Pre-Authorized Banking Information-Change Request

By completing this form, you authorize The Town of New Tecumseth to withdraw your pre-authorized payments from the new bank account as provided on this request. We require at least 10 business days notice before the next withdrawal date to make any changes to the banking information.

Which pre-authorized payment plan(s) are you enrolled in? Check all that apply(Required)

Property Tax Monthly Plan – 10 Months (January to October) debited on the 15th of the month or next business day.

Property Tax Due Date Plan – Debited four times a year on the installment due dates.

Arrears Payment Plan – Choose this plan if you have an outstanding property tax balance where a payment plan has been put in place with the Town of New Tecumseth

Utility Due Date Plan – Funds withdrawn on the due dates indicated on the utility bill.

Property Tax Roll Number/ Utility Account Number(Required)

Municipal Address(Required)

Street Address Address Line 2 City Province Postal Code

Property Owner #1 (Last Name, First Name)(Required)

Property Owner #2 (Last Name, First Name)

Contact Phone Number(Required)

Email Adddress(Required)

Name of Financial Institution(Required)

Transit Number(Required)

Financial Institution Number(Required)

Account Number(Required)

Supporting Document Upload (Void cheque or PAD from your financial institution)(Required)

Accepted file types: pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif, Max. file size: 10 MB.

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Pre-Authorized Banking Information-Change Request