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Pre-Authorized Payment Agreement 

For Property Taxes in the Municipality of Centre Hastings


1. Your accounts must be paid in full to date.
2. Complete and sign this authorization form.
3. Attach a VOID cheque or bank account information form.
4. Submit this form online, or print, drop off or mail to:

Municipality of Centre Hastings
7 Furnace Street,
PO Box 900,
Madoc, ON K0K 2K0
Phone: 613-473-4030


I/we authorize the Mun. of Centre Hastings and the financial institution designated (or any other financial institution) I/we may authorize at any time) to begin deductions as per my/our instructions for payment of all charges arising under my/our Mun. of Centre Hastings Property Tax account. This authority is to remain in effect until the Mun. of Centre Hastings has received written notification from me/us of its change or termination. This notification must be received at least 10 (ten) business days before the next debit is scheduled at the address provided below. I/we may obtain a sample cancellation form, or more information on my/our right to cancel a Pre-Authorized Debit Agreement (PAD) at my/our financial institution or by visiting I/we have certain resource rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain a form for a Reimbursement Claim, or for more information on my/our resource rights, I/we may contact my/our financial institution or visit

I/we agree to the above statement:

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