PRE-AUTHORIZED PAYMENT MODIFICATION

Note: If your application is setup on a Joint Bank Account, the co-applicant must also sign for this request to be processed.

Personal information on this form is collected under the authority of the Municipal Act 2001, SO 2001, c25 will be used to process your Pre-Auhtorized Payment Modification request. Questions about the collection of this personal information only should be directed to the Manager of Taxation, Taxation Department, 169 Front Street, Belleville, ON K8N 2Y8 613-967-3241.