changes in the amount of the PAD due to a change in any applicable tax rate, top-up, or adjustment.

Payor’s PAD Agreement
Payor’s Pad Agreement • January 26th, 2018
Lai and Associates is pleased to offer our Payor’s PAD Agreement, enabling your monthly / annual service bills for managed services, software licences, cloud consumption or LMS access to be directly debited from your designated accounts.
Payor’s Pad Agreement • April 30th, 2021

This payment option requires the completion of this document and enables our financial facilitator (RBC) to electronically collect payments due on our behalf.

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