Pre-Authorised Payment Plan Form

Please complete this authorisation form and return it to The Township of Lake of Bays, Tax Department, 1012 Dwight Beach Road. Dwight, Ontario P0A 1H0

I/We accept the terms and conditions herein defined and authorise the Township of Lake of Bays to begin deductions for payment of my/our tax account for the amount specified.

I/We ensure that the funds will be available to cover the withdrawal and that insufficient funds may result in finance charges as applicable and possible cancellation of my/our enrollment in the payment plan.

This authority is to remain in effect until canceled by either myself or the Township of Lake of Bays, by written notification and given reasonable opportunity to act.

Terms & Conditions:
- For joint accounts, all depositors must sign if more than one signature is required on cheques issued againts this account.
- Enrollment in the pre-authorised payment plan is automatically renewed each year.
- All pre-authorised payments will be drawn on Canadian financial institutions only and will be withdrawn in Canadian funds.
- If you are enrolled in the plan and, for any reason, a payment is returned, the amount of the returned payment plus a finance charge and applicable penalties will be added to your next month’s payment. If any two payments should be returned, your enrollment in the plan will be terminated.
- If for any reason, you wish to be removed from the payment plan (the property has been sold, the business ceases to operate, etc.), you must notify the tax office in writing at least twenty (20) days before the next pre-authorised payment is due.