Pre-authorized Tax Payment Plan Authorization Agreement

Pre-authorized Tax Payment Plan

Authorization Agreement

I/we, the undersigned, hereby authorize The Corporation of the City of London and the financial institution

identified below (or any other financial institution I/we may authorize at any time) to draw monthly payments

from the account (identified below) payable to The Corporation of the City of London for payment of property

taxes and amounts added to the tax roll.

Please print or type your responses.

Name

Residence telephone number

Daytime telephone number

Property address

Mailing address (if different from property address)

Property account number

Financial Institution

Name of institution

Type of service

Personal

Business use

Chequing account number

Authorizing Signature(s)

Note: If more than one signature is required for the account, all must sign this agreement.

Signature 1

Signature 2

E-mail address

Date (YYYY-MM-DD)

Send this completed form and a VOIDED cheque to:

Finance Division, City of London

PO Box 5256

4th Floor, Room 407

300 Dufferin Avenue, London ON N6A 5M6

Pre-Authorized Payment Plan Terms & Conditions

● All taxes due prior to the starting month must be paid prior to the starting month.

Telephone no:

(519) 661-4540

• Monthly payments for variable property tax amounts will be debited to your specified account on the last

business day at City Hall for the months of January to October for each year (or such later day as may be

specified on a written notice).

• You will be sent 10 days written notice of all property tax amounts to be debited to your bank account.

• You certify that your taxes are fully paid to date and that your bank account is in good standing with

sufficient funds to cover pre-authorized payments as they come due.

• If more than one signature is required on cheques issued against the account, all depositors must sign the

application.

• If a payment cannot be cleared, or if supplementary taxes or invoices added to your account are unpaid

you will automatically be removed from the Pre-authorized Payment Plan and billed for the amount

owing.

• The City of London will levy a service charge (plus applicable interest) for any payment that cannot clear

your account.

• If you wish to cancel your Pre-authorized Payment Plan -- or need to change information such as your bank

account details -- simply provide the City of London Tax Office with written notice at least 30 days in

advance of your next payment date. To obtain a sample cancellation form, or for more information on your

right to cancel this agreement contact your financial institution or visit www.cdnpay.ca.

• You have certain recourse rights if any debit does not comply with this agreement. For example, you have

the right to receive reimbursement for any debit that is not authorized or is not consistent with this Pre-

Authorized Debit Agreement. To obtain more information on your recourse rights contact your financial

institution or visit www.cdnpay.ca.

Notice of Collection of Personal Information:

The personal information collected on this form is collected under the authority of the Municipal Act, 2001, S.O.

2001, c. 25, and will be used to process your application to set up a pre-authorization tax payment plan.

Questions about this collection should be addressed to the Manager, Customer Service & Assessment, Finance &

Corporate Services at 300 Dufferin Ave., London, ON N6A 4L9. Tel: 519-661-4540

Form no. 0814 (rev.2018.11)

www.london.ca

Please select month to start Pre-Authorized Payments:

January March June July

August

September

October

It means eliminating the chore of writing

cheques and ensuring your payment

reaches City Hall by the due date. You’ll

never have to worry about remembering

to make a payment or the cost of postage

or a possible late fee.

There are no service charges or fees for

enrolling in the plan. All that’s required

is completing and submitting the Pre-

authorized Payment Plan Authorization

Agreement, along with a void cheque.

How does the plan work?

Payments are deducted from your bank

account on the last business day of the

month at City Hall. The payments are

taken over 10 months - January through

to October - and cover the interim and

ﬁnal tax bills.

There are no payments in November or

December and the program automatically

starts again the following January.

Note: The ﬁrst ﬁve payments (January-

May) will be an estimated, equal monthly

amount. When the amount of the Final

Bill is determined, the monthly payment

may be adjusted. The last ﬁve payments

(June- October) reﬂect the tax rate and

assessment for the year, minus the

payments already received.

Supplementary taxes for new construction

or improvements will not be covered by

the Pre-authorized Payment Plan and

must be paid separately.

Pre-authorized

Payment Plan

Discover the convenience of the City of London’s

Pre-authorized Payment Plan. This voluntary

plan offers you an easy, time-saving way to have

tax payments automatically deducted from your

bank account.

When can I sign up and when

do payments start?

There are several start dates.

• To start in January an application must

be received by the City’s Tax Office by

November 15. Applications received

after November 15 will not be in time

for payment deductions to begin in

January.

• To begin the plan in June an

application must be received by the tax

office by May 15. Applications received

after May 15 will not be in time to start

June payment deductions.

• To start in March, July, August,

September or October, the property

owner must have an application in the

City Tax Office prior to the first day of

the applicable month and the property

owner must have no past due taxes as

of the first day of the applicable month.

If you miss one of the plan start up

dates you will be required to pay your

regular tax installments until the next

plan start up date.

How do I enrol?

• Complete and sign the Pre-authorized

Payment Plan Authorization

Agreement. (It is on the reverse side

with information on the applicable

terms and conditions, along with

points to check in getting your

application ready for submission.)

If you own more than one property,

a separate Authorization Agreement

is required for each property.

Note: In order to participate in the

program, all taxes must be fully paid

to date.

• Mark VOID and attach an unsigned

cheque, encoded with your bank

transit number and account

number, to the agreement. Please

use bank accounts only.

• Return the completed

agreement and void cheque to: Pre-

authorized Payment Plan, Finance

Division, City of London, 300

Dufferin Avenue, Room 407, PO

Box 5256, London, ON N6A 5M6

or fax these documents

to 519-661-6518. Attention:

Transfer Clerk, or e-mail scanned

documents to [email protected]

• You can also obtain an application

form online at london.ca/paytax or

call our offices at 519-661-4540.

• After enrolling, please provide

immediate written notification

of any change in your banking

information.