For Property Taxes in the Municipality of Central Huron

Instructions:

1. Your accounts must be paid in full to date.
2. Complete and sign this authorization form.
3. Attach a VOID cheque or bank account information form.
4. Submit this form online, or print, drop off or mail to:
Municipality of Central Huron
PO Box 400
23 Albert Street
Clinton, Ontario
N0M 1L0

Authorization

I/we authorize the Mun. of Central Huron 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 payment of all charges arising under my/our Mun. of Central Huron Property Tax account. This authority is to remain in effect until the Mun. of Central Huron 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 Pre-Authorized Debit Agreement (PAD) at my/our financial institution or by visiting www.cdnpay.ca. I/we have certain resource rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain a form for a Reimbursement Claim, or for more information on my/our resource rights, I/we may contact my/our financial institution or visit www.cdnpay.ca.