Pre-Authorized Payment Plan Application

In Accordance with By-Law 2018-62

I/We authorize the City of Belleville to debit my/our account indicated below for all Property Taxes payable to the City of Belleville. The treatment of each payment shall be the same as if I/We had personally issued a cheque or bank authorization form authorizing payment and to debit this amount to my/our account. New charges, such as Supplementary and Omitted Assessments (for improvements or new construction) or outstanding charges added to the tax roll (throughout the year) are not included in the plan. They must be paid in full prior to the pre-authorized payment plan being added. I/We acknowledge that CANCELLATION of this plan must be given in WRITING by myself/us or an agent acting on my/our behalf, 15 DAYS prior to the next deduction.

In accordance to the By-Law the City of Belleville may cancel the priviledge of continuing the payment plan if two instalments fail to be honoured. Any tax account, which has been cancelled from continuing in this plan shall revert to the regular instalment billing system and be subject to penalty and interest. 

I/We acknowledge that a SERIVCE CHARGE will be added to the tax account, for any (all) pre-authorized payment(s) that are returned placing the account in default.

I/We have attached a personal void cheque/bank authorization, (any account that is a joint bank account must have both/all signatures on this form) indicated below the plan that I/We wish to participate in.

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 debit that is not authorized or is not consistent with this PAP 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 http://www.cdnpay.ca

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-authorized Payment Plan Application. 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. For assistance in completing this form, please call (613)967-3243.