Pre-Authorized Payment Plan 

Pre-Authorized Payment Plan

How it Works: With your permission, your payments can be withdrawn automatically from your chequing account. Your payments are recorded automatically and individually on your bank statement or pass book. It's a modern, easy method to make those recurring bill payments without the inconvenience of writing a cheque, the increasing cost or postage or that trip to pay the bill! 

Note:

1. Please attach a void cheque to your application
2. Payments can be withdrawn on the 1st or 25th of each month or by instalment due dates (see Type of Plan below)
3. In order to take advantage of this payment method, your taxes and/or water account must be current and up-to-date.
4. If you are submitting a form for Tax Payments only and do not have a Water Account, please put eight (8) zeros (00000000) in the field for Water/Sewer Account #

Pre-Authorized Payment Plan Authorization Form

Taxpayer Information:

Type of Plan:

Financial Institution Information

I/we, as the above account holder(s), do hereby authorize the Township of Southgate and my/our financial institution to debit my/our account for payment of taxes and/or water. This authorization may be cancelled at any time upon written notice by me/us. (Signatures are required on cheques issued against this account.)

For Office Use Only