Pre-Authorized Payment Form - Water and Sewer

Sign up for Water and Sewer Pre-Authorized Payments. By providing your banking details, you can authorize regular deductions from your bank account, ensuring timely payments and convenience.

Water/Sewer Account Number

Name on Account:

First Name

Last Name

Phone

Mailing Address

Address 1

Address 2

City

ZIP / Postal Code

State / Province

Mailing Address is the same as Service Address

Yes

Service Address

Address 1

Address 2

City

ZIP / Postal Code

State / Province

Financial Information

Name of Financial Institution

Address of Financial Institution

Transit Number (5 Digits)

Bank Number (3 Digits)

Account Number

Type of Account

Home Owner (Signature)

Preauthorized Payment Terms and Conditions

It is understood that with reasonable notice, myself or the Town of Minto may cancel this authorization.
For joint accounts, all parties must sign when more than one signature is required on a cheque issued against the account.
At least one name on the cheque must be the same as the name on your bill. This helps the Town of Minto ensure that the authorization is valid

I agree to the terms & conditions

Documents

pdf

Pre Authorized Payment Form Water and Sewer File Size: 77.70 KB Download