Pre-Authorized Payment Plan Application for Tax & Utilities

Please complete this application and send us your account information sheet from your bank to “Town of The Blue Mountains” via one of the following methods:

In Person: Reception Desk, 32 Mill Street, Thornbury,ON
By Mail: PO Box 310 32 Mill Street, Thornbury, ON N0H 2P0
By Fax: 519-599-2474
By e-mail: tax@thebluemountains.ca

Roll number of property: 42 - 42 - 000 - 0 - 0000

Pre-authorized payment plan details

Plan #1 – Ten Monthly Withdrawals

1/10th of the amount of your previous year’s taxes will be automatically withdrawn on the first day of each month from January through August. A letter indicating this amount will be mailed in early December.

In August, when the final tax amount for the year is levied, the monthly payment amount will be recalculated and a letter mailed to you. This new payment amount will be withdrawn on the first day of September and October. There is no longer a November 1st reconciliation payment or refund.

An application for the monthly plan must be received by November 30th for the following year, there is no mid-year enrolment.

Plan #2 – Four Withdrawals on the Due Dates

On each of four due dates, the end of March, May, August and October, the tax instalment will be automatically withdrawn from your bank account. An application for the due date plan must be received by the 15th of the month that the tax instalment is due.

Notes:

Taxes must be paid in full before enrolling in either plan.
You do not have to reapply every year.
For your information, you will continue to receive Interim and Final Tax Notices. These notices will be marked as being paid via ‘PAP’. For monthly PAP taxpayers, the balance shown as ‘Past Due’ on the tax bill is the amount on the account as of the day the bill was prepared, no payment is required.
If/when you sell your property, please notify the Town in writing to remove the preauthorization from the tax roll account.

Pick your plan (please check one):

Plan #1 – Ten equal monthly instalments from January to October

(Plan available by November 30th of each year for the next year.)

Plan #2 - Four regular tax instalments on the due dates

(plan available up until the 15th of the month instalment is due.)

Would you like to use the email provided to sign up to receive your Tax Bill via email?

Yes

Utility (Water/Wastewater) Account:

Water and Wastewater bills will be sent bi-monthly (February, April, June, August, October, December) or semi-annually for vacant lots (January, July) indicating the amount to be withdrawn on the due date.

Property address:

Mailing address:

City/Town:

Province:

Postal code:

Name(s):

Telephone number:

Email:

Please attach one (1) of the following documents from your financial institution:

Void Cheque
Pre-Authorized Debit Form

Please upload banking information (void cheque or pre-authorized debit form):

One file only.
64 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

I / We authorize Town of The Blue Mountains to debit my / our account as indicated for all estimated property taxes or utility bills payable to Town of The Blue Mountains. The treatment of each payment shall be the same as if I / We had personally issued a cheque authorizing payment from my / our account. This authorization may be cancelled upon written notice by me / us.

I / We authorize Town of The Blue Mountains to debit my / our account as indicated for all estimated property taxes or utility bills payable to Town of The Blue Mountains. The treatment of each payment shall be the same as if I / We had personally issued a cheque authorizing payment
from my / our account. This authorization may be cancelled upon written notice by me / us.

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