Real Estate Tax Automatic Payment (Auto Pay) Application - New York City Department Of Finance

ADVERTISEMENT

NEW YORK CITY DEPARTMENT OF FINANCE
PAYMENT OPERATIONS DIVISION
ADJUSTMENT AND DISCREPANCY UNIT
l
l
REAL ESTATE TAX
TM
AUTOMATIC PAYMENT (AUTO PAY) APPLICATION
Department of Finance
Mail to: NYC Department of Finance, Adjustment and Discrepancy Unit, 59 Maiden Lane, 19th Floor, New York, NY 10038
Instructions: Use this form to request an automatic deduction of Real Estate Property Tax Payments directly from your bank
account; or, to cancel your prior registration. Please return this completed form, with a copy of a voided check, to the ad-
dress above or fax it to 212-232-1564. For quicker automatic deductions register online at (click
on NYCeFile, select Pay Property Tax (EFT)). For assistance please call 311.
SECTION I - REGISTRATION/REVOCATION INFORMATION
REGISTRATION:
n
I want to register for Automatic Payment (Auto Pay) services for my Real Estate Taxes. (Choose one method of Auto Pay below):
QUARTERLY/SEMI-ANNUALLY
ANNUALLY
n
n
CHANGE BANK INFORMATION:
n
I want to change my routing and/or my account number.
REVOCATION:
n
I want to cancel my Automatic Payment (Auto Pay) registration.
SECTION II - PERSONAL INFORMATION
1. Name of
Applicant: _______________________________________________________________________________________
PRINT FIRST NAME
PRINT LAST NAME
PRINT MIDDLE INITIAL
2. Address: _________________________________________________________________________________________
/
NUMBER AND STREET
APARTMENT
FLOOR
5. Zip
3. City: _______________________________________ 4. State: __________________
Code: __________________
(
)
7. Telephone
6. Country: ____________________________________
Number:
__________
____________________________
8. Borough ___________________________ 9: Block:
10: Lot:
If you have more than one property please attach a list of each property with Borough, Block and Lot numbers.
11. Email Address, if available:___________________________________________________________________________
SECTION III - BANK ACCOUNT INFORMATION
PLEASE ATTACH A VOIDED CHECK
1. Account
Holder Name(s): __________________________________________________________________________________
2. Type of
Account:
n
Checking
n
Savings
n
Other: __________________________________________
3. ABA
4. Bank
Routing #: _____________________________________
Account #: ______________________________________
(nine digit number on the botton left of check)
5. Signature:__________________________________________________________ 6: Date:_______/_______/ _______
AutoPay Appl. Rev. 09.14.2017

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go