Tax & Utility Prepayment Plan Amendment Form printable pdf download

Tax & Utility Prepayment Plan Amendment Form

D i s t r i c t o f N o r t h V a n c o u v e r

Revenue & Taxation Department

355 West Queens Rd, North Vancouver, BC V7N 4N5

Questions about this form: Phone: 604-990-2311 or Email:

Form submission: Mail or Email to address above or Fax: 604.987.7160

COMPLETION: To ensure legibility, please complete (type) online then print. Sign the printed copy

and submit to the department and address indicated above.

CHANGES OR CANCELLATIONS TO THE TAX & UTILITY PREPAYMENT PLAN MUST BE

RECEIVED A MINIMUM 10 DAYS PRIOR TO A SCHEDULED PAYMENT DATE.

Folio:

Civic address:

Select one of the following four options:

1. CANCEL THE PREPAYMENT PLAN

2. CHANGE BANK ACCOUNT INFORMATION

(Please attach a void cheque and fill in the information below)

Name of Financial Institution:

Address of

Financial Institution:

Branch # (5 digits):

Institution # (3 digits):

Account #:

3. CHANGE DOLLAR AMOUNT

From: $

To: $

4. CHANGE HOMEOWNER GRANT ELIGIBILITY (select eligibility)

Basic Grant

Additional Grant

Not Eligible

Year of Birth: ________

DOC# 1798922

Tax & Utility Prepayment Plan Amendment Form