Pre-Authorized Property Tax Payment Application Form printable pdf download

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TOWN OF VIEW ROYAL

PRE-AUTHORIZED PROPERTY TAX PAYMENT

AUTHORIZATION FORM

_____________________________

Folio No. ________________

REGISTERED OWNERS:

________________________________________________

Start Date: _______________

Phone No: _______________

CIVIC ADDRESS: ______________________________________

______________________________________________________

We hereby authorize ________________________________

Monthly Amount $__________

Name of Financial Institution

Branch Address: _______________________________________________________________

Bank Account Number __________________________

Personal

Business

To debit my/our account indicated above on or after the 15

day of each month for the months August to May

inclusive each year. All payments are to the Town of View Royal. Attached is my/our void cheque (or stamped

confirmation from financial institution).

SIGNATURES ____________________________________

DATE: ____________________

____________________________________

DATE: ____________________



For a joint account all depositors must sign if more than one signature is required on cheques issued against

the account for verification purposes. Please attach a void cheque.



The designated monthly withdrawal amount above will not change unless a pre-authorized payment

modification form is completed.



I / We understand that payments made are non-refundable and that it is my / our responsibility to cancel this

plan if I / we sell the property.

Initial: _______

TERMS AND CONDITIONS OF CUSTOMER’S AUTHORIZATION

TO THE TOWN OF VIEW ROYAL

By signing this authorization, I/we authorize the Town of View Royal and their financial institution to

begin deductions as per my/our instructions for monthly regular recurring payments, for payment of all

charges arising under my/our property tax account.

This authority is to remain in effect until the Town of View Royal has received written notification from

me/us of its change or termination. This notification must be received at least ten (10) business days

before the next debit is scheduled at the address provided below. Sample cancellation forms or more

information may be obtained through your financial institution or by visiting Town of

View Royal cancellation or modification forms may be obtained at the address below.

I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we

have the right to receive reimbursement for any pre-authorized debit that is not authorized or is not

consistent with this agreement. To obtain a form for a Reimbursement Claim, or for more information

on my/our recourse rights, I/we may contact my/our financial institution or visit

The home owner grant application is the responsibility of the taxpayer and must be completed and

returned to the Town Hall every year before the penalty date to avoid penalties. Initial: __________

TOWN OF VIEW ROYAL 45 View Royal Ave. Victoria BC V9B 1A6 (250) 479-6800

Fax (250) 727-9551 email

finance@viewroyal.ca

Pre-Authorized Property Tax Payment Application Form

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