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Pre-Authorized Payment Plan (PAP) Application

This program provides options for invoice payments to be automatically withdrawn from your bank account.

Part A - Instructions

Step 1: Pay your current bill. To enroll in the program, all invoiced amounts to date must be paid.


Step 2: Complete Parts B to E of this Application Form. All joint account holders must sign this Application if account requires two signatures.


Step 3: Attach an unsigned cheque marked "VOID". If you do not have a void cheque, submit a banking letter from your financial institution detailing your bank account information. Savings and line of credit accounts or credit card cheques are not accepted.


Step 4: Submit Application at least 10 days prior to your invoice due date. 

Part B - Applicant Information

Part C - Banking Information

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Part D - Declaration

I/We authorize the City of Peterborough to withdraw from my/our bank account as outlined in this form.

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Part E - Pre-authorized Payment Plan Terms and Conditions

General

  1. How to Cancel a Plan or Change Information: The Accounts Receivable Department must be notified in writing no later than 10 days prior to the invoice due date that payment is to stop or account information is to be changed.
  2. Non-sufficient funds (NSF): Invoice accounts may be removed from the PAP Plan if a payment is returned by the bank. The City's administrative fee, applicable at the time of return, will be charged to your account.
  3. Monthly Lease/Rent Payments: I/We understand this amount may change in the future subject to the terms and conditions of the said lease and in accordance with the applicable laws and regulations in Ontario.
  4. Recourse Rights: You have certain recourse rights if any withdrawal amount does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this agreement. To obtain more information on your recourse rights, contact your financial institution or visit Canadian Payments Association online (www.cdnpay.ca). 

I/We acknowledge that we have read and agree to all Agreement Details, Terms and Conditions contained in this document. I/We authorize the noted bank, or any other financial institution that I/We have identified, to withdraw funds from my/our bank account and remit to the City of Peterborough.