Pre-authorized Debit Agreement
Property Tax Payment Plan 
Customer Agreement & Authorization Form

The undersigned taxpayer(s) authorize the Town of South Bruce Peninsula to debit my/our bank account (please see attached void cheque) in payment of property taxes levied against this roll number.

I/we understand that this program will be continued for subsequent years unless otherwise notified in writing by the Town that the program has been cancelled, or until such time as we revoke our participation in this program by providing written notice of 15 days to the Town.

I/we acknowledge that any bank-dishonoured payment due to non-sufficient funds will be
subject to an administration fee set out by Town policy for dishonoured items, plus
applicable late penalties.

Plan 1: Monthly Budget Plan withdrawn on the 10th day of each month.
Payments will be reviewed twice a year. 

• In January a monthly payment will be calculated based on the prior year's tax billing.
• After Bruce County, Education and Municipal budgets have been approved for the current year, the monthly payment will be recalculated after the June 10th withdraw! based on the current year final tax billing amount.
• You will be notified by mail of changes to your monthly payment amount.
• Plans started throughout the year are prorated.

Plan 2: Due Date Plan. A debit in the amount stated on the tax bill may be drawn on
the bank account on the installment due dates as established by municipal by-law.

Recourse Statement
You have certain recourse rights if any debit does not comply with this agreement. For
example, you have the right to receive reimbursement for any debit that is not authorized or
is not consistent with this PAP Agreement. To obtain more information on your recourse
rights, contact your financial institution or visit: www.cdnpay.ca

Duty to Notify
Please notify the Town in writing if your mailing address changes, banking details change or
you are selling the property.

It is acknowledged by the undersigned that delivery of this Authorization to the Town of South Bruce Peninsula constitutes delivery by the undersigned to the above noted financial institution. It is warranted by the undersigned that the person whose signature is required to sign on the above roll number has signed this authorization.