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Pre-Authorized Payment Plan Change of Banking Information

I/we are currently enrolled in The Township of West Lincoln’s pre-authorized payment plan for my/our property tax and/or utility accounts, and wish to change my/our banking information. This change will apply to the next PAP withdrawal date.

I/we understand that this form must be submitted at least 7 business days prior to the next withdrawal date. The Township takes no responsibility if written notice is not provided by this deadline.

First Name:

Last Name:

Phone Number:

Email Address:

Property Address:

Tax Roll Number:

Water Utility Account Number:

Effective Date:

Please upload and attach a void cheque or direct deposit enrolment form, that indicates the updated banking information.

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Personal information collected will be used for the purposes indicated only, in accordance with the Municipal Freedom of Information & Privacy Act.

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Pre-Authorized Payment Plan Change of Banking Information