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Pre-Authorized Tax Payment Change Form

Taxation Services must be notifed of any changes to your pre-authorized withdrawal at least 10 business days prior to your next scheduled withdrawal date.

Company Name (If Applicable)

First Name

Last Name

Property Roll Number (Starting with 1813)

Property Address

Email Address

Phone Number

Effective Date of Change

Would You Like to Update Your Banking Information?

Yes

Please Attach a Void Cheque or Bank Letter

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Would You Like to Change Your Payment Options?

Yes

Change Payment Option to:

1st of each month

15th of each month

Installment Due Date

Please review the conditions below:

I understand that my request to change the Pre-Authorized Tax Payment is at least 10 business days prior to the next withdrawal date.
I hereby authorize the City of Oshawa, Taxation Services, to make the revisions as requested above with respect to my enrollment in the Pre-Authorized Tax Payment Plan.
This form may contain personal information as defined under the Municipal Freedom of Information and Protection of Privacy Act. This information is collected under the legal authority of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used and maintained by the City of Oshawa to administer the Pre-Authorized Payment program. Questions regarding this collection may be directed to the City’s Information Access and Privacy Officer at 905-436-3311.

Please check below to agree to the conditions

I/We agree to the above conditions

Please provide an electronic signature below:

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