Pre-Authorized Debit Plan Agreement Sample Contracts

Pre-Authorized Debit Plan Agreement - Property Tax
Pre-Authorized Debit Plan Agreement • June 15th, 2018

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

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Pre-Authorized Debit Plan Agreement
Pre-Authorized Debit Plan Agreement • November 19th, 2008

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

Pre-Authorized Debit (PAD) Plan Agreement
Pre-Authorized Debit Plan Agreement • March 19th, 2020

The City of Pembroke offers a "Pre-authorized Debit Payment Plan" for the payment of realty taxes and/or flat rate water/sewer

Pre-Authorized Debit (PAD) Plan Agreement
Pre-Authorized Debit Plan Agreement • March 13th, 2020

The City of Pembroke offers a "Pre-authorized Debit Payment Plan" for the payment of realty taxes and/or flat rate water/sewer

Pre-Authorized Debit Plan Agreement
Pre-Authorized Debit Plan Agreement • November 24th, 2021

Each payment will be debited from your bank account and applied directly to your City of Lloydminster tax account. In the case of monthly payments, the amount will be re-calculated annually based on the current year’s taxes.

PRE-AUTHORIZED DEBIT PLAN (PAD) AGREEMENT < Children’s world>
Pre-Authorized Debit Plan Agreement • April 4th, 2018
Established 1906 Registered Charity Society
Pre-Authorized Debit Plan Agreement • January 16th, 2019
PRE-AUTHORIZED DEBIT PLAN AGREEMENT
Pre-Authorized Debit Plan Agreement • April 26th, 2016
Pre-Authorized Debit Plan Agreement
Pre-Authorized Debit Plan Agreement • September 20th, 2013

This authority is to remain in effect until the City of Lloydminster has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address below. I/we may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement at my/our financial institution or by visiting www.cdnpay.ca.

EQUAL PAYMENTS PROGRAM/PRE-AUTHORIZED DEBIT
Pre-Authorized Debit Plan Agreement • January 13th, 2021

I/We authorize P38 Energy Inc., and the financial institution designated (or any other financial institution I/we may authorize at any time) to begin deductions as per my/our instructions for monthly regular recurring payments and /or one-time payments from time to time, for payment of all charges arising under my/our P38 Energy Inc. account(s). Regular monthly payments for the full amount of

Contract
Pre-Authorized Debit Plan Agreement • November 19th, 2008

For assistance, further information, or if you require this form in an alternate format, please call 807-886-2245 or email slafleur@shawbiz.ca

ROMAN CATHOLIC EPISCOPAL CORPORATION OF PRINCE RUPERT
Pre-Authorized Debit Plan Agreement • September 8th, 2016

This authority is to remain in effect until ANNUNCIATION SCHOOL has received written notification from me/us of its change or termination. This notification must be received at least (10) ten business days before the next debit is scheduled at the address provided below. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement at my/our financial institution or by visiting www.cdnpay.ca.

Pre-authorized Debit Plan Agreement - Water & Sewer
Pre-Authorized Debit Plan Agreement • July 21st, 2022

I/we authorize my/our financial institution and the Township of Havelock-Belmont-Methuen to begin deductions as per my/our instructions for monthly recurring payments, for all charges arising under my/our utility account on the last business day of each month. This authority is to remain in effect until the Township has received written notification from me/us of its change or termination at least ten business days before the next debit is scheduled. By placing a signature on this agreement I/we acknowledge that I/we have read, understand, and agree to all of the terms of the pre-authorized debit plan.

Pre-Authorized Debit Plan Agreement – Water/Waste Water
Pre-Authorized Debit Plan Agreement • August 2nd, 2018

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

Pre-Authorized Debit Plan Agreement
Pre-Authorized Debit Plan Agreement • November 19th, 2008

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

Pre-Authorized Debit Plan Agreement - Property Tax
Pre-Authorized Debit Plan Agreement • May 4th, 2020

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

Pre-Authorized Debit (PAD) Plan Agreement
Pre-Authorized Debit Plan Agreement • March 10th, 2022

To enroll in the Pre-authorized Payment Plan, please fill out this form and return the completed form with a void cheque or a pre-authorized debit form from your financial institution to the below address or email address. This notification must be received at least ten(10) business days before the next debit is scheduled.

Pre-Authorized Debit Plan Agreement – Water/Waste Water
Pre-Authorized Debit Plan Agreement • August 2nd, 2018

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

Township of Havelock-Belmont-Methuen Pre-authorized Debit Plan Agreement
Pre-Authorized Debit Plan Agreement • March 14th, 2022

I/we authorize my/our financial institution and the Township of Havelock-Belmont to begin deductions as per my/our instructions for monthly recurring payments, for all charges arising under my/our property tax account on the 10th of each month excluding December. This authority is to remain in effect until the Township has received written notification from me/us of its change or termination at least ten business days before the next debit is scheduled. By placing a signature on this agreement I/we acknowledge that I/we have read, understand, and agree to all of the terms of the pre-authorized debit plan.

2597353 Ontario Inc.
Pre-Authorized Debit Plan Agreement • October 5th, 2022
Pre-Authorized Debit (PAD) Plan Agreement
Pre-Authorized Debit Plan Agreement • January 4th, 2017

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

Pre-Authorized Debit Plan Agreement - Property Tax
Pre-Authorized Debit Plan Agreement • May 4th, 2020

Send the completed Pre-Authorized Debit Plan Agreement with a void cheque, copy of void cheque or a pre-authorized debit form from your bank:

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Pre-authorized Debit Plan Agreement
Pre-Authorized Debit Plan Agreement • June 10th, 2016
Pre-Authorized Debit Plan Agreement
Pre-Authorized Debit Plan Agreement • June 20th, 2018

Each payment will be debited from your bank account and applied directly to your City of Lloydminster tax account. In the case of monthly payments, the amount will be re-calculated annually based on the current year’s taxes.

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